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Journal of the Korean Society of Traumatology 2010;23(2):188-191.
Postoperative Contralateral Supra- and Infratentorial Acute Epidural Hematoma after Decompressive Surgery for an Acute Subdural Hematoma: A Case Report
Jeong Shik Lee, Cheol Su Jwa, Sook Young Sim, Gang Hyun Kim
Department of Neurosurgery, National Medical Center, Seoul, Korea. chsjwa@hanmail.net
급성 경막하 혈종에 대한 감압술 후 발생한 반대편의
천막 상, 하 급성 경막외 혈종
이정식∙좌철수∙심숙영∙김강현
국립중앙의료원 신경외과
Abstract
A postoperative contralateral supra- and infratentorial epidural hematoma after decompressive surgery is an extremely rare event. We describe a 38-year-old male with a contralateral supra- and infratentorial acute epidural hematoma just after decompressive surgery for an acute subdural hematoma. A contralateral skull fracture involving a lambdoidal suture and an intraoperative brain protrusion may be warning signs. The mechanisms, along with relevant literature, are discussed.
Key Words: Acute epidural hematoma; Acute subdural hematoma; Surgery
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