He Q, Tao CY, Fu RH, You C. Multiple different remote epidural hematomas after craniotomy: A case report. World J Clin Cases 2022; 10(6): 1863-1868 [PMID: 35317153 DOI: 10.12998/wjcc.v10.i6.1863]
Corresponding Author of This Article
Chao You, MD, Professor, Department of Neurosurgery, West China Hospital, No. 37 Guoxue Lane, Wuhou District, Chengdu 610041, Sichuan Province, China. 761956970@qq.com
Research Domain of This Article
Neurosciences
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Feb 26, 2022; 10(6): 1863-1868 Published online Feb 26, 2022. doi: 10.12998/wjcc.v10.i6.1863
Multiple different remote epidural hematomas after craniotomy: A case report
Qiang He, Chuan-Yuan Tao, Rui-Hong Fu, Chao You
Qiang He, Chuan-Yuan Tao, Chao You, Department of Neurosurgery, West China Hospital, Chengdu 610041, Sichuan Province, China
Rui-Hong Fu, Department of Neurology, the Second Hospital of Lanzhou University, Lanzhou 730030, Gansu Province, China
Author contributions: You C and Tao CY were the patient’s neurosurgeons, reviewed the literature, and were responsible for the revision of the manuscript; He Q and Fu RH contributed to manuscript drafting and data collection; all authors issued final approval for the version to be submitted.
Informed consent statement: Informed written consent was obtained from the patient for the publication of this case report and any accompanying images.
Conflict-of-interest statement: All authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Chao You, MD, Professor, Department of Neurosurgery, West China Hospital, No. 37 Guoxue Lane, Wuhou District, Chengdu 610041, Sichuan Province, China. 761956970@qq.com
Received: June 4, 2021 Peer-review started: June 4, 2021 First decision: September 1, 2021 Revised: September 14, 2021 Accepted: January 13, 2022 Article in press: January 13, 2022 Published online: February 26, 2022
Abstract
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.
