Abstract
A 55-year-old female was admitted to our hospital at 6:16 a.m.. She was found comatous on her back outside of her apartment. She was drinking alcohol until 4 a.m.. A bruise was found only on her right occipital scalp. Plain X-rays of the skull showed linear fracture in the right occipital bone. A computed tomography (CT) scan performed about 1 hour after arrival revealed epidural hematomas in the right occipital and bifrontal region. Initially, an occipital craniotomy was performed and the hematoma was removed. The origin of bleeding was a small meningeal artery (a dural branch of the occipital artery). Thereafter, the position was changed, and bilateral frontal epidural hematoma removal and hemostasis was done. The superior sagittal sinus was the origin of bleeding in the frontal hematoma. The postoperative course was uneventful. She was discharged free of neurological symptoms after 17 days of hospitalization. We assume contrecoup acute epidural hematoma to be rare as we have found only four reports in the literature so far.
