• Medicine · Apr 2023

    Review Case Reports

    Ultrasonic diagnosis of delayed hematoma during emergency removal of traumatic intracranial hematoma: A case report and literature review.

    • Yan Weng, Ziqi Shang, and Qing Zhong.
    • Department of Anesthesiology, the People's Hospital of Jianyang, Jianyang, Sichuan Province, China.
    • Medicine (Baltimore). 2023 Apr 7; 102 (14): e33484e33484.

    RationaleIt is emergency and vital during neurosurgical procedure in traumatic intracranial when an acute intraoperative brain bulge (AIBB) is occurred. It is important to get a diagnosis quickly.Patient ConcernsA 44-year-old man was undergone a neurosurgical procedure for the left side of traumatic intracranial hematoma. An AIBB was occurred during the surgery. Computed tomography (CT) is always used in diagnosis when an AIBB is occurred, but more time is needed when CT is conducted.DiagnosesWe diagnosed the AIBB through bedside real-time ultrasound, and a delayed hematoma which caused the AIBB was found.InterventionsA further neurosurgical procedure of right intracranial hematoma was performed for the patient.OutcomesThe surgical effect and the patient's prognosis were significantly improved.LessonsThrough this patient, we should pay more attention to the application of perioperative of real-time ultrasonic monitoring, to provide more convenience for surgical patients, and improve the prognosis of them.Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc.

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