Paraplegia Caused By Vertex Epidural Hematoma and Lumbal L1 Burst Compression Fracture: A Rare Case Report

Authors

  • I Putu Dhidhi Pradnya Suryadiarsa General Practitioner Department, Klungkung Regional General Hospital, Bali, Indonesia
  • I Putu Ananta Wijaya Sabudi Neurosurgery Division, Surgery Department, Klungkung Regional General Hospital, Bali, Indonesia
  • Janaari Pramana Putri Gelgel General Practitioner Department, Bangli Regional General Hospital, Bali, Indonesia

DOI:

https://doi.org/10.38035/jim.v4i4.1379

Keywords:

Paraplegia, Vertex EDH, Burst Compression Fracture, Craniotomy

Abstract

Paraplegia is most commonly caused by spinal cord trauma and is rarely the result
of head injury. In this case report, we present a rare case of paraplegia caused by a vertex
epidural hematoma (EDH) and L1 burst compression fracture. A 55-year-old female patient
was diagnosed with vertex-parietal right EDH, right and left parietal subarachnoid
hemorrhage (SAH), traumatic cerebral edema, open depressed comminuted fracture of the
vertex, linear fracture of the right parietal bone, L1 compression fracture, and lower limb
paraplegia. The patient underwent emergency debridement, craniotomy for EDH evacuation,
reconstruction, and intracranial pressure (ICP) monitoring. One week after the craniotomy,
L1 decompression and stabilization fusion were performed. The patient showed clinical
improvement, received rehabilitation, and was discharged after 11 days of hospitalization.
We conclude that paraplegia can be caused by vertex EDH and L1 compression fracture.
Accurate diagnosis and appropriate management can lead to a favorable prognosis.

References

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Published

2025-11-21

How to Cite

Suryadiarsa, I. P. D. P., Sabudi, I. P. A. W., & Putri Gelgel, J. P. (2025). Paraplegia Caused By Vertex Epidural Hematoma and Lumbal L1 Burst Compression Fracture: A Rare Case Report. Jurnal Ilmu Multidisiplin, 4(4), 2827–2832. https://doi.org/10.38035/jim.v4i4.1379

Issue

Vol. 4 No. 4 (2025): Jurnal Ilmu Multidisplin (Oktober - November 2025)

Section

Articles

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Copyright (c) 2025 I Putu Dhidhi Pradnya Suryadiarsa, I Putu Ananta Wijaya Sabudi, Janaari Pramana Putri Gelgel

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