Pin-site epidural hematoma in an adult case of chronic hydrocephalus with associated thinning of the cranium.
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.
Jha
Neilank K
NK
Division of Neurosurgery, McMaster University, Hamilton, Ontario, Canada. caprebru@hhsc.ca
Ebrahim
Shanil
S
Fallah
Aria
A
Cenic
Aleksa
A
De Villiers
Rocco A
RA
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