CC BY-NC-ND 4.0 · Asian J Neurosurg 2018; 13(04): 1213-1215
DOI: 10.4103/ajns.AJNS_87_17
Case Report

Extradural hematoma following decompressive craniectomy for acute subdural hematoma: Two case reports illustrating different mechanisms

Mahesh Pillai
Department of Neurosurgery, Sultan Qaboos University Hospital, Al khaud, Muscat
,
Rajeev Kariyattil
Department of Neurosurgery, Sultan Qaboos University Hospital, Al khaud, Muscat
,
Venkatesh Govindaraju
Department of Neurosurgery, Sultan Qaboos University Hospital, Al khaud, Muscat
,
Koshy Kochummen
Department of Neurosurgery, Sultan Qaboos University Hospital, Al khaud, Muscat
,
Rajinder Kumar
Department of Neurosurgery, Sultan Qaboos University Hospital, Al khaud, Muscat
› Author Affiliations

The occurrence of extradural hematoma (EDH) after decompressive craniectomy (DC) for traumatic brain injury is uncommon. We report two cases, one developing ipsilateral EDH and another developing contralateral simultaneous EDH and subdural hematoma after DC. The strategies to anticipate the occurrence of such concurrent hematomas (CH) are highlighted. We propose a subclassification of CH into “immediate” and “delayed,” based on their difference in clinical presentation, image findings, pathogenesis, and surgical management.



Publication History

Article published online:
14 September 2022

© 2018. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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