Contrecoup Epidural Haematoma-a Rare Phenomenon: an Autopsy Case Report
International Journal of Medical Toxicology and Forensic Medicine,
Vol. 6 No. 1(Winter) (2016),
12 February 2016
,
Page 54-57
https://doi.org/10.22037/ijmtfm.v6i1(Winter).10153
Abstract
Background: Contrecoup extradural haemorrhage (CCEDH) is reported very rarely in literature, 13 to be exact. All these cases have been documented based on clinical, radiological and intraoperative findings.
Case Report: Here we report a rare entity of CCEDH with autopsy findings in a 48-year old male with an alleged history of fall. The clinical and the radiological findings recorded in the hospital files as well as information supplied by the investigating officer has been considered.
Conclusion: Various mechanisms of CCEDH hypothesised by the previous authors have been discussed.
- Contrecoup
- Extradural Haemorrhage
- Falling
- Autopsy
- Mechanism
How to Cite
References
Oehmichen M, Auer RN, Konig HG. Forensic Neuropathology and Associated Neurology. Berlin: Springer. 2006.
Saukko P, Knight B. Knight's Forensic Pathology, 3Ed. Boca Raton: Taylor & Francis; 2004.
Abe S, Furukawa K, Endo S, Hoshi S, Kanaya H. Acute epidural hematoma of the posterior fossa caused by forehead impact. No Shinkei Geka. 1988;16:321-5.
Balasubramaniam V, Ramesh VG. A case of coup and contrecoup extradural hematoma. Surg Neurol. 1991;36:462-4.
Gao H, Wang L, Lv H. Subacute Epidural Hematoma Caused By Contrecoup Injury: A Case Report. Webmed Central Neurology. 2010;1.
Hamasaki T, Yamaki T, Yoshino E, Higuchi T, Horikawa Y, Hirakawa K. Traumatic posterior fossa hematoma. No to Shinkei. 1987;39:1083-90.
Mishra A, Mohanty S. Contre-coup extradural haematoma: a short report. Neurol India. 2001;49:94-5.
Mitsuyama T, Ide M, Kawamura H. Acute epidural hematoma caused by contrecoup head injury-case report. Neurol Med Chir (Tokyo). 2004;44:584-6.
Miyazaki Y, Isojima A, Takekawa M, Abe S, Sakai H, Abe T. Frontal acute extradural hematoma due to contrecoup injury: a case report. No Shinkei Geka. 1995;23:917-20.
Motohashi O, Tominaga T, Shimizu H, Koshu K, Yoshimoto T. Acute epidural hematoma caused by contrecoup injury. No to Shinkei. 2000;52:833-6.
Okamoto H, Harada K, Yoshimoto H, Uozumi T. Acute epidural hematoma caused by contrecoup injury. Surg Neurol. 1983;20:461-3.
Sato S, Mitsuyama T, Ishii A, Kawamata T. An atypical case of head trauma with late onset of contrecoup epidural hematoma, cerebellar contusion, and cerebral infarction in the territory of the recurrent artery of Heubner. J Clin Neurosci. 2009;16:834-7.
Shigemori M, Moriyama T, Eguchi G, Noguchi M, Kawasaki K, Kawaba T, et al. Acute epidural hematoma of the posterior fossa caused by fronto-temporal impact. Case report. Neurol Med Chir (Tokyo). 1985;25:489-92.
Takeuchi S, Takasato Y, Masaoka H, Otani N. Contrecoup epidural hematoma. Neurol India. 2010;58:152-4.
Z Cakir, M Cakir, M Emet, S Aslan, Saritas A. Acute epidural haematoma due to contrecoup head injury: a case report. Hong Kong j emerg Med. 2009;16:252-4.
Fishpool SJ, Suren N, Roncaroli F, Ellis H. Middle meningeal artery hemorrhage: an incorrect name. Clin Anat. 2007;20:371-5.
Yilmazlar S, Kocaeli H, Dogan S, Abas F, Aksoy K, Korfali E, et al. Traumatic epidural haematomas of nonarterial origin: analysis of 30 consecutive cases. Acta Neurochir (Wien). 2005;147:1241-8.
Radulovic D, Janosevic V, Djurovic B, Slavik E. Traumatic delayed epidural hematoma. Zentralbl Neurochir. 2006;67:76–80.
Mealey J. Acute extradural hematomas without demonstrable skull fractures. J Neurosurg. 1960;17:27-34.
Freytag E. Autopsy findings in head injuries from blunt forces. Arch Pathol.1963;75:402-13.
Auer LM, Deinsberger W, Niederkorn K. Endoscopic surgery versus medical treatment for spontaneous intracerebral hematoma: a randomized study. J Neurosurg. 1989;70:530-5.
Galbraith S. Age-distribution of extradural hemorrhage without skull fracture. Lancet. 1973;1:1217−8.
Krayenbuhl H, Maspes PE, Sweet WH. Progress in neurological surgery, Craniocerebral Trauma. Tokyo: Karger. 1981.
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