Bilateral Symmetrical Parietal Extradural Hematoma

The occurrence of bilateral extradural hematomas (edh)is an uncommon consequence of craniocerebral trauma,and acute symmetrical bilateral epidural hematomas areextremely rare. we discuss the technique adopted byus for the management of this rare entity. a 55-year-oldpatient presented with history of fall of branch of tree onher head. she had loss of consciousness since then andhad multiple episodes of vomiting. examination of thescalp was suggestive of diffuse subgaleal hematoma. herglasgow coma scale was nine and there were no lateralizingsigns. her computed tomography scan showed bilateral,symmetrical, parietal edh with diastases of coronal suture.the patient underwent bicoronal scalp flap well behind thecoronal suture running across the junction of anterior twothirdand posterior one-third of hematoma to gain bilateralexposure. initially, left parietal trephine craniotomy wasperformed and without disturbing the blood clot, left trephinecraniotomy was performed and the hematomas wereevacuated. management of bilateral edh cases requirescareful planning, adequate exposure, judicious surgicalapproach, and time management for good results.