中山醫學大學機構典藏 CSMUIR:Item 310902500/17930
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    题名: Case report Delayed contralateral epidural hematoma after decompressive craniectomy for a traumatic acute subdural hematoma
    作者: Chen-HsingSu
    Jung-TungLiu
    Cheng-SiuChang
    Wen-JuiLiao
    Cho-ShunLi
    贡献者: 中山醫大
    关键词: epidural hematoma;intracranial pressure;subdural hematoma;therapeutic hypothermia
    日期: 2015
    上传时间: 2017-07-06T08:22:40Z (UTC)
    出版者: Formosan Journal of Surgery
    ISSN: 1682-606X
    摘要: Summary
    After falling from a height, a 29-year-old male patient developed a traumatic left subdural hematoma (SDH) with brain swelling and a midline shift to the right side, as well as a small epidural hematoma (EDH) (thickness: <1 cm) overlying a contralateral temporal linear fracture. A decompressive craniectomy for SDH evacuation and the placement of an intracranial pressure (ICP) monitoring device were performed. Because of uncontrollable ICP (>35 mmHg) 48 hours after surgery, a left, extended decompressive craniectomy was performed in combination with therapeutic hypothermia for 6 days, including rewarming for 3 days. The patient remained stable for several days. However, the patient developed sudden right pupil dilatation with an uncal herniation on Day 14. Computed tomography revealed a considerable enlargement of the contralateral EDH. An emergency craniectomy was performed for EDH evacuation. In this paper, we describe this rare case, in which the delayed expansion of the contralateral EDH occurred 14 days after the initial surgery, and discuss its clinical management and radiologic findings, in addition to reviewing the literature and presenting the possible mechanism of this complication.
    URI: https://doi.org/10.1016/j.fjs.2015.08.008
    https://ir.csmu.edu.tw:8080/ir/handle/310902500/17930
    關聯: Formosan Journal of Surgery Volume 48, Issue 6, December 2015, Pages 222-225
    显示于类别:[醫學系] 期刊論文

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