Asian Journal of Case Reports in Surgery

Traumatic Extradural Hematoma and Kernohan’s Phenomena in Pediatric Patient: Case Report and Current Concepts

Farah Wahidah Sazali *

Department of General Surgery, Universiti Kebangsaan Malaysia, Malaysia and Department of General Surgery, Hospital Selayang, Malaysia and Department of Neurosurgery, Hospital Raja Permaisuri Bainun, Ipoh, Malaysia.

Mohamad Azhari Bin Omar

Department of Neurosurgery, Hospital Raja Permaisuri Bainun, Ipoh, Malaysia.

*Author to whom correspondence should be addressed.

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Abstract

Introduction: Traumatic extradural hemorrhage is one of the types of brain injury in children. The mortality of this type of brain injury can be as high 11.9% where the fall is the most common mechanism. Immediate surgical intervention such as decompressive craniectomy is a gold standard treatment in extradural hemorrhage.

Case Report: This is a case report of pediatric patient in trauma that sustained extradural hemorrhage that require surgical intervention due to low initial glowscow coma scale (GCS )upon presentation. Post trauma patient sustained ipsilateral weakness which was late recognization due to rare complication.

Conclusion: Managing extradural hemorrhage in pediatric patient is quite challenging as it has diversity of presentations where immediate surgical intervention is needed to prevent further complications.

Keywords: Kernohan’s phenomena, KWNP, extradural hematoma, traumatic brain injury pediatric head trauma

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