Subgaleal haematoma resulting in extradural compression following craniotomy. Report of two cases.
We describe two patients who underwent intracranial aneurysm surgery and developed postoperative subgaleal haematomas which, in the presence of an unfixed bone flap, resulted in significant extradural compression and a marked clinical deterioration. The application of a pressure dressing to tamponade a developing scalp haematoma is unwise unless the bone flap has been rigidly fixed in place.
Department of Neurosurgery, Atkinson Morley's Hospital, Wimbledon, London.
J P
JP
Holland
W A
WA
Taylor
B A
BA
Bell
D000328:Adult; D001458:Bandages; D002543:Cerebral Hemorrhage / Q000150:complications* / Q000000981:diagnostic imaging; D003399:Craniotomy / Q000009:adverse effects*; D006406:Hematoma / Q000150:complications* / Q000000981:diagnostic imaging; D006801:Humans; D002532:Intracranial Aneurysm / Q000601:surgery; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D012535:Scalp; D014057:Tomography, X-Ray Computed