Cargando…

Epidural Hematoma Complication after Rapid Chronic Subdural Hematoma Evacuation: A Case Report

Patient: Male, 41 Final Diagnosis: Healty Symptoms: Headache Medication: — Clinical Procedure: Chronic subdural hematoma Specialty: Neurosurgery OBJECTIVE: Diagnostic/therapeutic accidents BACKGROUND: Chronic subdural hematoma generally occurs in the elderly. After chronic subdural hematoma evacuati...

Descripción completa

Detalles Bibliográficos
Autores principales: Akpinar, Aykut, Ucler, Necati, Erdogan, Uzay, Yucetas, Cem Seyho
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International Scientific Literature, Inc. 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4500596/
https://www.ncbi.nlm.nih.gov/pubmed/26147957
http://dx.doi.org/10.12659/AJCR.894539
Descripción
Sumario:Patient: Male, 41 Final Diagnosis: Healty Symptoms: Headache Medication: — Clinical Procedure: Chronic subdural hematoma Specialty: Neurosurgery OBJECTIVE: Diagnostic/therapeutic accidents BACKGROUND: Chronic subdural hematoma generally occurs in the elderly. After chronic subdural hematoma evacuation surgery, the development of epidural hematoma is a very rare entity. CASE REPORT: We report the case of a 41-year-old man with an epidural hematoma complication after chronic subdural hematoma evacuation. Under general anesthesia, the patient underwent a large craniotomy with closed system drainage performed to treat the chronic subdural hematoma. After chronic subdural hematoma evacuation, there was epidural leakage on the following day. CONCLUSIONS: Although trauma is the most common risk factor in young CSDH patients, some other predisposing factors may exist. Intracranial hypotension can cause EDH. Craniotomy and drainage surgery can usually resolve the problem. Because of rapid dynamic intracranial changes, epidural leakages can occur. A large craniotomy flap and silicone drainage in the operation area are key safety points for neurosurgeons and hydration is essential.