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Immediate development of a contralateral acute subdural hematoma following acute subdural hematoma evacuation

Authors
Journal
Journal of Clinical Neuroscience
0967-5868
Publisher
Elsevier
Publication Date
Volume
18
Issue
3
Identifiers
DOI: 10.1016/j.jocn.2010.05.004
Keywords
  • Acute Subdural Hematoma
  • Contralateral
  • Hemiparesis
  • Trauma

Abstract

Abstract Contralateral hematoma formation following acute subdural hematoma (ASDH) evacuation is a well-described complication. The most common type of contralateral hematoma is an epidural hematoma. Rarely, ASDH develops on the contralateral side. We report an elderly woman who presented with a post-traumatic ASDH and underwent ipsilateral hematoma evacuation by craniotomy and subsequently developed a contralateral ASDH. Because of the potential consequences of a delayed ASDH, there should be a low threshold for early post-operative imaging following ASDH evacuation, especially in elderly patients and those with additional associated intracranial injuries.

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