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Bilateral asynchronous acute epidural hematoma : a case report
BACKGROUND: Bilateral extradural hematomas have only rarely been reported in the literature. Even rarer are cases where the hematomas develop sequentially, one after removal of the other. Among 187 cases of operated epidural hematomas during past 4 years in our hospital, we found one case of sequent...
Autores principales: | , , , |
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Formato: | Texto |
Lenguaje: | English |
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BioMed Central
2003
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC317469/ https://www.ncbi.nlm.nih.gov/pubmed/14697100 http://dx.doi.org/10.1186/1471-227X-3-1 |
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author | Eftekhar, Behzad Ketabchi, Ebrahim Ghodsi, Mohammad Esmaeeli, Babak |
author_facet | Eftekhar, Behzad Ketabchi, Ebrahim Ghodsi, Mohammad Esmaeeli, Babak |
author_sort | Eftekhar, Behzad |
collection | PubMed |
description | BACKGROUND: Bilateral extradural hematomas have only rarely been reported in the literature. Even rarer are cases where the hematomas develop sequentially, one after removal of the other. Among 187 cases of operated epidural hematomas during past 4 years in our hospital, we found one case of sequentially developed bilateral epidural hematoma. CASE PRESENTATION: An 18-year-old conscious male worker was admitted to our hospital after a fall. After deterioration of his consciousness, an emergency brain CT scan showed a right temporoparietal epidural hematoma. The hematoma was evacuated, but the patient did not improve afterwards. Another CT scan showed contralateral epidural hematoma and the patient was reoperated. Postoperatively, the patient recovered completely. CONCLUSIONS: This case underlines the need for monitoring after an operation for an epidural hematoma and the need for repeat brain CT scans if the patient does not recover quickly after removal of the hematoma, especially if the first CT scan has been done less than 6 hours after the trauma. Intraoperative brain swelling can be considered as a clue for the development of contralateral hematoma. |
format | Text |
id | pubmed-317469 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2003 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-3174692004-01-24 Bilateral asynchronous acute epidural hematoma : a case report Eftekhar, Behzad Ketabchi, Ebrahim Ghodsi, Mohammad Esmaeeli, Babak BMC Emerg Med Case Report BACKGROUND: Bilateral extradural hematomas have only rarely been reported in the literature. Even rarer are cases where the hematomas develop sequentially, one after removal of the other. Among 187 cases of operated epidural hematomas during past 4 years in our hospital, we found one case of sequentially developed bilateral epidural hematoma. CASE PRESENTATION: An 18-year-old conscious male worker was admitted to our hospital after a fall. After deterioration of his consciousness, an emergency brain CT scan showed a right temporoparietal epidural hematoma. The hematoma was evacuated, but the patient did not improve afterwards. Another CT scan showed contralateral epidural hematoma and the patient was reoperated. Postoperatively, the patient recovered completely. CONCLUSIONS: This case underlines the need for monitoring after an operation for an epidural hematoma and the need for repeat brain CT scans if the patient does not recover quickly after removal of the hematoma, especially if the first CT scan has been done less than 6 hours after the trauma. Intraoperative brain swelling can be considered as a clue for the development of contralateral hematoma. BioMed Central 2003-12-30 /pmc/articles/PMC317469/ /pubmed/14697100 http://dx.doi.org/10.1186/1471-227X-3-1 Text en Copyright © 2003 Eftekhar et al; licensee BioMed Central Ltd. This is an Open Access article: verbatim copying and redistribution of this article are permitted in all media for any purpose, provided this notice is preserved along with the article's original URL. |
spellingShingle | Case Report Eftekhar, Behzad Ketabchi, Ebrahim Ghodsi, Mohammad Esmaeeli, Babak Bilateral asynchronous acute epidural hematoma : a case report |
title | Bilateral asynchronous acute epidural hematoma : a case report |
title_full | Bilateral asynchronous acute epidural hematoma : a case report |
title_fullStr | Bilateral asynchronous acute epidural hematoma : a case report |
title_full_unstemmed | Bilateral asynchronous acute epidural hematoma : a case report |
title_short | Bilateral asynchronous acute epidural hematoma : a case report |
title_sort | bilateral asynchronous acute epidural hematoma : a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC317469/ https://www.ncbi.nlm.nih.gov/pubmed/14697100 http://dx.doi.org/10.1186/1471-227X-3-1 |
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