AKUT SUBDURAL HEMATOM CERRAHiSi SONRASl POSTOPERATiF KONTRALATERAL EPiDURAL HEMATOM VE iPSiLATERAL
iNTRASEREBRAL HEMATOM
Postoperative Contralateral Acute Epidural Hematoma and lpsilateral lntracerebral Hematoma Following Acute Subdural Hematoma Surgery Ezgi AKAR, Mehmet Ufuk AKMIL, Mehmet Zafer BERKMAN, Metin ORAKDÖGEN
ÖZET
Kraniotomi sonrası uzak bir alanda intrakranial hemoraji gelişmesi nadir bir durumdur. Literatür ta- randığında yaklaşık 40 adet lezyonun zıt tarafında gelişen epidural hematom vakası bulundu, fakat operasyon sahasına komşu intraserebral hematom ile birlikte olan vaka görülmedi. Postoperatif altıncı günde subdural hematom ile aynı tarafta temporoparietal intraserebral hematom gelişti. intraserebral hematom konservatif olarak takip edildi. Biz bu sunuda; subdural hematom boşal- tılması sonrası karşı tarafta gelişen epidural hematoma cerrahi yaptığımız, takiplerde ipsilateral intraserebral hematom gelişen vakamızı sunduk.
Anahtar kelimeler: Postoperatil; Epidural hematom; Subdural hematom
ABSTRACT
Development of intracranial hemorrhage in a remote area after craniotomy is a rare condition. The current literature findings on 40 cases of epidural hematoma were developed in the opposite side of the lesion, but there was no finding on any case presenting intracerebral hematoma near the operated area. In our case, on the sixth postoperative day, we observed temporoparietal subdural hematoma and intracerebral hematoma on the same side. Intracerebral hematoma was treated conservatively. In this case, we presented a case of an ipsilateral intracerebral hematoma that developed in the follow up after epidural hematoma drain surgery on the opposite side of the subdural hematoma.
Key words: Postoperative; Epidural hematoma; Subdural hematoma |