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CC BY 4.0 · Indian Journal of Neurotrauma
DOI: 10.1055/s-0044-1800792
Brief Report

Contralateral Expansion of Hemorrhagic Contusion in Patients Undergoing Decompressive Craniectomy: A Series of Two Patients

Pragya Gupta
1   Department of Neuroanesthesia, Sanjay Gandhi Postgraduate Institute of Medical Science, Lucknow, Uttar Pradesh, India
,
Ashutosh Shukla
2   Department of Neurosurgery, Motilal Nehru Medical College, Prayagraj, Uttar Pradesh, India
,
Nitish Ranjan 
3   Department of Neurosurgery, Sanjay Gandhi Postgraduate Institute of Medical Science, Lucknow, Uttar Pradesh, India
,
Mayank Singh
3   Department of Neurosurgery, Sanjay Gandhi Postgraduate Institute of Medical Science, Lucknow, Uttar Pradesh, India
,
Ved Prakash Maurya 
3   Department of Neurosurgery, Sanjay Gandhi Postgraduate Institute of Medical Science, Lucknow, Uttar Pradesh, India
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Abstract

Contralateral formation and expansion of hemorrhagic contusion is a significant and rare complication following decompressive craniectomy. Decompressive craniectomy is an important surgical tool for management of raised intracranial hypertension secondary to various pathologies including trauma. These uncommon events are reported in the literature along substantive explanations and theories. We present two cases of road traffic accident (RTA) who following decompressive craniectomy developed expansion of contralateral hematoma. In this article, we are focus on the appearance and expansion of contralateral intraparenchymal contusion following decompressive craniectomy with a deep dive into the existing literature.

Keywords

hematoma - craniectomy - decompressive - contusion - subdural


Publication History

Article published online:
04 December 2024

© 2024. 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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