• Br J Neurosurg · Apr 2009

    Case Reports

    Pin-site epidural hematoma in an adult case of chronic hydrocephalus with associated thinning of the cranium.

    • Neilank K Jha, Shanil Ebrahim, Aria Fallah, Aleksa Cenic, and Rocco A De Villiers.
    • Division of Neurosurgery, McMaster University, Hamilton, Ontario, Canada. caprebru@hhsc.ca
    • Br J Neurosurg. 2009 Apr 1;23(2):211-2.

    AbstractWe report a case of a 22-year-old man presenting with a fourth ventricular tumour and associated chronic obstructive hydrocephalus likely leading to thinning of the cranium. Intraoperatively, he developed an epidural hematoma secondary to a fracture of the temporal bone by application of the three-point skull fixator. This is the second reported adult case of an iatrogenic epidural hematoma secondary to pin-site complications. We advocate the careful placement of the pins and suggest the tightening force be catered individually especially in pediatric patients or patients with chronic hydrocephalus.

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