Сontralateral acute epidural hematoma after acute subdural hematoma removal using decompressive craniectomy: six cases and literature review
DOI:
https://doi.org/10.25305/unj.78789Keywords:
contralateral acute epidural hematoma, acute subdural hematoma, decompressive craniectomy, surgical treatment, skull fracture, intraoperative cerebral edemaAbstract
Сontralateral acute epidural hematoma (AEDH) after acute subdural hematoma (ASDH) removal is an uncommon, but disastrous postoperative complication. Here we describe six own observations and provide analysis of 42 other cases relating to the above. Сontralateral AEDH after ASDH removal using decompressive craniectomy (DC) is diagnosed in 2.4-4.2% of cases.
Main risk factors of contralateral AEDH development include: presence of fracture on the opposite side from the subdural hematoma; hematoma removal using DC; heavy injury (GCS 4-8); mechanism of injury – car accident or fall from a height; patient’s juvenile age.
Сontralateral AEDH occurrence shall be excluded as soon as possible by performing verification brain CT in following cases: occurrence of intraoperative cerebral edema, rapid ICP growth, postoperative neurological disorder. Main reason of contralateral AEDH occurrence is the presence of arteria or vein damages in the fracture site. Urgent re-operation is indicated in all cases.
References
1. Servadei F, Nasi M, Cremonini A, Giuliani G, Cenni P, Nanni A. Importance of a reliable admission Glasgow Coma Scale score for determining the need for Evacuation of Posttraumatic Subdural Hematomas. The Journal of Trauma: Injury, Infection, and Critical Care. 1998;44(5):868-73. [CrossRef] [PubMed]
2. Servadei F, Nasi MT, Giuliani G, Cremonini AM, Cenni P, Zappi D, Taylor GS. CT prognostic factors in acute subdural haematomas: the value of the ‘worst’ CT scan. British Journal of Neurosurgery. 2000;14(2):110-6. [CrossRef] [PubMed]
3. Massaro F, Lanotte M, Faccani G, Triolo C. One hundred and twenty-seven cases of acute subdural haematoma operated on. Acta Neurochir (Wien). 1996;138(2):185-91. [CrossRef] [PubMed]
4. Koc RK, Akdemir H, Oktem IS, Meral M, Menku A. Acute subdural hematoma: outcome and outcome prediction. Neurosurgical Review. 1997;20(4):239-44. [CrossRef] [CrossRef] [PubMed]
5. Dent D, Croce M, Menke P, Young BH, Hinson MS, Kudsk KA, Minard G, Pritchard FE, Robertson JT, Fabian TC. Prognostic factors after acute subdural hematoma. The Journal of Trauma: Injury, Infection, and Critical Care. 1995;39(1):36-43. [CrossRef] [PubMed]
6. Hatashita S, Koga N, Hosaka Y, Takagi S. Acute subdural hematoma: severity of injury, surgical intervention, and mortality. Neurologia medico-chirurgica. 1993;33(1):13-18. [CrossRef] [PubMed]
7. Shigemori M, Syojima K, Nakayama K, Kojima T, Ogata T, Watanabe M, Kuramoto S. The outcome from acute subdural haematoma following decompressive hemicraniectomy. Acta Neurochir (Wien). 1980;54(1-2):61-9. [CrossRef] [PubMed]
8. Zumkeller M, Behrmann R, Heissler H, Dietz H. Computed tomographic criteria and survival rate for patients with acute subdural hematoma. Neurosurgery. 1996;39(4):708-13. [CrossRef] [PubMed]
9. Domenicucci M, Strzelecki J, Delfini R. Acute posttraumatic subdural hematomas: «Intradural» computed tomographic appearance as a favorable prognostic factor. Neurosurgery. 1998;42(1):51-5. [CrossRef] [PubMed]
10. Kotwica Z, Brzezinski J. Acute subdural haematoma in adults: an analysis of outcome in comatose patients. Acta Neurochir (Wien). 1993;121(3-4):95-9. [CrossRef] [PubMed]
11. Seelig J, Becker D, Miller J, Greenberg R, Ward J, Choi S. Traumatic acute subdural hematoma: major mortality reduction in comatose patients treated within four hours. New England Journal of Medicine. 1981;304(25):1511-8. [CrossRef] [PubMed]
12. Hutchinson PJ, Corteen E, Czosnyka M, Mendelow AD, Menon DK, Mitchell P, Murray G, Pickard JD, Rickels E, Sahuquillo J, Servadei F, Teasdale GM, Timofeev I, Unterberg A, Kirkpatrick PJ. Decompressive craniectomy in traumatic brain injury: the randomized multicenter RESCUEicp study (www.RESCUEicp.com). Acta Neurochir. 2006;96(suppl.):17-20. [PubMed]
13. Cooper DJ, Rosenfeld JV, Murray L, Wolfe R, Ponsford J, Davies A, D’Urso P, Pellegrino V, Malham G, Kossmann T. Early decompressive craniectomy for patients with severe traumatic brain injury and refractory intracranial hypertension — a pilot randomized trial. Journal of Critical Care. 2008;23(3):387-93. [CrossRef] [PubMed]
14. Hutchinson PJ, Menon DK, Kirkpatrick PJ. Decompressive craniectomy in traumatic brain injury-time for randomised trials? Acta Neurochir (Wien). 2005;147(1):1-3. [PubMed]
15. Grande P, Asgeirsson B, Nordstrom C. Physiologic principles for volume regulation of a tissue enclosed in a rigid shell with application to the injured brain. The Journal of Trauma: Injury, Infection, and Critical Care. 1997;42(suppl.):23-31. [CrossRef] [PubMed]
16. Pedachenko YeH, Dzyak LA, Sirko AH, Ivanov TA, inventors; Romodanov Neurosurgery Institute, Kiev, Ukraine, assignee. Method for surgical treatment of acute subdural haematomas, accompanied with the espressed dislocation syndrom. Ukraine Patent 54367. 2010 November 10.
