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Bilateral acute epidural hematoma after evacuation of acute subdural hematoma: brain shift and the dynamics of extraaxial collections

2004; Taylor & Francis; Volume: 26; Issue: 7 Linguagem: Inglês

10.1179/016164104225015930

1743-1328

José E. Cohen, Gustavo Rajz, Eyal Itshayek, Félix Umansky,

Spinal Fractures and Fixation Techniques

Acute epidural hematoma following supratentorial decompressive craniectomy is a very seldom described but serious complication. The occurrence of intraoperative brain swelling may suggest the development of a contralateral hematoma. A unique case of bilateral acute epidural following decompressive craniectomy and evacuation of acute subdural hematoma is presented. Awareness of unexplained elevation of intracranial pressure is of paramount importance when routine immediate postoperative computed tomography is not performed. This case provides insight into the well-known but poorly understood dynamic process of brain shift and extraaxial collections.