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This case aims to document a rare occurrence of epidural hematoma caused by an occipital artery rupture.

Epidural hematoma secondary to a ruptured occipital artery

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This case aims to document a rare occurrence of epidural hematoma caused by an occipital artery rupture.
Observation of a 37-year-old male with a history of hypertension presenting with basal ganglia hemorrhage.
Use of computed tomography angiography to assess vascular status.
Surgical intervention via decompressive craniectomy followed by observation for complications.
Investigating the source of bleeding postoperatively leading to reoperation.
Initial imaging showed no abnormalities, but clinical deterioration necessitated further CT.
Reoperation identified the occipital artery as the source of the epidural hematoma.
Postoperative hypertension likely triggered arterial rupture, leading to an atypical hemorrhage pattern.

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Case report reveals a unique epidural hematoma from an occipital artery rupture in a hypertensive male.

Arciniega et al. (2026) studied this question.

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