Contralateral Acute Subdural Hematoma Following Traumatic Acute Subdural Hematoma Evacuation:—Case Report—

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概要

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• Contralateral acute subdural hematoma (ASDH) occurring after removal of traumatic ASDH is a rare, but nearly devastating postoperative complication. We treated a 26-year-old male who developed a contralateral ASDH shortly after craniectomy for evacuation of a traumatic ASDH. Burr-hole craniotomy was performed before decompressive craniectomy, and the bleeding source was a cortex artery within the frontal lobe contusion. Despite supportive therapy with barbiturate and mild hypothermia he expired 3 days later of brain death. Literature review suggests that the old are more susceptible to contralateral ASDH following evacuation of traumatic ASDH. Contralateral ASDH following evacuation of traumatic ASDH is a rare but potentially lethal complication, so neurosurgeons should try to detect such contralateral hematoma formation and prevent clinical deterioration.

著者

• Zhan Renya

  Department Of Neurosurgery First Affiliated Hospital College Of Medicine Zhejiang University

• Zhou Yongqing

  Department Of Neurosurgery The First Affiliated Hospital College Of Medicine Zhejiang University

• Shen Jian

  Department Of Computer Engineering Chosun University

• FAN Zuoxu

  Department of Neurosurgery, First Affiliated Hospital, College of Medicine, Zhejiang University

• JI Tao

  Department of Neurosurgery, First Affiliated Hospital, College of Medicine, Zhejiang University

• PAN Jianwei

  Department of Neurosurgery, First Affiliated Hospital, College of Medicine, Zhejiang University

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