Citation

Gong J, Li Q, Cao Y, Zheng X, Ma Y, Zhan R. J. Craniofac. Surg. 2016; 27(2): e159-61.

Affiliation

Department of Neurosurgery, First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China.

Copyright

(Copyright © 2016, Lippincott Williams and Wilkins)

DOI

10.1097/SCS.0000000000002404

PMID

26854773

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.

Language: en