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...
Autores principales: | , , , |
---|---|
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 |
_version_ | 1782380939357192192 |
---|---|
author | Akpinar, Aykut Ucler, Necati Erdogan, Uzay Yucetas, Cem Seyho |
author_facet | Akpinar, Aykut Ucler, Necati Erdogan, Uzay Yucetas, Cem Seyho |
author_sort | Akpinar, Aykut |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-4500596 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | International Scientific Literature, Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-45005962015-07-17 Epidural Hematoma Complication after Rapid Chronic Subdural Hematoma Evacuation: A Case Report Akpinar, Aykut Ucler, Necati Erdogan, Uzay Yucetas, Cem Seyho Am J Case Rep Articles 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. International Scientific Literature, Inc. 2015-07-06 /pmc/articles/PMC4500596/ /pubmed/26147957 http://dx.doi.org/10.12659/AJCR.894539 Text en © Am J Case Rep, 2015 This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License |
spellingShingle | Articles Akpinar, Aykut Ucler, Necati Erdogan, Uzay Yucetas, Cem Seyho Epidural Hematoma Complication after Rapid Chronic Subdural Hematoma Evacuation: A Case Report |
title | Epidural Hematoma Complication after Rapid Chronic Subdural Hematoma Evacuation: A Case Report |
title_full | Epidural Hematoma Complication after Rapid Chronic Subdural Hematoma Evacuation: A Case Report |
title_fullStr | Epidural Hematoma Complication after Rapid Chronic Subdural Hematoma Evacuation: A Case Report |
title_full_unstemmed | Epidural Hematoma Complication after Rapid Chronic Subdural Hematoma Evacuation: A Case Report |
title_short | Epidural Hematoma Complication after Rapid Chronic Subdural Hematoma Evacuation: A Case Report |
title_sort | epidural hematoma complication after rapid chronic subdural hematoma evacuation: a case report |
topic | Articles |
url | 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 |
work_keys_str_mv | AT akpinaraykut epiduralhematomacomplicationafterrapidchronicsubduralhematomaevacuationacasereport AT uclernecati epiduralhematomacomplicationafterrapidchronicsubduralhematomaevacuationacasereport AT erdoganuzay epiduralhematomacomplicationafterrapidchronicsubduralhematomaevacuationacasereport AT yucetascemseyho epiduralhematomacomplicationafterrapidchronicsubduralhematomaevacuationacasereport |