Abstract
Сontralateral acute epidural hematoma (AEDH) after acute subdural hematoma (ASDH) removal is an uncommon, but disastrous postoperative complication. Here we describe six own observations and provide analysis of 42 other cases relating to the above. Сontralateral AEDH after ASDH removal using decompressive craniectomy (DC) is diagnosed in 2.4-4.2% of cases. Main risk factors of contralateral AEDH development include: presence of fracture on the opposite side from the subdural hematoma; hematoma removal using DC; heavy injury (GCS 4-8); mechanism of injury – car accident or fall from a height; patient’s juvenile age. Сontralateral AEDH occurrence shall be excluded as soon as possible by performing verification brain CT in following cases: occurrence of intraoperative cerebral edema, rapid ICP growth, postoperative neurological disorder. Main reason of contralateral AEDH occurrence is the presence of arteria or vein damages in the fracture site. Urgent re-operation is indicated in all cases.
Highlights
Контралатеральна гостра епідуральна гематома (ГЕДГ) після видалення гострої субдуральної гематоми (ГСДГ) є рідкісним, проте, практично катастрофічним післяопераційним ускладненням
Traumatic acute subdural hematoma: Major mortality reduction in comatose patients treated within four hours / J
Zhan // Acta Neurochir. (Wien). — 2008. — V.150, N12. — P.1241–1248
Summary
The value of the “worst” CT scan / F. Triolo // Acta Neurochir. (Wien). — 1996. — V.138, N2. — P.185–191
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
