Contralateral extradural hematoma following decompressive craniectomy for acute subdural hematoma (the value of intracranial pressure monitoring): a case report
نویسندگان
چکیده
INTRODUCTION Decompressive surgery for acute subdural hematoma leading to contralateral extradural hematoma is an uncommon event with only few cases previously reported in the English medical literature. CASE PRESENTATION The present study describes the case of a 39-year-old White Brazilian man who had a motorcycle accident; he underwent decompressive craniectomy for the treatment of acute subdural hematoma and evolved contralateral extradural hematoma following surgery. CONCLUSION The present case highlights the importance of close monitoring of the intracranial pressure of severe traumatic brain injury, even after decompressive procedures, because of the possible development of contralateral extradural hematoma.
منابع مشابه
Intraoperative Contralateral Massive Extradural Hematoma Development During Decompressive Craniectomy and Evacuation of Traumatic Acute Subdural Hematoma Causing Brain Bulge: Management
Sequential development of extradural hematoma (EDH) during decompressive craniotomy and evacuation for acute subdural hematoma (ASDH) causing massive brain bulge is rare, it may represent to be first indication of hematoma development. About thirty seven cases are published in the form of isolated case report till date. Management is debated, as first to carry out exploratory burr-hole or neces...
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Remote intracranial hemorrhages after craniotomy or craniectomy may rarely develop. As the sparse literature on this phenomenon has focused on contralateral intraparenchymal and epidural clots, only seven cases of postoperative contralateral acute subdural hematomas have been reported in the literature. We presented two patients who developed contralateral acute subdural hematomas after surgica...
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