- [Show abstract] [Hide abstract] ABSTRACT: Retroclival epidural hematoma (REDH) is a rare entity. Only 44 cases of REDH are reported in available literature so far. Most of the cases of REDH are post traumatic and occur in the pediatric age group. Some of the cases reported in the literature are associated with atlanto occipital dislocation, however the co-occurrence of REDH and atlantoaxial dislocation is extremely rare, and only two cases have been reported so far. We report a case of REDH with AAD (atlantoaxial dislocation) in 10 years-old-male child, who presented on the same day of injury with quadriparesis and pain in suboccipital region after a road traffic accident. The patient recovered well with conservative management. The aim of reporting this case is to emphasize the need of repeat MRI/CT scan of CV JUNCTION in cases (especially in pediatric age group) not showing any abnormality in the initial cervical or cranial CT scans in patients presenting with quadriparesis. The available literature is also reviewed in detail.
- [Show abstract] [Hide abstract] ABSTRACT: Traumatic pseudoaneurysm of the superficial temporal artery is a very rare lesion and usually presents as a painless pulsatile mass in the temporal region a few weeks after trauma. Though first described by Bartholin in 1740, the infrequent incidence and sometimes perplexing presentation still warrants the need for awareness of its presentation and diagnosis. We report a case of traumatic pseudoaneurysm of the superficial temporal artery that presented a few weeks after blunt trauma to the head. We also review the anatomical peculiarities and pathophysiology that facilitates pseudoaneurysm formation and the optimal approach to diagnosis and management of the lesion.
- [Show abstract] [Hide abstract] ABSTRACT: Penetrating injuries other than gunshot wounds or low-velocity wounds to the head are extremely rare. We report the case of a 19 year old male who sustained a penetrating craniocerebral trauma following a road traffic accident. Noncontrast CT scan revealed three foreign bodies embedded in left frontal lobe, which on surgery turned out to be human teeth. Mechanism of injury seems to share characteristics of low velocity projectiles. The survey of management pattern of these injuries showed a general agreement about CT scan, antibiotics and anticonvulsants. The prompt management resulted in an excellent outcome. We discuss the management of this unusual case reviewing the current literature on craniocerebral injuries caused by similar objects.