Holland J P, Taylor W A, Bell B A
Department of Neurosurgery, Atkinson Morley's Hospital, Wimbledon, London.
Br J Neurosurg. 1994;8(5):603-5. doi: 10.3109/02688699409002955.
We describe two patients who underwent intracranial aneurysm surgery and developed postoperative subgaleal haematomas which, in the presence of an unfixed bone flap, resulted in significant extradural compression and a marked clinical deterioration. The application of a pressure dressing to tamponade a developing scalp haematoma is unwise unless the bone flap has been rigidly fixed in place.