TY - JOUR
A2 - Yamaoka, Y.
AU - Paiva, Wellingson Silva
AU - Oliveira, Arthur Maynart Pereira
AU - Andrade, Almir Ferreira de
AU - Brock, Roger Schmidt
AU - Teixeira, Manoel Jacobsen
PY - 2010
DA - 2010/07/07
TI - Remote Postoperative Epidural Hematoma after Subdural Hygroma Drainage
SP - 417895
VL - 2010
AB - Objective. Subdural hygroma is reported to occur in 5%–20% of all patients with closed head trauma, the treatment is controversial and in symptomatic cases surgical drainage is need. We report on a new case with remote acute epidural hematoma (AEH) after subdural hygroma drainage. Case Presentation. A 38-year-old man suffered blunt head trauma and had diffuse axonal injury grade III in CT scan. A CT scan that was late performed showed an increasing subdural fluid collection with mild mass effect and some effacement of the left lateral ventricle. We perform a trepanation with drainage of a hypertensive subdural collection with citrine aspect. Postoperative tomography demonstrated a large left AEH. Craniotomy and evacuation of the hematoma were performed. Conclusion. The mechanism of remote postoperative AEH formation is unclear. Complete reliance on neurologic monitoring, trust in an early CT scan, and a relative complacency after an apparently successful initial surgery for hygroma drainage may delay the diagnosis of this postoperative AEH.
SN - 1687-9627
UR - https://doi.org/10.1155/2010/417895
DO - 10.1155/2010/417895
JF - Case Reports in Medicine
PB - Hindawi Publishing Corporation
KW -
ER -