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Diagnostic Scintigraphic Sign in Epidural Hematoma at the Vertex: Case Report

Veterans Administration Hospital and Stanford University, Palo Alto, California

Correspondence: For reprints contact: M. S Lin, Nuclear Medicine Service, Veterans Administration Hospital, 3801 Miranda Ave., Palo Alto, CA 94304.

ABSTRACT

Brain scintigraphy was described in a case of vertical (biparasagittal) epidural hematoma confirmed by contrast angiography. The anterior dynamic and static studies showed inferior displacement of the superior sagittal sinus, diagnostic of an epidural collection. Delayed static anterior and lateral images showed an increased vertical uptake with a crescentic and straight inner contour, respectively. A transaxial computed tomographic scan was negative.