• J Med Case Rep · Jan 2014

    Case Reports

    Contralateral extradural hematoma following decompressive craniectomy for acute subdural hematoma (the value of intracranial pressure monitoring): a case report.

    • Lucas Crociati Meguins, Gustavo Botelho Sampaio, Eduardo Cintra Abib, Rodrigo Antônio Rocha da Cruz Adry, Richam Faissal El Hossain Ellakkis, Filipe Webb Josephson Ribeiro, Ângelo Luiz Maset, and Dionei Freitas de Morais.
    • Faculdade de Medicina de São José do Rio Preto (FAMERP), Residente do Serviço de Neurocirurgia, Hospital de Base, São Paulo, Brazil. lucascrociati@hotmail.com.
    • J Med Case Rep. 2014 Jan 1;8:153.

    IntroductionDecompressive surgery for acute subdural hematoma leading to contralateral extradural hematoma is an uncommon event with only few cases previously reported in the English medical literature.Case PresentationThe present study describes the case of a 39-year-old White Brazilian man who had a motorcycle accident; he underwent decompressive craniectomy for the treatment of acute subdural hematoma and evolved contralateral extradural hematoma following surgery.ConclusionThe present case highlights the importance of close monitoring of the intracranial pressure of severe traumatic brain injury, even after decompressive procedures, because of the possible development of contralateral extradural hematoma.

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