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CC BY 4.0 · Indian Journal of Neurotrauma 2024; 21(01): 080-082
DOI: 10.1055/s-0043-1768173
Letter to the Editor

Pin Site Epidural Hematoma Masquerading as Intractable Brain Swelling: A Diagnostic Dilemma

Ashwini Reddy
1   Division of Neuroanesthesia, Department of Anesthesia and Intensive Care, Postgraduate Institute of Medical Education and Research, Chandigarh, India
,
Nidhi Panda
1   Division of Neuroanesthesia, Department of Anesthesia and Intensive Care, Postgraduate Institute of Medical Education and Research, Chandigarh, India
,
Rajeev Chauhan
1   Division of Neuroanesthesia, Department of Anesthesia and Intensive Care, Postgraduate Institute of Medical Education and Research, Chandigarh, India
,
Shalvi Mahajan
1   Division of Neuroanesthesia, Department of Anesthesia and Intensive Care, Postgraduate Institute of Medical Education and Research, Chandigarh, India
,
Sandeep Mohindra
2   Department of Neurosurgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India
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Funding None.
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Abstract

Head fixation devices are frequently used to immobilize the position of the head in neurosurgery. We report a rare complication of a four-pin Sugita device causing epidural hematoma (EDH) in a young adult male undergoing transcranial excision of a craniopharyngioma manifesting intraoperatively as an intractable tense brain. Decreased bone mineral density secondary to the metabolic consequences of craniopharyngioma could have increased the susceptibility to breach of the bony cortex. The index case highlights the essential role of a preoperative computed tomography (CT) scan review for the thickness of the cranial vault and the identification of weaker zones in high-risk groups.

Keywords

cranial epidural hematoma - Sugita head frame - craniopharyngioma - intraoperative brain bulge.

Authors' Contributions

A.R. helped in collection of data, literature review, and manuscript preparation. R.C. helped in literature review, manuscript preparation, editing, and review. S.M. helped in manuscript preparation, editing, and review. N.P. helped in manuscript preparation, editing, and review. S.M. helped in data collection, manuscript preparation, editing, and review.


Patient Consent

Written informed consent has been obtained from the patient's kin for the publication of this case as a letter to editor.




Publikationsverlauf

Artikel online veröffentlicht:
18. Mai 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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