Epidural Haematoma

Contributor:

Dr. Chris Ekong

Case 1

Age: 30

Sex: Male

History: An alcoholic. Fell 2 hours previously and hit the back of his head. Has become progressively drowsy. Examination showed him to be combatant with GCS of 9. Serum alcohol level 76 millimoles per litre (legal limit 17 millimoles per litre).

Treatment 1

Craniotomy and evacuation of haematoma done immediately. Patient recovered completely. He then became suddenly comatose with GCS of 3 on post-op day 5. CT of brain was done.

Treatment 2:

Left Craniotomy and evacuation of haematome was done and patient has done well. GCS 14.

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