Multiple supratentorial epidural haematomas after posterior fossa surgery

Wolfsberger, Stefan; Gruber, Andreas; Czech, Thomas

doi:10.1007/s10143-003-0315-4

Cited by 28 publications

(36 citation statements)

References 34 publications

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“…Multiple remote hematomas may be present (38). Risk factors for development of a remote hematoma include preoperative hydrocephalus with rapid intraoperative ventricular decompression, coagulation disorders, and penetration of the skull by the pins of the head clamp used in surgery (36,38,39).…”

Section: Extradural Abscess and Subdural Empyema-mentioning

confidence: 99%

Imaging of the Post-operative Cranium

Sinclair¹,

Scoffings²

2010

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Imaging plays an essential role in the evaluation of patients after cranial surgery. It is important to be familiar with the normal anatomy of the cranium; the indications for different surgical techniques such as burr holes, craniotomy, craniectomy, and cranioplasty; their normal postoperative appearances; and complications such as tension pneumocephalus, infection, abscess, empyema, hemorrhage, hematoma, herniation, hygroma, and trephine syndrome. Postoperative infection and hemorrhage are common to all neurosurgical procedures, where-as other complications are peculiar to certain procedures (eg, drill "plunging" during burr hole creation and sinking skin flap after craniec-tomy). Recognizing life-threatening complications such as tension pneumocephalus and paradoxical herniation, which require urgent intervention, is important for a better clinical outcome. Computed tomography is fast, cost effective, and easily accessible for first-line imaging. Magnetic resonance imaging has higher sensitivity for detecting postoperative infection and ischemia, but diffusion-weighted imaging may be less reliable for detecting postoperative infections.

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Section: Extradural Abscess and Subdural Empyema-mentioning

confidence: 99%

Imaging of the Post-operative Cranium

Sinclair¹,

Scoffings²

2010

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“…Reports in the literature on this rare complication, evidence cases where the hematoma was presented in hours to days. (3,4,5,6,7,8,9,10). To our knowledge this is the first report in the literature of supratentorial hemorrhage and posterior fossa surgery one month after the surgical procedure has been performed.…”

Section: Resultsmentioning

confidence: 87%

Remote Supratentorial Hemorrhage After Posterior Fossa Surgery: A Brief Case Report

Moscote-Salazar¹,

Alcalá-Cerra²,

Alvis-Miranda³

et al. 2014

Romanian Neurosurgery

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The supratentorial hemorrhage after posterior fossa surgery is an unusual but delicate complication that carries high mortality and morbidity. A 50 year old woman presented vertigo 6 months of evolution, which worsened in the last 2 months accompanied by ataxia. She showed left cerebellar signs, had no focal motor or sensory deficits. A brain MRI identified cerebellopontine angle lesion with mass effect. The patient was treated on suboccipital craniectomy and resection of right posterior fossa tumor, the histopathological diagnosis was consistent with typical meningioma. (WHO Class I).The postoperative period was satisfactory. A month later, presented clinical symptoms of right-sided hemiparesis, brain CT revealed left frontal supratentorial hematoma, receiving conservative management. Patient was discharged after 10 days. Reports in the literature on this rare complication, detailed cases where the hematoma was presented in hours to days. To our knowledge this is the first report in the literature of supratentorial hemorrhage and posterior fossa surgery one month after the surgical procedure has been performed.

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“…[2] Tearing of cortical bridging veins leads to SDH and of meningeal vessels leads to formation of EDH. In case of EDH, detaching the collagenous fixation of the dura from the inner table of the skull may initially cause the dural and diploic veins to bleed into the epidural space.…”

Section: Discussionmentioning

confidence: 99%

Shunt site chronic calcified extradural hematoma: An avoidable complication

2014

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Extradural hematoma (EDH) after ventriculoperitoneal (VP) shunt procedure is a rare, dangerous but easily avoidable and manageable complication. It is more common in children and young adults presumably due to relatively lax adhesion of dura to calvarium. We report a case of an 18-year-old male with acqueductal stenosis who underwent VP shunt procedure. Three months later, a computed tomography (CT) scan was done for the complaints of intractable headache and altered sensorium which showed chronic calcified EDH near shunt site. The ventricular catheter was in position and the ventricles were decompressed. After surgical decompression of EDH his symptoms improved. We discuss the factors leading to formation of EDH, with stress on proper technique to prevent or minimize such an avoidable complication.

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Multiple supratentorial epidural haematomas after posterior fossa surgery

Cited by 28 publications

References 34 publications

Imaging of the Post-operative Cranium

Imaging of the Post-operative Cranium

Remote Supratentorial Hemorrhage After Posterior Fossa Surgery: A Brief Case Report

Shunt site chronic calcified extradural hematoma: An avoidable complication

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