title: Epidural hematoma following use of a three-point skull clamp.
abstract: We report an unusual case of epidural hematoma secondary to the use of a three-point skull-fixation device. Initially, a posterior-fossa brain tumor with hydrocephalus was diagnosed in a 15-year-old boy. Midline suboccipital craniectomy was performed with the patient placed in the prone position. A Mayfield (Ohio Medical Instrument Co., Cincinnati, OH, USA) skull clamp was used for fixation of the head during the surgical procedure, following which, a huge epidural hematoma developed within 6 hours of surgery, due to skull penetration and fracture at one of the clamp's pin sites located proximate to the coronal suture.
authors.affiliation: Department of Neurosurgery, Changhua Christian Hospital, 133 Nanhsain Street, Changhua, 500, Taiwan. ghost.galaxy@msa.hinet.net
authors.forename: Hwa-Jeng
authors.initials: HJ
authors.lastname: Yan
mesh_terms: D000293:Adolescent; D006407:Hematoma, Epidural, Cranial / Q000209:etiology*; D006801:Humans; D015192:Infratentorial Neoplasms / Q000601:surgery; D008297:Male; D012886:Skull; D013525:Surgical Instruments / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed