Bilateral supratentorial epidural haematomas occurring independently and consecutively after the removal of a craniospinal meningioma

Suzuki, Shigeharu; Saitoh, Kuniyasu; Iwabuchi, Takashi; Hayashi, Akihito

doi:10.1007/bf01405442

Cited by 4 publications

(3 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Distant site hematoma formation in a non-traumatic brain in a prone position is occasionally noted. English literature describes six such cases [1][2][3][4][5][6] [ Table 1].…”

Section: Discussionmentioning

confidence: 99%

“…Such heart-rate changes, just after dural opening, should alert the surgical team toward distant site hematoma, rather than brain-stem damage. [2] 45/F CVJ meningioma Bilateral EDH Surgery twice Satisfactory Rapid ↓ ICP Chandra et al (2002) [3] 25/F Occipital parafalcine meningioma Bifrontal EDH Surgery Satisfactory Rapid ↓ ICP Porto et al (2002) [4] 3.10/12/F Cerebellar malignant rhabdoid tumor Lower thoracic SDH Conservative Satisfactory Blood spillover Wolsberger et al (2004) [5] 31/F 4 th ventricular choroid plexus papilloma Bilateral EDH -Satisfactory -Hicdonmez et al (2005) [6] 43 Abrupt decrease in ICP and consequential rupture of a bridging vein remains the most accepted cause behind such a complication. SDH, remote from the primary surgery site, probably occurred due to snapping of bridging veins in supratentorial compartment after rapid release of CSF from infratentorial compartment.…”

Section: Discussionmentioning

confidence: 99%

“…Meticulous hemostasis, isolation of operative site, and avoidance of CSF over-drainage during surgery may prevent such a complication. [2,4] The best intraoperative strategy is to get an immediate CT scan, preferably without anesthesia reversal and rule out a surgical lesion distant from the primary surgical site.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Supratentorial hematoma during infratentorial surgery: A short series of three cases

Savardekar¹,

Luthra

Tripathi³

et al. 2012

IJNS

View full text Add to dashboard Cite

Distant site hematoma formation may complicate an otherwise uneventful surgery. The authors describe three cases of such unexpected complications, while operating upon infratentorial lesions in prone position. Pathophysiology behind such complications and changes in intraoperative monitoring is discussed, along with all the previously reported cases. Of the three cases, there was one death, while rest of the two cases made eventless recovery. Meticulous hemostasis, isolation of operative site, avoidance of cerebrospinal fluid over-drainage during surgery may prevent such a complication. Careful interpretation of vital-monitoring may indicate the occurrence of such a complication.

show abstract

“…Distant site hematoma formation in a non-traumatic brain in a prone position is occasionally noted. English literature describes six such cases [1][2][3][4][5][6] [ Table 1].…”

Section: Discussionmentioning

confidence: 99%