Contreras Darren, Cosar Murat, Sullivan Stephene, Chalif David, Weintraub David
Neurosciences, Nassau University Medical Center, East Meadow, USA.
Cureus. 2024 Dec 10;16(12):e75463. doi: 10.7759/cureus.75463. eCollection 2024 Dec.
Asynchronous bilateral hematomas are exceedingly rare and pose increased risk and challenge during surgical treatment. In this case report, a 31-year-old male patient was initially found to have only a large left-sided epidural hematoma which was subsequently evacuated. An immediate postoperative CT scan demonstrated a new right-sided epidural hematoma. Subsequently, the patient was returned to the operating room for immediate evacuation of the right-sided hematoma. Our team believes immediate-postoperative CT scans should be standard following epidural hematoma evacuation where there is any suspicion of contralateral fracture or bleeding.
非同步双侧血肿极为罕见,在手术治疗过程中会带来更高的风险和挑战。在本病例报告中,一名31岁男性患者最初被发现仅患有左侧硬膜外大血肿,随后进行了血肿清除术。术后立即进行的CT扫描显示出现了新的右侧硬膜外血肿。随后,患者返回手术室立即清除右侧血肿。我们的团队认为,在硬膜外血肿清除术后,若怀疑有对侧骨折或出血,术后立即进行CT扫描应成为标准操作。