title: Pin-site epidural hematoma in an adult case of chronic hydrocephalus with associated thinning of the cranium.
abstract: We report a case of a 22-year-old man presenting with a fourth ventricular tumour and associated chronic obstructive hydrocephalus likely leading to thinning of the cranium. Intraoperatively, he developed an epidural hematoma secondary to a fracture of the temporal bone by application of the three-point skull fixator. This is the second reported adult case of an iatrogenic epidural hematoma secondary to pin-site complications. We advocate the careful placement of the pins and suggest the tightening force be catered individually especially in pediatric patients or patients with chronic hydrocephalus.
authors.affiliation: Division of Neurosurgery, McMaster University, Hamilton, Ontario, Canada. caprebru@hhsc.ca
authors.forename: Neilank K
authors.initials: NK
authors.lastname: Jha
authors.forename: Shanil
authors.initials: S
authors.lastname: Ebrahim
authors.forename: Aria
authors.initials: A
authors.lastname: Fallah
authors.forename: Aleksa
authors.initials: A
authors.lastname: Cenic
authors.forename: Rocco A
authors.initials: RA
authors.lastname: De Villiers
mesh_terms: D001858:Bone Nails / Q000009:adverse effects*; D002908:Chronic Disease; D003399:Craniotomy / Q000009:adverse effects*; D006407:Hematoma, Epidural, Cranial / Q000209:etiology* / Q000601:surgery; D006801:Humans; D006849:Hydrocephalus / Q000150:complications* / Q000601:surgery; D008297:Male; D012886:Skull / Q000473:pathology* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D055815:Young Adult