Intraoperative development of contralateral extradural hematoma during evacuation of traumatic subdural hematoma. A rare cause of malignant brain bulge during surgery

Intraoperative development of epidural hematoma (EDH) is an unusual happening. We report a 36-year-old female who developed severe brain bulge while she was being operated for a traumatic left fronto-temporal acute subdural hematoma. Immediate post-operative CT scan revealed a massive contralateral...

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Bibliographic Details
Published in:The Indian journal of neurotrauma 2005-12, Vol.2 (2), p.135-138
Main Authors: Manmohan Singh, Faizuddin Ahmed, AK Mahapatra
Format: Article
Language:English
Subjects:
brain swelling
extradural hematoma
head injury
skull fracture
traumatic subdural hematoma
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Summary:Intraoperative development of epidural hematoma (EDH) is an unusual happening. We report a 36-year-old female who developed severe brain bulge while she was being operated for a traumatic left fronto-temporal acute subdural hematoma. Immediate post-operative CT scan revealed a massive contralateral EDH, which was subsequently evacuated. When a craniotomy is performed for a traumatic hematoma, intraoperative severe brain swelling should alert the surgeon about possibility of contralateral EDH formation especially if there is contralateral skull fracture.
ISSN:0973-0508