Abstract
Background: Decompressive Craniectomy is a surgical procedure in neurosurgery to handle brain swelling subsequent to trauma, vascular insult, or tumor. There are different techniques and measurements of decompressive craniectomy performed worldwide. We follow the regular trauma flap involving fronto-temporo-parietal craniectomy. There have been many complications seen in these procedures, like brain herniation, malignant swelling, hydrocephalus, infection, etc. But we have encountered quite rare complications of decompressive craniectomy which had massive swelling of the temporalis muscle leading to significant mass effect and midline shift.
Highlights
Decompressive Craniectomy is a surgical procedure in neurosurgery to handle brain swelling subsequent to trauma, vascular insult, or tumor.[1]
Emergency surgery was proposed and a decompressive craniectomy was performed on the left side with the evacuation of the hematoma
The morning, on the second postoperative day, the patient collapsed with anisocoria and drop in Glasgow Come Scale (GCS) to seven (E1M4V2), he was intubated immediately and Computer Tomography (CT) head was performed which revealed notable swelling over the surgical site causing mass effect and midline shift(Figure 3)
Summary
Decompressive Craniectomy is a surgical procedure in neurosurgery to handle brain swelling subsequent to trauma, vascular insult, or tumor.[1] There have been many complications seen in these procedures, like brain herniation, malignant swelling, hydrocephalus, infection, etc. His Computer Tomography (CT) scan showed a huge amount of hematoma collection in the subdural region over the left fronto-temporo-parietal region (Figure 1). Emergency surgery was proposed and a decompressive craniectomy was performed on the left side with the evacuation of the hematoma.
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