2025/08/17 by Agrawal, Amit, Kishor, V. Hegde, Umamaheswara, Reddy V
paper · doi:10.82235/wajr.vol23no1.324
Extradual hematoma (EDH) is the collection of blood between the inner skull table and dura, and appears as a biconvex‑lens shape on imaging.[1,2] In comparison to EDH, the subdural hematoma (SDH) is a collection of blood between the dura and arachnoid membrane and it has a biconcave‑lens shape on imaging.[1,3] In the acute stage, most of these hematomas present as hyperdense lesions on computerized tomography (CT) images.[1‑4] In rare circumstances, a patient can have acute extradural hematoma and subdural hematoma adjacent to each other on the same side with a characteristic imaging appearance.[5,6] A 26‑year‑old male patient sustained head injury in a road traffic accident and presented 6 hours after to the emergency department. The patient was unconscious from the time of injury and had multiple episodes of vomiting. There was no history of seizures or nasal/ear bleeds. His general and systemic examination was unremarkable. Neurologically, he had altered sensorium [Glasgow coma score (GCS)‑E1V2M5]. Pupils were bilaterally equal and reactive to light. He moved all four limbs normally. He had multiple abrasions over face and scalp.