Brainstem hemorrhage following decompressive craniectomy.
Decompressive craniectomy (DC) is used for the management of refractory raised intracranial pressure, but the impact of DC on surgical outcome is still controversial. We report a 21-year-old man admitted to our hospital after a road traffic accident. The brain CT scan revealed a left hemispheric acute subdural hematoma. After DC, he developed a brainstem hemorrhage. Recovery was, however, good.
Department of Anesthesiology and Intensive Care, University Hospital of Toulouse, Hôpital Purpan, Place du Dr Baylac, 31059 Toulouse Cedex 9, France. laurent.lonjaret@laposte.net
Laurent
L
Lonjaret
Maxime
M
Ros
Sergio
S
Boetto
Olivier
O
Fourcade
Thomas
T
Geeraerts
D000063:Accidents, Traffic; D001933:Brain Stem / Q000473:pathology*; D020203:Brain Stem Hemorrhage, Traumatic / Q000209:etiology* / Q000473:pathology*; D003399:Craniotomy / Q000009:adverse effects*; D019299:Decompression, Surgical / Q000009:adverse effects*; D015600:Glasgow Coma Scale; D006408:Hematoma, Subdural / Q000601:surgery; D006801:Humans; D019586:Intracranial Hypertension / Q000209:etiology / Q000601:surgery; D008297:Male; D011183:Postoperative Complications / Q000473:pathology* / Q000628:therapy; D014057:Tomography, X-Ray Computed; D055815:Young Adult