Multiple different remote epidural hematomas after craniotomy:A case report  

作　　者：Qiang He Chuan-Yuan Tao Rui-Hong Fu Chao You 

机构地区：[1]Department of Neurosurgery,West China Hospital,Chengdu 610041,Sichuan Province,China [2]Department of Neurology,the Second Hospital of Lanzhou University,Lanzhou 730030,Gansu Province,China

出　　处：《World Journal of Clinical Cases》2022年第6期1863-1868,共6页世界临床病例杂志

摘　　要：BACKGROUND Epidural hematoma is one of the common postoperative complications after craniotomy.However,multiple remote epidural hematomas in different sites,including supratentorial and infratentorial regions,are exceedingly rare.CASE SUMMARY We present a rare case in which three remote epidural hematomas occurred after craniotomy.A 21-year-old woman was admitted with a headache for 1 mo,vomiting,and rapid vision loss for 1 wk.Brian magnetic resonance imaging indicated a right thalamic tumor.The intraoperative diagnosis was a cystic tumor,posterior cerebral artery aneurysm,and vascular malformation.The operation was successful.Unfortunately,the patient developed three extradural hematomas within 48 h.Family members consented to the first two hematoma evacuations but refused the third.CONCLUSION More attention should be paid to this kind of rare complication.Adequate preoperative evaluation is important,especially for acute patients.Monitoring neural function and early computed tomography scanning of the brain after surgery should be highlighted.

关 键 词：Postoperative complication Multiple epidural hematomas Supratentorial and infratentorial regions Remote epidural hematoma Case report 

分 类 号：R651.15[医药卫生—外科学]