title: Contralateral acute subdural hematoma following traumatic acute subdural hematoma evacuation.
abstract: Contralateral acute subdural hematoma (ASDH) occurring after removal of traumatic ASDH is a rare, but nearly devastating postoperative complication. We treated a 26-year-old male who developed a contralateral ASDH shortly after craniectomy for evacuation of a traumatic ASDH. Burr-hole craniotomy was performed before decompressive craniectomy, and the bleeding source was a cortex artery within the frontal lobe contusion. Despite supportive therapy with barbiturate and mild hypothermia he expired 3 days later of brain death. Literature review suggests that the old are more susceptible to contralateral ASDH following evacuation of traumatic ASDH. Contralateral ASDH following evacuation of traumatic ASDH is a rare but potentially lethal complication, so neurosurgeons should try to detect such contralateral hematoma formation and prevent clinical deterioration.
authors.affiliation: Department of Neurosurgery, First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, 310003 Zhejiang Province, PRC.
authors.forename: Jian
authors.initials: J
authors.lastname: Shen
authors.forename: Zuoxu
authors.initials: Z
authors.lastname: Fan
authors.forename: Tao
authors.initials: T
authors.lastname: Ji
authors.forename: Jianwei
authors.initials: J
authors.lastname: Pan
authors.forename: Yongqing
authors.initials: Y
authors.lastname: Zhou
authors.forename: Renya
authors.initials: R
authors.lastname: Zhan
mesh_terms: D000328:Adult; D001930:Brain Injuries / Q000175:diagnosis / Q000601:surgery; D003399:Craniotomy; D019299:Decompression, Surgical; D017809:Fatal Outcome; D005625:Frontal Lobe / Q000098:blood supply / Q000293:injuries; D006408:Hematoma, Subdural / Q000601:surgery*; D020199:Hematoma, Subdural, Acute / Q000175:diagnosis* / Q000601:surgery*; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000175:diagnosis* / Q000601:surgery*; D012086:Reoperation; D014057:Tomography, X-Ray Computed; D014207:Trephining