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LETTER TO EDITOR
Year : 2012  |  Volume : 60  |  Issue : 3  |  Page : 369

Vertex extradural hematoma


Department of Neurosurgery, Chettinad Superspeciality Hospital and Chettinad University, Kelambakkam, Chennai, India

Date of Submission14-Apr-2012
Date of Decision11-Jun-2012
Date of Acceptance11-Jun-2012
Date of Web Publication14-Jul-2012

Correspondence Address:
V G Ramesh
Department of Neurosurgery, Chettinad Superspeciality Hospital and Chettinad University, Kelambakkam, Chennai
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0028-3886.98552

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How to cite this article:
Ramesh V G. Vertex extradural hematoma. Neurol India 2012;60:369

How to cite this URL:
Ramesh V G. Vertex extradural hematoma. Neurol India [serial online] 2012 [cited 2019 Dec 16];60:369. Available from: http://www.neurologyindia.com/text.asp?2012/60/3/369/98552


Sir,

I read with interest the two articles titled "Traumatic bilateral frontal extradural hematomas with coronal suture diastases" and "A large vertex extradural hematoma due to traumatic bilateral coronal suture diastasis," published in Neurology India, Nov-Dec, 2011 issue. [1],[2] It is apparent that both the articles refer to the same problem, i.e. vertex extradural hematoma, with almost the same features. The authors of the first article have termed it as "bilateral frontal extradural hematoma," which is incorrect. It is evident from the images that it is only vertex extradural hematoma which is contiguously extending to both the sides of midline. The term bilateral extradural hematoma should be applied only to non-contiguous bilateral hematomas. This factual error has to be corrected. Moreover, after the advent of magnetic resonance imaging and computerized tomography with multiplanar facilities, these hematomas are not uncommon and they are encountered more often. [3],[4] The fracture running across midline, including bilateral coronal diastasis, is a common accompaniment of vertex extradural hematoma and this is not unusual. Anyway, the authors of both the articles need to be complimented for highlighting the problem.

 
 » References Top

1.Mishra SS, Senapati SB, Deo RC. Traumatic bilateral frontal extradural hematomas with coronal suture diastases. Neurol India 2011;59:940-2.  Back to cited text no. 1
  Medknow Journal  
2.Arun P. A large vertex extradural hematoma due to traumatic bilateral coronal suture diastasis. Neurol India 2011;59:935-7.  Back to cited text no. 2
  Medknow Journal  
3.Ramesh VG, Sivakumar S. Extradural hematoma at the vertex: A case report. Surg Neurol 1995;43:138-9.  Back to cited text no. 3
[PUBMED]  [FULLTEXT]  
4.Ramesh VG, Deiveegan K, Soundappan V. Vertex extradural hematoma in association with Paget's disease of the skull. Neurol India 2005;53:115-6.  Back to cited text no. 4
[PUBMED]  Medknow Journal  



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Mishra, S.S., Senapati, S.B., Deo, R.C.
Neurology India. 2012; 60(3): 369
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