PMC3350272_01
Axial and coronal CT scan images showing vertex epidural haematoma in preoperative course.
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fig1
The consultant confirmed the diagnosis of epidural hematoma of the arch (Figures 1 and 2), associated with a fractured frontal paramedian extending down to the right orbital ceiling.
Sagittal and 3D CT scan images showing VEDH and frontal paramedian fracture extending down to the right orbital ceiling.
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fig2
The consultant confirmed the diagnosis of epidural hematoma of the arch (Figures 1 and 2), associated with a fractured frontal paramedian extending down to the right orbital ceiling.
Scheme of incision for operative course and peroperative view.
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fig3
Surgical technique was discussed via phone transmission and optimized with a scheme (Figure 3) using Microsoft PowerPoint showing skin incision, bilateral craniotomies, and dural tack up sutures crossing the midline. 
Postoperative control axial CT scan.
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fig4
During the postoperative course, the patient showed dramatic improvement and the child was discharged home shortly after repeat control CT Scan (Figure 4).