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2014•Journal of Medical Case ReportsOpen access

Contralateral extradural hematoma following decompressive craniectomy for acute subdural hematoma (the value of intracranial pressure monitoring): a case report

Lucas Crociati Meguins, Gustavo Botelho Sampaio, Eduardo Cintra Abib, Rodrigo Antônio Rocha da Cruz Adry, Richam Faissal El Hossain Ellakkis, Filipe Webb Josephson Ribeiro, Angelo L. Maset, Dionei Freitas de Morais

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Abstract

INTRODUCTION: Decompressive surgery for acute subdural hematoma leading to contralateral extradural hematoma is an uncommon event with only few cases previously reported in the English medical literature. CASE PRESENTATION: The present study describes the case of a 39-year-old White Brazilian man who had a motorcycle accident; he underwent decompressive craniectomy for the treatment of acute subdural hematoma and evolved contralateral extradural hematoma following surgery. CONCLUSION: The present case highlights the importance of close monitoring of the intracranial pressure of severe traumatic brain injury, even after decompressive procedures, because of the possible development of contralateral extradural hematoma.

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INTRODUCTION: Decompressive surgery for acute subdural hematoma leading to contralateral extradural hematoma is an uncommon event with only few cases previously reported in the English medical literature. CASE PRESENTATION: The present study describes the case of a 39-year-old White Brazilian man who had a motorcycle accident; he underwent decompressive craniectomy for the treatment of acute subdural hematoma and evolved contralateral extradural hematoma following surgery. CONCLUSION: The present case highlights the importance of close monitoring of the intracranial pressure of severe traumatic brain injury, even after decompressive procedures, because of the possible development of contralateral extradural hematoma.

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Available abstract

INTRODUCTION: Decompressive surgery for acute subdural hematoma leading to contralateral extradural hematoma is an uncommon event with only few cases previously reported in the English medical literature. CASE PRESENTATION: The present study describes the case of a 39-year-old White Brazilian man who had a motorcycle accident; he underwent decompressive craniectomy for the treatment of acute subdural hematoma and evolved contralateral extradural hematoma following surgery. CONCLUSION: The present case highlights the importance of close monitoring of the intracranial pressure of severe traumatic brain injury, even after decompressive procedures, because of the possible development of contralateral extradural hematoma.

Key concepts: Decompressive craniectomy, Medicine, Acute subdural hematoma, Hematoma, Surgery, Intracranial pressure, Intracranial pressure monitoring, Traumatic brain injury

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Contralateral extradural hematoma following decompressive craniectomy for acute subdural hematoma (the value of intracranial pressure monitoring): a case report — Research Paper | ScholarLens