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All Journal Century: Journal of Chinese Language, Literature and Culture Jurnal e-Komunikasi Indonesian Journal of Obstetrics & Gynecology Science Jurnal Ilmu Manajemen dan Akuntansi Terapan Review of Management and Entrepreneurship Jurnal Bakti Masyarakat Indonesia International Journal of Tourism and Hospitality in Asia Pasific Neraca: Jurnal Ekonomi, Manajemen dan Akuntansi LINGUISTS : JOURNAL OF LINGUISTICS AND LANGUAGE TEACHING Folia Medica Indonesiana
Nathania Nathania, Nathania
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Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Economics, Econometrics & Finance Education Electrical & Electronics Engineering Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Public Health Social Sciences Other

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DELAYED MANAGEMENT OF BILATERAL MASSIVE EPIDURAL HEMATOMA INVOLVING PARASAGITTAL SINUS: A COMPREHENSIVE SCOPING REVIEW FROM INDONESIAN PERSPECTIVES Suryaningtyas, Wihasto; Armando, Alivery Raihanada; Ramadhan, Candra Dwantara; Kamaruddin, Muhammad Fadhil; Zamzam, Ramadhani Rizki; Nathania, Nathania
Folia Medica Indonesiana Vol. 61, No. 2
Publisher : Folia Medica Indonesiana

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Abstract

Introduction: Vertex epidural hematomas (VEDH) involving the superior sagittal sinus (SSS) are rare, critical injuries often complicated by massive venous hemorrhage. This study evaluates the clinical outcomes of VEDH and identifies systemic barriers contributing to treatment delays in Low- and Middle-Income Countries (LMICs). Methods: We present a case series of three patients managed at an Indonesian tertiary center alongside a scoping review of 33 studies. Delayed management was defined as prolonged injury-to-surgery intervals resulting from referral inefficiencies and transport logistics. Results: The series highlights a unique case of a 66-year-old male with bilateral VEDH and SSS laceration who underwent surgery 32 hours post-injury. Despite massive intraoperative blood loss (6000cc) requiring aggressive transfusion and sinus repair, the patient achieved a good functional recovery. The scoping review identified primary barriers to timely care, including geographical constraints, lack of organized emergency transport, and a scarcity of neurosurgical specialists and CT scanners in rural regions. Conclusion: While delayed presentation exacerbates surgical risks, aggressive management via bicoronal craniotomy remains effective. Improving prehospital infrastructure and referral networks is essential to reducing preventable delays in neurotrauma management.
Co-Authors Agus Riadi Annaletchumi, Annaletchumi Ariaji, Priscilla Epifania Armando, Alivery Raihanada Christine Winstinindah Sandroto Dani Setiawan Ervila, Ervila Farzana, Anis I'tishom, Reny Indrawati, Klara Puspa Kamaruddin, Muhammad Fadhil Kee, Daisy Mui Hung Kumalasari, Feranita Kusumaningrum, Selvina Cindy Margiana, Ria Merry C. N. Rumagit Novia, Feby Ramadhan, Candra Dwantara Rosinta Ria Panggabean Sampeliling, Dave Grant Sofea, Anis Song, Ng Hee Utari , Grace Elysia wihasto suryaningtyas Yosafat Barona Valentino, Yosafat Barona Zamzam, Ramadhani Rizki Zuraya, Anis