Intraoperative development of contralateral extradural hematoma during evacuation of traumatic acute subdural hematoma: A rare cause of malignant brain bulge during surgery

Abstract

Intraoperative development of epidural hematoma (EDH) is an unusual happening. We report a 36-year-old female who developed severe brain bulge while she was being operated for a traumatic left fronto-temporal acute subdural hematoma. Immediate post-operative CT scan revealed a massive contralateral EDH, which was subsequently evacuated. When a craniotomy is performed for a traumatic hematoma, intraoperative severe brain swelling should alert the surgeon about possibility of contralateral EDH formation especially if there is contralateral skull fracture.

Keywords

brain swelling - extradural hematoma - head injury - skull fracture - traumatic subdural hematoma

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