Contralateral acute subdural hematoma after surgical evacuation of acute subdural hematoma.
We present a case of an 81-year-old woman who developed an acute left-sided subdural hematoma with midline shift shortly after craniotomy for evacuation of a traumatic right-sided acute subdural hematoma. She was immediately taken back to the operating room for evacuation of the left-sided clot and her neurologic outcome was excellent. Believed to be caused by rapid brain decompression, bleeding far from the operative site, such as a within the contralateral subdural space, can occur after a craniotomy and must be promptly recognized.
Tomycz
Nestor D
ND
Department of Neurological Surgery, University of Pittsburgh Medical Center, UPMC Presbyterian Suite B-461, Pittsburgh, PA 15213, USA. tomycznd@upmc.edu
Germanwala
Anand V
AV
Walter
Kevin A
KA
D000369:Aged, 80 and over; D056424:Decompressive Craniectomy / Q000009:adverse effects*; D005260:Female; D020199:Hematoma, Subdural, Acute / Q000209:etiology* / Q000601:surgery; D006801:Humans; D012086:Reoperation