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Intracerebral hematoma complicating split calvarial bone-graft harvesting
V L Young1, R H Schuster, L W Harris
1Division of Plastic and Reconstructive Surgery, Washington University School of Medicine, St. Louis, Mo.
Plastic and Reconstructive Surgery
|October 1, 1990
Summary
A rare intracerebral hematoma occurred after split calvarial bone graft harvest. While the patient recovered fully, this complication highlights risks associated with bone graft procedures.
Area of Science:
- Neurosurgery
- Orthopedic Surgery
- Craniofacial Reconstruction
Background:
- Split calvarial bone grafts are utilized in craniofacial reconstruction.
- Graft harvest carries inherent surgical risks.
- Intracerebral hematoma is a potential, though infrequent, complication.
Observation:
- A case of intracerebral hematoma is reported following split calvarial bone harvest.
- The patient experienced a full recovery.
- A review of complications associated with calvarial bone graft harvest was conducted.
Findings:
- Complications following calvarial bone graft harvest can be severe.
- Intracerebral hematoma is a documented risk.
- The incidence and management of such complications require careful consideration.
Implications:
- Devastating complications necessitate evaluating alternative bone graft sources.
- Consideration of alternative autologous or allogeneic bone sources is recommended.
- Especially for elective procedures, risk-benefit analysis should guide surgical planning.