Single piece craniotomy in the management of a patient with large vertex epidural haematoma and deteriorating brain function in a limited resources community. Case report from Southwestern Uganda

When performed timely, emergency surgical decompression results into rapid improvement of brain function in patients with large vertex epidural hematoma and deteriorating brain function as observed in our patient. Massive haemorrhage from superior sagittal sinus and air embolism are important intraoperative complications that should be kept in mind. Careful pre operative planning is of paramount importance especially in centres without neurosurgeons and essential neurosurgery supplies.