Isodense Acute Epidural Hematoma in an Anemic Patient – Diagnostic and Therapeutic Trap: A Case Report

  • Sajid Khan Department of Neurosurgery, Prime Teaching Hospital, Warsak Road, Peshawar
  • Musawer Khan Mardan Medical Complex, Mardan, KPK – Pakistan
  • Naeem-ul- Haq Mardan Medical Complex, Mardan, KPK – Pakistan
  • Mumtaz Ali Department of Neurosurgery, Prime Teaching Hospital, Warsak Road, Peshawar
  • Muhammad Ishaq Mardan Medical Complex, Mardan, KPK – Pakistan
Keywords: Head trauma, acute epidural hematoma

Abstract

Post-traumatic acute epidural and subdural hematoma is a common neurosurgical emergency. Epidural or extradural hematoma is an accumulation of blood between the skull and dura mater, mostly appears asa hyperdense biconvex shape on computed tomography (CT) scan. In our present study, weencountered a case of an eight years old malechild brought to the hospital with head trauma in aroad traffic accident. Initial CT scan revealed an epidural hematoma, which appeared isodense rather than the usual hyperdense presentation. This unusual presentation was due to low hematocrit (HCT). Thisparticular presentation poses a diagnostic dilemma and can compromise patient managementultimately leading to treatment failure.  Here, we present a case report about diagnosing and managing an anemic patient with traumatic isodense acute epidural hematoma.

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Published
2021-10-17
Section
Case Reports