Journal of the Korean Society of Traumatology  2010;23(2):188-191

Postoperative Contralateral Supra- and Infratentorial Acute Epidural Hematoma after Decompressive Surgery for an Acute Subdural Hematoma: A Case Report.

Jeong Shik LEE 1 ; Cheol Su JWA ; Sook Young SIM ; Gang Hyun KIM

Affiliations

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Keywords

Acute epidural hematoma; Acute subdural hematoma; Surgery

Country

Republic of Korea

Language

English

Abstract

A postoperative contralateral supra- and infratentorial epidural hematoma after decompressive surgery is an extremely rare event. We describe a 38-year-old male with a contralateral supra- and infratentorial acute epidural hematoma just after decompressive surgery for an acute subdural hematoma. A contralateral skull fracture involving a lambdoidal suture and an intraoperative brain protrusion may be warning signs. The mechanisms, along with relevant literature, are discussed.