title: A rare remote epidural hematoma secondary to decompressive craniectomy.
abstract: Remote epidural hematoma (REDH) is an uncommon complication of decompressive craniectomy. Remote epidural hematomas of the parietal occiput region have been reported only rarely. We report a unique case of delayed-onset bilateral extensive straddle postsagittal sinus and bilateral lateral sinus parietal occiput REDH after decompressive craniectomy, of which volume was approximately 130 mL, with left deviating midline structures. The patient was immediately taken back to the operating room for evacuation of the REDH via bilateral parietal and occiput craniectomy. Postoperatively, serial computed tomographic scans performed 3 days later showed that the REDH had been completely evacuated. Two months later, the patient regained full consciousness and obtained a near-complete recovery except for right facial paralysis.
authors.affiliation: From the Departments of *Neurosurgery, First Affiliated Hospital, Medican College of Xi'an Jiaotong University; and †Neurosurgery, Neurosurgery, Affiliated Hospital of Xi'an Medical University, Shaanxi, China.
authors.forename: Gang-Zhu
authors.initials: GZ
authors.lastname: Xu
authors.forename: Mao-De
authors.initials: MD
authors.lastname: Wang
authors.forename: Kai-Ge
authors.initials: KG
authors.lastname: Liu
authors.forename: Yin-An
authors.initials: YA
authors.lastname: Bai
mesh_terms: D002648:Child; D056424:Decompressive Craniectomy / Q000009:adverse effects* / Q000379:methods*; D005260:Female; D006407:Hematoma, Epidural, Cranial / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D012086:Reoperation; D054063:Superior Sagittal Sinus / Q000000981:diagnostic imaging / Q000601:surgery; D014057:Tomography, X-Ray Computed; D054064:Transverse Sinuses / Q000000981:diagnostic imaging / Q000601:surgery