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Case report demonstrates visual acuity recovery following surgical evacuation of co-occurring occipital hematomas in traumatic brain injury, highlighting rapid intervention for visual tract lesions.
Background: Although unilateral epidural hematoma (EDH) has been well documented, its presentation with subdural hematoma (SDH) post-traumatic brain injury, especially on the same side and accompanied with cortical visual impairment (CVI) as an initial clinical manifestation, is a rare occurrence, thus determining the outcome. Case description: We describe a unique case of acute post-traumatic CVI due to EDH accompanied with SDH at the right occipital lobe caused due to bone fractures and cerebral contusion that was identified at Dr. Hasan Sadikin Bandung Hospital. EDH accompanied with SDH was evacuated and the dura mater tear was repaired. The ophthalmologic examination revealed normal visual acuity recovery postoperatively. Conclusion: We discuss the pathological mechanisms of acute post-traumatic CVI with an emphasis on the importance of lesions located along the visual tract.
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Faried et al. (2019) studied this question.
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