title: Serial Attacks: Contralateral Hematoma Secondary to Decompressive Craniectomy for Traumatic Brain Injury Led to Posttraumatic Cerebral Infarction.
abstract: A 40-year-old man suffered severe brain injury and received left side subdural hematoma evacuation with decompressive craniectomy. Intraoperative brain swelling had occurred during the surgery. Postoperative computed tomography (CT) scan was done immediately and showed a contralateral epidural hematoma resulting in herniation. Secondary hematoma evacuation was performed and found a linear fracture near a bleeding meningeal artery. 2 days later CT scan showed cerebral infarction mainly in right posterior cerebral artery distribution. Early diagnosis by postoperative CT scan or other potential ways such as intraoperative sonography is important to prompt treatments and interrupt the pathophysiological chain of the serial attacks.
authors: Department of Neurosurgery, First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China.
authors: JiangBiao
authors: J
authors: Gong
authors: QuanCheng
authors: Q
authors: Li
authors: YeLin
authors: Y
authors: Cao
authors: XiuJue
authors: X
authors: Zheng
authors: YueHui
authors: Y
authors: Ma
authors: Renya
authors: R
authors: Zhan
mesh_terms: D000328:Adult; D001929:Brain Edema / Q000209:etiology; D000070642:Brain Injuries, Traumatic / Q000601:surgery*; D002544:Cerebral Infarction / Q000209:etiology*; D056424:Decompressive Craniectomy / Q000379:methods*; D004677:Encephalocele / Q000209:etiology; D006407:Hematoma, Epidural, Cranial / Q000209:etiology; D046648:Hematoma, Subdural, Intracranial / Q000209:etiology; D006801:Humans; D007431:Intraoperative Complications; D008297:Male; D008576:Meningeal Arteries / Q000293:injuries; D011183:Postoperative Complications; D012887:Skull Fractures / Q000000981:diagnostic imaging; D013701:Temporal Bone / Q000293:injuries; D014057:Tomography, X-Ray Computed / Q000379:methods