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01-04-2004 | Case Report

Multiple supratentorial epidural haematomas after posterior fossa surgery

Authors: Stefan Wolfsberger, Andreas Gruber, Thomas Czech

Published in: Neurosurgical Review | Issue 2/2004

Abstract

Postoperative epidural haematoma distant to a site of craniotomy is a rare but possibly hazardous complication. We report a 31-year-old female who presented with a history of chronic hydrocephalus due to fourth-ventricular plexus papilloma. Following resection of the posterior fossa tumour with intraoperative placement of a ventricular drainage, she consecutively developed four supratentorial epidural haematomas at different locations, all necessitating evacuation. The clinical manifestations ranged from subtle neurological deficits to signs of tentorial herniation; the ultimate outcome was complete recovery. Rapid tapering of CSF pressure after long-standing hydrocephalus and clotting disorders could be implicated as causative factors. We stress the importance of early postoperative CT scan and optimal management of ventricular pressure and coagulation status to detect and prevent this possibly life-threatening complication.

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Title: Multiple supratentorial epidural haematomas after posterior fossa surgery
Authors: Stefan Wolfsberger
Andreas Gruber
Thomas Czech
Publication date: 01-04-2004
Publisher: Springer-Verlag
Published in: Neurosurgical Review / Issue 2/2004
Print ISSN: 0344-5607
Electronic ISSN: 1437-2320
DOI: https://doi.org/10.1007/s10143-003-0315-4

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Multiple supratentorial epidural haematomas after posterior fossa surgery

Abstract

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