17. Pedachenko YeH, Dzyak L A, Sirko AH, inventors; Romodanov Neurosurgery Institute, Kiev, Ukraine, assignee. Method for decompressive trepanation of the skull at brain pathology which is accompanied with intracranial pressure increasing. Ukraine Patent 54368. 2010 November 10.
18. Pedachenko YeH, Dzyak L A, Sirko AH, Pylypenko HS, inventors; Romodanov Neurosurgery Institute, Kiev, Ukraine, assignee. Method for surgical treatment of severe craniocerebral trauma, which is accompanied with the signs of the temporal-tentorial brain wedging. Patent 56155. 2011 January 10.
19.[Clinical protocols of care to patients in the field «Neurosurgery» and «Pediatric neurosurgery»]. Ukr Neurosurg J. 2008;3:136-70. Ukrainian.
20. Aarabi B, Hesdorffer D, Ahn E, Aresco C, Scalea T, Eisenberg H. Outcome following decompressive craniectomy for malignant swelling due to severe head injury. Journal of Neurosurgery. 2006;104(4):469-79. [CrossRef] [PubMed]
21. Borovich B, Braun J, Guilburd JN, Zaaroor M, Michich M, Levy L, Lemberger A, Grushkiewicz I, Feinsod M, Schachter I. Delayed onset of traumatic extradural hematoma. Journal of Neurosurgery. 1985;63(1):30-4. [CrossRef] [PubMed]
22. Boviatsis E, Korfias S, Kouyialis A, Sakas D. Epidural haematoma after evacuation of contralateral subdural haematoma. Irish Journal of Medical Science. 2004;173(4):217-8. [CrossRef] [PubMed]
23. Clinical guidelines of Chinese Medical Association: fascicule of neurosurgery. Chinese Medical Association. Peoples Medical Publishing House: Beijing; 2006.
24. Cohen J, Rajz G, Itshayek E, Umansky F. Bilateral acute epidural hematoma after evacuation of acute subdural hematoma: brain shift and the dynamics of extraaxial collections. Neurological Research. 2004;26(7):763-6. [CrossRef] [PubMed]
25. Danish S, Barone D, Lega B, Stein S. Quality of life after hemicraniectomy for traumatic brain injury in adults. Neurosurgical Focus. 2009;26(6):E2. [CrossRef] [PubMed]
26. Evans JP, Scheinker IM. Histologic studies of the brain following head trauma: Posttraumatic petechial and massive intracerebral hemorrhage Journal of Neurosurgery. 1946;3(2):101-13. [CrossRef] [PubMed]
27. Feuerman T, Wackym P, Gade G, Lanman T, Becker D. Intraoperative development of contralateral epidural hematoma during evacuation of traumatic extraaxial hematoma. Neurosurgery. 1988;23(4):480-4. [CrossRef] [PubMed]
28. Guilburd JN, Sviri GE. Role of dural fenestrations in acute subdural hematoma. Journal of Neurosurgery. 2001;95(2):263-7. [CrossRef] [PubMed]
29. Huang AP, Chen YC, Hu CK, Lin TK, Huang SJ, Tu YK, Tsai YH. Intraoperative Sonography for Detection of Contralateral Acute Epidural or Subdural Hematoma After Decompressive Surgery. The Journal of Trauma: Injury, Infection, and Critical Care. 2011;70(6):1578-9. [CrossRef] [PubMed]
30. Kaufman HH, Moake JL, Olson JD, Miner ME, duCret RP, Pruessner JL, Gildenberg PL. Delayed and recurrent intracranial hematomas related to disseminated intravascular clotting and fibrinolysis in head injury. Neurosurgery. 1980;7(5):445-9. [CrossRef] [PubMed]
31. Koc R, Akdemir H, Oktem I, Meral M, Menku A. Acute subdural hematoma: Outcome and outcome prediction. Neurosurgical Review. 1997;20(4):239-44. [CrossRef] [PubMed]
32. Kontopoulos V, Foroglou N, Patsalas J, Magras J, Foroglou G, Yiannakou-Pephtoulidou M, Sofianos E, Anastassiou H, Tsaoussi G. Decompressive craniectomy for the management of patients with refractory hypertension: should it be reconsidered? Acta Neurochirurgica. 2002;144(8):791-6. [CrossRef] [PubMed]
33. Shen J, Pan J, Fan Z, Zhou Y, Chen Z, Zhan R. Surgery for contralateral acute epidural hematoma following acute subdural hematoma evacuation: five new cases and a short literature review. Acta Neurochir. 2013;155(2):335-41. [CrossRef] [PubMed]
34. Makhkamov KE, Kuzibayev ZHM. [Postoperative contralateral subdural hematoma in patients with intracranial hemorrhages]. Russian Neurosurgical Journal named after professor A.L. Polenov. 2014(4)(special issue):351-2. Russian.
35. Yang X, Wen L, Shen F, Li G, Lou R, Liu WG, Zhan RY. Surgical complications secondary to decompressive craniectomy in patients with a head injury: a series of 108 consecutive cases. Acta Neurochir (Wien). 2008;150(12):1241-8. [CrossRef] [PubMed]
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