title: Epidural Hematoma Complication after Rapid Chronic Subdural Hematoma Evacuation: A Case Report.
abstract: BACKGROUND
  Chronic subdural hematoma generally occurs in the elderly. After chronic subdural hematoma evacuation surgery, the development of epidural hematoma is a very rare entity.
  
  
  METHODS
  We report the case of a 41-year-old man with an epidural hematoma complication after chronic subdural hematoma evacuation. Under general anesthesia, the patient underwent a large craniotomy with closed system drainage performed to treat the chronic subdural hematoma. After chronic subdural hematoma evacuation, there was epidural leakage on the following day.
  
  
  CONCLUSIONS
  Although trauma is the most common risk factor in young CSDH patients, some other predisposing factors may exist. Intracranial hypotension can cause EDH. Craniotomy and drainage surgery can usually resolve the problem. Because of rapid dynamic intracranial changes, epidural leakages can occur. A large craniotomy flap and silicone drainage in the operation area are key safety points for neurosurgeons and hydration is essential.
authors.affiliation: Department of Neurosurgery, Adiyaman University Education and Research Hospital, Adiyaman, Turkey.
authors.forename: Aykut
authors.initials: A
authors.lastname: Akpinar
authors.affiliation: Department of Neurosurgery, Adiyaman University Education and Research Hospital, Adiyaman, Turkey.
authors.forename: Necati
authors.initials: N
authors.lastname: Ucler
authors.affiliation: Department of Neurosurgery, Bakırkoy State Hospital, Istanbul, Turkey.
authors.forename: Uzay
authors.initials: U
authors.lastname: Erdogan
authors.affiliation: Department of Neurosurgery, Adiyaman University Education and Research Hospital, Adiyaman, Turkey.
authors.forename: Cem Seyho
authors.initials: CS
authors.lastname: Yucetas
mesh_terms: D000328:Adult; D002908:Chronic Disease; D003399:Craniotomy / Q000379:methods; D004322:Drainage / Q000009:adverse effects*; D006407:Hematoma, Epidural, Cranial / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D020200:Hematoma, Subdural, Chronic / Q000601:surgery*; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D014057:Tomography, X-Ray Computed