E J Boviatsis1, S Korfias, A T Kouyialis, D E Sakas. 1. Department of Neurosurgery, University of Athens Medical School, Evangelismos General Hospital, Athens, Greece. eboviats@med.uoa.gr
Abstract
BACKGROUND: Sequentially evolving intracranial bilateral haematomas, where the second haematoma develops after the surgical removal of the first one is rarely reported. AIM: To report a patient who developed an epidural haematoma after evacuation of a contralateral subdural haematoma. METHODS: A 49-year-old male was admitted to our department after head injury. A brain computerized tomography (CT) scan revealed an acute subdural haematoma in the right temporal area which was evacuated. During his stay in the intensive care unit, he was submitted to intracranial pressure monitoring, which soon rose. RESULTS: A new CT scan showed an acute epidural haematoma in the contralateral parietal area that was also evacuated. CONCLUSIONS: While rising intracranial pressure after the evacuation of a traumatic haematoma is usually attributed to brain oedema or recurrent haematoma at the craniotomy site, the development of a contralateral epidural haematoma requiring surgical treatment should not be overlooked.
BACKGROUND: Sequentially evolving intracranial bilateral haematomas, where the second haematoma develops after the surgical removal of the first one is rarely reported. AIM: To report a patient who developed an epidural haematoma after evacuation of a contralateral subdural haematoma. METHODS: A 49-year-old male was admitted to our department after head injury. A brain computerized tomography (CT) scan revealed an acute subdural haematoma in the right temporal area which was evacuated. During his stay in the intensive care unit, he was submitted to intracranial pressure monitoring, which soon rose. RESULTS: A new CT scan showed an acute epidural haematoma in the contralateral parietal area that was also evacuated. CONCLUSIONS: While rising intracranial pressure after the evacuation of a traumatic haematoma is usually attributed to brain oedema or recurrent haematoma at the craniotomy site, the development of a contralateral epidural haematoma requiring surgical treatment should not be overlooked.
Authors: B Borovich; J Braun; J N Guilburd; M Zaaroor; M Michich; L Levy; A Lemberger; I Grushkiewicz; M Feinsod; I Schächter Journal: J Neurosurg Date: 1985-07 Impact factor: 5.115