Revista de la Facultad de Medicina

Hematoma epidural crónico asintomático: un caso que desafía el principio de Monro-Kellie

DOI: https://doi.org/10.37345/23045329.v3i2.157

Case reports | Publicado: 2025-11-30

Autores:

  • Isabella Ramirez Moino
    Hospital General de Accidentes, Instituto Guatemalteco de Seguridad Social

Introduction:  Epidural hematoma (EH) is a serious complication of traumatic brain injuries (TBI), characterized by the accumulation of blood between the dura mater and the skull, typically due to the rupture of the middle meningeal artery. Although less frequent than subdural hematomas, EH holds significant clinical relevance due to its potential to cause neurological deterioration and high morbidity.  Objective:  This report details the case of a 21-year-old male patient with an asymptomatic chronic epidural hematoma, diagnosed 14 days after a motor vehicle accident. Clinical observations:  Despite the severity of the radiological images, the patient was hemodynamically stable and without neurological symptoms. After the computed tomography (CT) scan, a craniotomy was performed to drain the hematoma.  Conclusion: This case illustrates the clinical variability of epidural hematomas, highlighting the importance of early diagnosis and appropriate treatment to prevent severe complications such as brain herniation or increased intracranial pressure.

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Cómo citar

Hematoma epidural crónico asintomático: un caso que desafía el principio de Monro-Kellie. (2025). Revista De La Facultad De Medicina, 3(2), 17-26. https://doi.org/10.37345/23045329.v3i2.157