PMC7749931_01
Preoperative noncontrast CT head scans show a right temporal epidural hematomas (EDHs) (a), a right posterior cranial fossa EDH (b), and a temporal bone fracture with diastasis of the lambdoid suture (c). Postoperative CT head scans (d-f) show evacuation of EDHs and resolution of the downward herniation.
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F1
Computed tomography (CT) scans [Figure 1] revealed two different EDHs, the first one located in the right temporal region and the second one in the right posterior cranial fossa, and a diastasis of the lambdoid suture, suggestive of high-speed impact trauma. The postoperative CT scan showed complete removal of both hematomas [Figure 1], but unfortunately, the patient died 2 days later due to diffuse axonal injury (DAI).
Intraoperative (a) and postoperative (b) pictures show two different craniotomies and a single C-shaped skin incision starting from the right frontal region and ending to C1 level. Illustration depicting (c) shows the middle meningeal artery, transverse and sigmoid sinuses, and the craniotomies performed during surgery.
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F2
Then, two different craniotomies, right frontotemporal and right suboccipital, were performed [Figure 2].