摘要
Introduction: Extradural hematoma is a common pathology in our department. The natural history of small-volume hematoma is usually towards resorption. In rare cases, the hematoma calcifies and compresses the brain. We report an extradural hematoma in a 15-year-old boy who had a road traffic accident on February 2011. The brain CT-scan performed the following day revealed a small right frontal extradural hematoma. During hospitalization, he had a fever of 40 degrees with convulsions and the blood culture isolated the coagulase-negative staphylococci and Group D streptococci. When his conscience was restored, hemiparesis and dysarthria were observed. The control brain CT-scan performed 2 weeks after the trauma showed early resorption of the hematoma. Two months after the trauma, the brain CT-scan showed calcification of the hematoma. He underwent surgery in April 2011 to remove the calcification. The sequels were hemiparesis and posttraumatic epilepsy. Conclusion: The evolution of a small non-operated extradural hematoma can be done towards calcification thus requiring surgery.
Introduction: Extradural hematoma is a common pathology in our department. The natural history of small-volume hematoma is usually towards resorption. In rare cases, the hematoma calcifies and compresses the brain. We report an extradural hematoma in a 15-year-old boy who had a road traffic accident on February 2011. The brain CT-scan performed the following day revealed a small right frontal extradural hematoma. During hospitalization, he had a fever of 40 degrees with convulsions and the blood culture isolated the coagulase-negative staphylococci and Group D streptococci. When his conscience was restored, hemiparesis and dysarthria were observed. The control brain CT-scan performed 2 weeks after the trauma showed early resorption of the hematoma. Two months after the trauma, the brain CT-scan showed calcification of the hematoma. He underwent surgery in April 2011 to remove the calcification. The sequels were hemiparesis and posttraumatic epilepsy. Conclusion: The evolution of a small non-operated extradural hematoma can be done towards calcification thus requiring surgery.
作者
Drissa Kanikomo
Moussa Diallo
André Tokpa
Youssouf Sogoba
Izoudine Blaise Koumaré
Mamadou Salia Diarra
Boubacar Sogoba
Oumar Diallo
Mahamadou Dama
Oumar Coulibaly
Mamady Coulibaly
Abdoulaye Kanikomo
Drissa Kanikomo;Moussa Diallo;André Tokpa;Youssouf Sogoba;Izoudine Blaise Koumaré;Mamadou Salia Diarra;Boubacar Sogoba;Oumar Diallo;Mahamadou Dama;Oumar Coulibaly;Mamady Coulibaly;Abdoulaye Kanikomo(Department of Neurosurgery, Teaching Hospital Gabriel Toure, Bamako, Mali;Department of Neurosurgery, Teaching Hospital of Bouake, Bouake, Cote d’Ivoire;Department of Neurosurgery, Luxembourg Hospital of Bamako, Bamako, Mali;Department of Neurosurgery, Mali Hospital, Bamako, Mali)
