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Case Report
Concomitant post-traumatic craniospinal multicompartmental hematoma associated
with posterior fossa extradural hematoma - Case report and review of literature
B Indira Devi M Ch, Arivazhagan A M Ch, Mithun G Sattur M Ch, Sastry VR
Kolluri M Ch
Department of Neurosurgery National Institute of Mental Health and Neurosciences,
Bangalore, 560029
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Isolated cranial nerve palsy is
an uncommon sequel in head injury. A 9-year-old child was admitted
in comatose condition after falling from a house with right pupil
dilatation and same eyeball deviated laterally. Clinical impression
was that of a right sided traumatic hematoma and resulting uncal
herniation leading to third nerve palsy. However, CT scan revealed
a small hemorrhage in anterior tegmentum on right side. The majority
of third nerve palsies following trauma have been reported due to
lateral herniation syndrome but isolated third nerve palsy due to
tegmental herniation is rare entity.
Key words : multicompartmental hematoma; post traumatic; craniospinal
hematoma ; spinal epidural hematoma ; posterior fossa hematoma.
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Address for correspondence:
Dr. B . Indira Devi
Additional Professor
Department of Neurosurgery,
National Institute of Mental Health and Neurosciences,
Bangalore, 560029. E-mail: bindira@nimhans.kar.nic.in
Phone: +91-080- 26995409. Fax: 091-080-6564830; 091-080-6562121.
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