Book craniotomy: modified craniotomy for midline extradural hematoma. Patient series.

Journal of neurosurgery. Case lessons Pub Date : 2025-04-28 DOI:10.3171/CASE2518

Satya Bhusan Senapati, Abhijit Acharya, Sumirini Puppala, Ashok K Mahapatra

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引用次数: 0

Abstract

Background: An extradural hematoma (EDH) is an acute blood collection between the dura and calvarium in the skull and the spine. The most common cause is traumatic and the most common location is the temporal convexity. A midline or vertex EDH from a venous bleed, most commonly from the midline sinuses, is rare.

Observations: The authors present a case series of 9 cases of vertex EDH managed in their department.The common cause was road traffic accidents. Vertex EDH was the most common type. Book craniotomy was considered in all cases. A definite sinus injury was seen in 5 cases. No patients died. Book craniotomy is an innovative method to manage midline EDH when there is a risk of sinus injury.

Lessons: A midline EDH is not common and needs special attention. Surgical treatment can lead to profuse blood loss due to an underlying sinus injury and patient morbidity. Book craniotomy is an innovative method to safeguard the sinuses in cases of midline EDH and achieve hemostasis. https://thejns.org/doi/10.3171/CASE2518.

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书本开颅术：改良开颅术治疗中线硬膜外血肿。病人系列。

背景：硬膜外血肿（EDH）是一种急性血液收集在硬脑膜和颅骨之间的头骨和脊柱。最常见的原因是创伤，最常见的位置是颞凸。由静脉出血引起的中线或顶点EDH，最常见于中线鼻窦，是罕见的。观察：作者介绍了9例顶点EDH在他们部门管理的病例系列。常见的原因是道路交通事故。顶点EDH是最常见的类型。所有病例均考虑书本开颅。5例有明确的鼻窦损伤。没有患者死亡。书本开颅术是一种创新的方法来管理中线EDH时，有窦损伤的风险。经验教训：中线EDH并不常见，需要特别注意。手术治疗可导致大量失血，由于潜在的窦损伤和病人的发病率。书本开颅术是保护中线EDH患者鼻窦并达到止血目的的一种创新方法。https://thejns.org/doi/10.3171/CASE2518。

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Journal of neurosurgery. Case lessons

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