@article{ref1,
title="Contrecoup extradural hematoma without fracture: a case report and review of literature",
journal="Asian journal of neurosurgery",
year="2019",
author="Musali, Siddartha Reddy and Manne, Srikrishnaditya and Butkuri, Nagarjuna and Gollapudi, Prakash Rao and Kumar, Thatikonda Satish",
volume="14",
number="1",
pages="322-324",
abstract="Extradural hemorrhages are commonly seen in coup head injuries, rarely seen in contrecoup head injuries. Acute extradural hemorrhage in the coup head injuries associated with a fracture is common, but the incidence of acute contrecoup extradural hemorrhage not associated with the fracture is extremely rare. Only 21 cases have been reported previously. A 28-year-old male patient presented to the emergency department with complaints of sustaining injuries in a road traffic accident by fall from a two-wheeler. No history of loss of consciousness, vomiting, seizures, and ear/nose bleed. On examination, the patient was conscious and coherent with a Glasgow Coma Scale score of 15/15 and a laceration on the right frontotemporal region which was sutured. Contrast tomography of the brain revealed an extradural hemorrhage of 10 mm thickness in the left parieto-occipital region with soft tissue swelling in the right temporoparietal region, without any evident fractures in the calvarium. The patient was managed conservatively. Contrecoup extradural hematoma is a rare entity, and those without fracture are extremely rare. Early diagnosis, careful observation, and management lead to a good outcome.<p /> <p>Language: en</p>",
language="en",
issn="1793-5482",
doi="10.4103/ajns.AJNS_283_18",
url="http://dx.doi.org/10.4103/ajns.AJNS_283_18"
}