Contralateral delayed epidural hematoma following intracerebral hematoma surgery.
BACKGROUND
Delayed epidural hematoma (EDH) is an uncommon finding in patients after intracranial hematomas evacuation. It occurs in 6.7-7.4% of cases. A total of 29 reports were found in literature. Between them were no cases of delayed contralateral EDH after intracerebral hematoma evacuation.


METHODS
This paper represents a clinical case of a 28-year-old male patient with opened penetrating head injury, who underwent left frontal lobe intracerebral hematoma evacuation and one day later a contralateral EDH was found and successfully surgically treated.


CONCLUSIONS
Contralateral EDH is a life-threatening neurosurgical emergency case, which can occur during first 24 hours after decompressive craniectomy. Control CT scans must be performed next day after the operation to verify and treat contralateral EDH timely.
Neurosurgical Department, Yalta City Hospital, Yalta, Crimea, Ukraine.
Volodymyr O
VO
Solomiichuk
Konstantin I
KI
Drizhdov
Decompressive craniectomy; epidural hematoma; head injury; postoperative hemorrhage