PDF herunterladen
Indian Journal of Neurotrauma 2005; 02(02): 139-140
DOI: 10.1016/S0973-0508(05)80030-9
Case Report

Intraoperative development of contralateral extradural hematoma during evacuation of traumatic acute subdural hematoma: A rare cause of malignant brain bulge during surgery

Manmohan Singh
,
Faiz Uddin Ahmad
,
AK Mahapatra
Verantwortlicher Herausgeber dieser Rubrik:
› Weitere Informationen
Auch verfügbar auf
  als PDF herunterladen Lizenzen und Reprints

Abstract

Intraoperative development of epidural hematoma (EDH) is an unusual happening. We report a 36-year-old female who developed severe brain bulge while she was being operated for a traumatic left fronto-temporal acute subdural hematoma. Immediate post-operative CT scan revealed a massive contralateral EDH, which was subsequently evacuated. When a craniotomy is performed for a traumatic hematoma, intraoperative severe brain swelling should alert the surgeon about possibility of contralateral EDH formation especially if there is contralateral skull fracture.

Keywords

brain swelling - extradural hematoma - head injury - skull fracture - traumatic subdural hematoma


Publikationsverlauf

Publikationsdatum:
05. April 2017 (online)

© 2005. Thieme. All rights reserved.

Thieme Medical and Scientific Publishers Private Ltd.

 

  • References

  • 1 Lee ST, Lui TN. Delayed intracranial haemorrhage in patients with multiple trauma and shock-related hypotension. Acta Neurochir (Wien) 113 1991; 121-124
    PubMedSuche in Google Scholar
  • 2 Reisgo P, Piquer J, Botella C, Orozco J, Navarro J, Cabannes J. Delayed extradural hematoma after mild head injury: report of three cases. Surg Neurol 48 1997; 226-231
    CrossrefPubMedSuche in Google Scholar
  • 3 Poon WS, Rehman SU, Poon CYF, Li AKC. Traumatic extradural hematoma of delayed onset is not a rarity. Neurosurgery 30 1992; 681-686
    PubMedSuche in Google Scholar
  • 4 Alappat JP, Praveen Baiju, Jayakumar K, Sanalkumar P. Delayed extradural hematoma: a case report. Neurol India 50 2002; 313-315
    PubMedSuche in Google Scholar
  • 5 Feuerman T, Wackym PA, Gade GF, Lanman T, Becker D. Intraoperative development of contralateral epidural hematoma during evacuation of traumatic extraaxial hematoma. Neurosurgery 23 1988; 480-484
    PubMedSuche in Google Scholar
  • 6 Meguro K, Kobayashi E, Maki Y. Acute brain swelling during evacualtion of subdural hematoma caused by delayed contralateral extradural hematoma: Report of two cases. Neurosurgery 20 1987; 326-328
    PubMedSuche in Google Scholar
  • 7 Aldrich EF, Eisenberg HM. Acute subdural hematoma. In: Apuzzo MLJ. (Ed) Brain surgery: Complication avoidance and management. 1993. Churchill Livingstone; New York: 1283-1298
    Suche in Google Scholar