Epidural haematoma by Mayfield head-holder®: Case report and review of literature

Year 2013, Volume: 5 , 1 - 5, 27.09.2013

Jacopo Poli Cesare Zoia Desiree Lattanzi Sergio Balbi

Abstract

A  lot of neurosurgical interventions require the use of a pin-type head-holder to immobilize the patients' head. We report the case of an epidural haematoma caused by penetration of head holders' pin in a 7-year-old boy. The haematoma was showed by a head CT-scan at the end of surgery performed to treat a cerebellar astrocytoma that was managed surgically. Mmany factors seem to contribute to elevate the risk of complications due to the use of the Mayfield head-holder. Prevention and management measures are discussed also through a review of literature.

Keywords

Mayfield skull clamp, Depressed skull fracture, Epidural haematoma, Cerebellar astrocytoma

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