Craniofacial trauma and double epidural hematomas from horse training☆

INTRODUCTION A case of complex poly-trauma requiring multi-service management of rare, diagnoses is reviewed. PRESENTATION OF CASE A healthy 20 year old female suffered double epidural hematoma, base of, skull fracture, traumatic cranial nerve X palsy, benign positional paroxysmal vertigo and supraorbital, neuralgia following equestrian injury. DISCUSSION Epidemiology, differential diagnosis, and principles of management for each condition, are reviewed. CONCLUSION Coordinated trauma care is well suited to address the complex poly trauma following, equestrian injury.

[1]  A. Banerji,et al.  Collet-Sicard syndrome resulting from closed head injury: case report. , 1991, The Journal of trauma.

[2]  V. Singh,et al.  Double extradural hematoma: an analysis of 46 cases. , 2004, Neurology India.

[3]  J. Kobler,et al.  High-Force Simulated Intubation Fails to Dislocate Cricoarytenoid Joint in Ex Vivo Human Larynges , 2012, The Annals of otology, rhinology, and laryngology.

[4]  M. Tevrüz,et al.  Bilateral epidural hematoma , 2000, Neurosurgical Review.

[5]  G. Rasmussen,et al.  [Bilateral epidural hematomas]. , 1992, Ugeskrift for laeger.

[6]  J. Pareja,et al.  SUNCT Syndrome: diagnosis and treatment. , 2003, CNS drugs.

[7]  A. Nielsen,et al.  A review of horse-related injuries in a rural Colorado hospital: implications for outreach education. , 2005, Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association.

[8]  P. Westerhuis,et al.  The International Classification of Headache Disorders (2nd ed.) , 2004 .

[9]  Classification and diagnostic criteria for headache disorders, cranial neuralgias and facial pain. Headache Classification Committee of the International Headache Society. , 1988, Cephalalgia : an international journal of headache.

[10]  Susan L. Whitney,et al.  Clinical Practice Guideline: Benign Paroxysmal Positional Vertigo , 2008, Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery.

[11]  T. Gerlinger,et al.  Jefferson Fracture Resulting in Collet-Sicard Syndrome , 2000, Spine.

[12]  R. Lipton,et al.  Peripheral Nerve Blocks and Trigger Point Injections in Headache Management – A Systematic Review and Suggestions for Future Research , 2010, Headache.

[13]  Jamshid Ghajar,et al.  Surgical management of acute epidural hematomas. , 2006, Neurosurgery.

[14]  J. Pareja,et al.  SUNCT Syndrome , 2003, CNS drugs.

[15]  A. Kirkpatrick,et al.  Ten years of major equestrian injury: are we addressing functional outcomes? , 2009, Journal of trauma management & outcomes.

[16]  T. Fang,et al.  Vagus nerve paralysis due to skull base fracture. , 2008, Auris, nasus, larynx.