Immediate development of a contralateral acute subdural hematoma following acute subdural hematoma evacuation.
Contralateral hematoma formation following acute subdural hematoma (ASDH) evacuation is a well-described complication. The most common type of contralateral hematoma is an epidural hematoma. Rarely, ASDH develops on the contralateral side. We report an elderly woman who presented with a post-traumatic ASDH and underwent ipsilateral hematoma evacuation by craniotomy and subsequently developed a contralateral ASDH. Because of the potential consequences of a delayed ASDH, there should be a low threshold for early post-operative imaging following ASDH evacuation, especially in elderly patients and those with additional associated intracranial injuries.
Department of Neurosurgery, Baylor College of Medicine, 1709 Dryden Road, Suite 750, Houston, Texas 77030, USA.
Jared
J
Fridley
Jonathan
J
Thomas
Ryan
R
Kitagawa
Joshua
J
Chern
Ibrahim
I
Omeis
D000369:Aged, 80 and over; D001943:Breast Neoplasms / Q000150:complications; D003399:Craniotomy / Q000009:adverse effects*; D003920:Diabetes Mellitus; D005260:Female; D007839:Functional Laterality; D020199:Hematoma, Subdural, Acute / Q000473:pathology* / Q000601:surgery*; D006801:Humans; D006973:Hypertension / Q000150:complications