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J Neurol Surg A Cent Eur Neurosurg 2013; 74(01): 025-028
DOI: 10.1055/s-0032-1326939
Original Article
Georg Thieme Verlag KG Stuttgart · New York

Postoperative Extradural Hematomas

Angelo Pichierri
1   Division of Neurosurgery, Department of Neurological Sciences, “Sapienza” Univsersity of Rome, Rome, Italy
,
Andrea Ruggeri
1   Division of Neurosurgery, Department of Neurological Sciences, “Sapienza” Univsersity of Rome, Rome, Italy
,
Pasquale Donnarumma
1   Division of Neurosurgery, Department of Neurological Sciences, “Sapienza” Univsersity of Rome, Rome, Italy
,
Roberto Delfini
1   Division of Neurosurgery, Department of Neurological Sciences, “Sapienza” Univsersity of Rome, Rome, Italy
› Author Affiliations
Further Information

Publication History

25 January 2012

01 July 2012

Publication Date:
08 November 2012 (online)

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Abstract

Postoperative extradural hematoma (POEH) is a possible complication after head surgery, often neglected in the literature. In a single surgeon experience we found 13 cases of POEH (0.8%). We distinguished two subtypes: (1) larger hematomas (>40 cc) with typical features and overt clinical picture that always needed evacuation, and (2) smaller hematomas (<40 cc) with insidious clinical onset and different radiological features compared with traumatic and spontaneous extradural hematomas. On the basis of our experience, we propose that clinical picture and radiologic appearance lead the decision between conservative or interventional treatment of type II hematomas.

Keywords

postoperative extradural hematoma - iatrogenic extradural hematoma - complications - neurosurgery
 

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