Multiple supratentorial epidural haematomas after posterior fossa surgery.

Abstract:

:Postoperative epidural haematoma distant to a site of craniotomy is a rare but possibly hazardous complication. We report a 31-year-old female who presented with a history of chronic hydrocephalus due to fourth-ventricular plexus papilloma. Following resection of the posterior fossa tumour with intraoperative placement of a ventricular drainage, she consecutively developed four supratentorial epidural haematomas at different locations, all necessitating evacuation. The clinical manifestations ranged from subtle neurological deficits to signs of tentorial herniation; the ultimate outcome was complete recovery. Rapid tapering of CSF pressure after long-standing hydrocephalus and clotting disorders could be implicated as causative factors. We stress the importance of early postoperative CT scan and optimal management of ventricular pressure and coagulation status to detect and prevent this possibly life-threatening complication.

journal_name

Neurosurg Rev

journal_title

Neurosurgical review

authors

Wolfsberger S,Gruber A,Czech T

doi

10.1007/s10143-003-0315-4

keywords:

subject

Has Abstract

pub_date

2004-04-01 00:00:00

pages

128-32

issue

2

eissn

0344-5607

issn

1437-2320

journal_volume

27

pub_type

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