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Indian Journal of Neurotrauma 2015; 12(01): 068-070
DOI: 10.1055/s-0035-1556045
Case Report
Neurotrauma Society of India

Chronic Bilateral Subdural Hematoma Complicating Decompressive Craniectomy

Sureswar Mohanty
1   Department of Neurosurgery, Institute of Medical Sciences and Sum Hospital, Siksha ‘O’ Anusandhan University, Bhubaneswar, Odisha, India
,
Gouri S. Sarangi
1   Department of Neurosurgery, Institute of Medical Sciences and Sum Hospital, Siksha ‘O’ Anusandhan University, Bhubaneswar, Odisha, India
,
Pradipta Tripathy
1   Department of Neurosurgery, Institute of Medical Sciences and Sum Hospital, Siksha ‘O’ Anusandhan University, Bhubaneswar, Odisha, India
› Author Affiliations
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Publication History

10 November 2014

29 May 2015

Publication Date:
17 June 2015 (online)

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Abstract

Problems Considered A case of road side accident developed acute subdural hematoma and cerebral contusion with progressive edema and rise intracranial pressure as revealed on serial computed tomographic scan of the head.

Methods Decompressive craniectomy performed for progressive hemorrhagic contusion producing mass effect.

Results Patient improved unconsciousness and remained stationary because of the development of subdural hematoma further improvement occurred after drainage of subdural hematoma.

Conclusion Development of chronic subdural hematoma is extremely uncommon following decompressive craniectomy and could be responsible for arrest of neurological recovery.

Keywords

severe head injury - brain contusion - brain edema - chronic subdural hematoma - decompressive craniectomy
 

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