Delayed deterioration following the evacuation of posterior fossa extradural hematoma
A missed or delayed detection of intracranial injuries can lead to progressive neuronal damage and secondary brain damage. We present a case of 45 year female presented 8 after the road traffic accident and had a large posterior extradural hematoma on left side with mass effect. In addition there w...
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doaj-54e20e45aca44da085ca540227048aef2020-11-24T21:24:59ZengLondon Academic PublishingRomanian Neurosurgery1220-88412344-49592015-03-01291Delayed deterioration following the evacuation of posterior fossa extradural hematomaAmit AgrawalS. Satish KumarUmamaheswara Reddy V. A missed or delayed detection of intracranial injuries can lead to progressive neuronal damage and secondary brain damage. We present a case of 45 year female presented 8 after the road traffic accident and had a large posterior extradural hematoma on left side with mass effect. In addition there was a small speck of right frontal contusion with localized cerebral edema. The patient initially improved after evacuation of the hematoma. However on 3rd post-operative day she was complaining of headache and became progressively drowsy. A follow up CT scan showed increase in peri-lesional edema around the right frontal contusion with squashing of the lateral ventricles suggestive of diffuse cerebral edema. The patient was shifted back to intensive care unit and responded well to further conservative management. In our patient the events could be collaborated well with existing evidence (presence of contrecoup contusion and on clinical deterioration at day 3). https://www.journals.lapub.co.uk/index.php/roneurosurgery/article/view/814Delayed deteriorationintracranial hematomaclinical deteriorationepidural hematomaposterior fossa |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Amit Agrawal S. Satish Kumar Umamaheswara Reddy V. |
spellingShingle |
Amit Agrawal S. Satish Kumar Umamaheswara Reddy V. Delayed deterioration following the evacuation of posterior fossa extradural hematoma Romanian Neurosurgery Delayed deterioration intracranial hematoma clinical deterioration epidural hematoma posterior fossa |
author_facet |
Amit Agrawal S. Satish Kumar Umamaheswara Reddy V. |
author_sort |
Amit Agrawal |
title |
Delayed deterioration following the evacuation of posterior fossa extradural hematoma |
title_short |
Delayed deterioration following the evacuation of posterior fossa extradural hematoma |
title_full |
Delayed deterioration following the evacuation of posterior fossa extradural hematoma |
title_fullStr |
Delayed deterioration following the evacuation of posterior fossa extradural hematoma |
title_full_unstemmed |
Delayed deterioration following the evacuation of posterior fossa extradural hematoma |
title_sort |
delayed deterioration following the evacuation of posterior fossa extradural hematoma |
publisher |
London Academic Publishing |
series |
Romanian Neurosurgery |
issn |
1220-8841 2344-4959 |
publishDate |
2015-03-01 |
description |
A missed or delayed detection of intracranial injuries can lead to progressive neuronal damage and secondary brain damage. We present a case of 45 year female presented 8 after the road traffic accident and had a large posterior extradural hematoma on left side with mass effect. In addition there was a small speck of right frontal contusion with localized cerebral edema. The patient initially improved after evacuation of the hematoma. However on 3rd post-operative day she was complaining of headache and became progressively drowsy. A follow up CT scan showed increase in peri-lesional edema around the right frontal contusion with squashing of the lateral ventricles suggestive of diffuse cerebral edema. The patient was shifted back to intensive care unit and responded well to further conservative management. In our patient the events could be collaborated well with existing evidence (presence of contrecoup contusion and on clinical deterioration at day 3).
|
topic |
Delayed deterioration intracranial hematoma clinical deterioration epidural hematoma posterior fossa |
url |
https://www.journals.lapub.co.uk/index.php/roneurosurgery/article/view/814 |
work_keys_str_mv |
AT amitagrawal delayeddeteriorationfollowingtheevacuationofposteriorfossaextraduralhematoma AT ssatishkumar delayeddeteriorationfollowingtheevacuationofposteriorfossaextraduralhematoma AT umamaheswarareddyv delayeddeteriorationfollowingtheevacuationofposteriorfossaextraduralhematoma |
_version_ |
1725985653191081984 |