• J Trauma · Jan 2010

    Case Reports

    Contralateral acute subdural hematoma after surgical evacuation of acute subdural hematoma.

    • Nestor D Tomycz, Anand V Germanwala, and Kevin A Walter.
    • Department of Neurological Surgery, University of Pittsburgh Medical Center, UPMC Presbyterian Suite B-461, Pittsburgh, PA 15213, USA. tomycznd@upmc.edu
    • J Trauma. 2010 Jan 1; 68 (1): E11-2.

    AbstractWe present a case of an 81-year-old woman who developed an acute left-sided subdural hematoma with midline shift shortly after craniotomy for evacuation of a traumatic right-sided acute subdural hematoma. She was immediately taken back to the operating room for evacuation of the left-sided clot and her neurologic outcome was excellent. Believed to be caused by rapid brain decompression, bleeding far from the operative site, such as a within the contralateral subdural space, can occur after a craniotomy and must be promptly recognized.

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