DEVELOPMENT OF CONTRALATERAL EPIDURAL HEMATOMA AFTER THE SURGERY FOR A GIANT HYDATID CYST: A CASE REPORT

Öz

Delayed epidural hematoma is an uncommon finding in patients after intracranial mass evacuation. It occurs in 6.7-7.4% of cases. A total of 29 reports were found in literature. Among them, no cases of delayed contralateral EDH were due to intracerebral hydatid cyst evacuation. This paper represents a clinical case of a 14-year-old male patient with huge hydatid cyst who underwent left frontopariatel lobe intracerebral hydatid cyst surgery. Next day, a contralateral epidural hematoma was revealed and successfully treated by the conservative treatment via close observation. Contralateral epidural hematomais a life‐threatening neurosurgical emergency case, which can occur during first 24 hours after decompressive effects of the cyst removal. Control brain CT scans should be performed next day after the operation to verify and treat these hematomas timely

Anahtar Kelimeler

• Hydatid cyst
• contralateral epidural
• hematoma

DEVELOPMENT OF CONTRALATERAL EPIDURAL HEMATOMA AFTER THE SURGERY FOR A GIANT HYDATID CYST: A CASE REPORT

Öz

Delayed epidural hematoma is an uncommon finding in patients after intracranial mass evacuation. It occurs in 6.7-7.4% of cases. A total of 29 reports were found in literature. Among them, no cases of delayed contralateral EDH were due to intracerebral hydatid cyst evacuation. This paper represents a clinical case of a 14-year-old male patient with huge hydatid cyst who underwent left frontopariatel lobe intracerebral hydatid cyst surgery. Next day, a contralateral epidural hematoma was revealed and successfully treated by the conservative treatment via close observation. Contralateral epidural hematomais a life‐threatening neurosurgical emergency case, which can occur during first 24 hours after decompressive effects of the cyst removal. Control brain CT scans should be performed next day after the operation to verify and treat these hematomas timely.

Anahtar Kelimeler

• DEVELOPMENT
• CONTRALATERAL
• EPIDURAL

Kaynakça

1. Fridley J, Thomas J, Kitagawa R, Chern J, Omeis I. Immediate development of a contralateral acute
2. subdural hematoma
3. Ban M, Agawa M, Fukami T. Delayed evolution of posttraumatic contralateral extracerebral
4. hematoma after evacuation of initial hematoma. Neurol Med Chir (Tokyo) 1991;31:927–30.
5. Yang XF, Wen L, Shen F, Li G, Lou R, Liu WG, et al. Surgical complications secondary to
6. decompressive craniectomy in patients with a head injury: A series of 108 consecutive cases.
7. ActaNeurochir (Wien) 2008;150:1241–7.
8. -Özkan Ü, Kemaloğlu MS, Selçuki M. Gigantic intracranial mass of hydatid cyst. Childs Nerv Syst.

9. Oct;17(10):623-5.
10. Shen J, Pan JW, Fan ZX, Zhou YQ, Zhan RY. Surgery for contralateral acute epidural hematoma
11. following acute subdural hematoma evacuation: Five new cases and a short literature review.
12. ActaNeurochir (Wien) 2013;155: 335–41.
13. Mokri B. The Monro-Kellie hypothesis: applications in CSF volume depletion. Neurology June
14. , 56 (12): 1746–8.