Pillai Mahesh Krishna, Kariyattil Rajeev, Govindaraju Venkatesh, Kochummen Koshy, Kumar Rajinder
Department of Neurosurgery, Sultan Qaboos University Hospital, Al Khaud, Muscat, Oman.
Asian J Neurosurg. 2018 Oct-Dec;13(4):1213-1215. doi: 10.4103/ajns.AJNS_87_17.
The occurrence of extradural hematoma (EDH) after decompressive craniectomy (DC) for traumatic brain injury is uncommon. We report two cases, one developing ipsilateral EDH and another developing contralateral simultaneous EDH and subdural hematoma after DC. The strategies to anticipate the occurrence of such concurrent hematomas (CH) are highlighted. We propose a subclassification of CH into "immediate" and "delayed," based on their difference in clinical presentation, image findings, pathogenesis, and surgical management.
创伤性脑损伤减压性颅骨切除术后发生硬膜外血肿（EDH）并不常见。我们报告两例病例，一例在减压性颅骨切除术后发生同侧EDH，另一例在术后发生对侧同时性EDH和硬膜下血肿。文中强调了预测此类并发血肿（CH）发生的策略。基于临床表现、影像学表现、发病机制及手术治疗的差异，我们提出将CH分为“即时性”和“延迟性”两类。
