Abstract
Problems Considered A case of road side accident developed acute subdural hematoma and cerebral contusion
with progressive edema and rise intracranial pressure as revealed on serial computed
tomographic scan of the head.
Methods Decompressive craniectomy performed for progressive hemorrhagic contusion producing
mass effect.
Results Patient improved unconsciousness and remained stationary because of the development
of subdural hematoma further improvement occurred after drainage of subdural hematoma.
Conclusion Development of chronic subdural hematoma is extremely uncommon following decompressive
craniectomy and could be responsible for arrest of neurological recovery.
Keywords
severe head injury - brain contusion - brain edema - chronic subdural hematoma - decompressive
craniectomy
