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Postoperative Contralateral Hematoma in Patient with Acute Traumatic Brain Injury
Myeong-Jin Oh1, Je Hoon Jeong1, Dong-Seong Shin1
1Department of Neurosurgery, Soonchunhyang University Bucheon Hospital, Bucheon, Korea.
Korean Journal of Neurotrauma
|May 18, 2017
Summary
Delayed contralateral hematomas after traumatic brain injury surgery are rare but serious. Postoperative CT scans are crucial for early detection in patients with severe head injury or skull fractures.
Area of Science:
- Neurosurgery
- Trauma Surgery
- Neuroradiology
Background:
- Head injury is a major cause of death and disability.
- Contralateral hematomas post-traumatic brain injury surgery are uncommon but can lead to severe outcomes if missed.
Purpose of the Study:
- To present experience with patients developing delayed contralateral hematomas after traumatic brain injury surgery.
- To discuss the diagnosis and management of this rare complication.
Main Methods:
- Retrospective review of clinical and radiographic data.
- Study included 12 patients with acute traumatic brain injury who developed delayed contralateral hematoma after initial hematoma evacuation.
Main Results:
- 83.3% of patients had severe head injury (Glasgow Coma Scale [GCS] score <8).
- Intraoperative brain swelling was observed in 83.3% of cases.
- Contralateral skull fractures were present in 75% of patients.
- Mortality was 33.3% in patients with severe head injury; only 10% had minor disability.
Conclusions:
- Postoperative CT scans are essential for patients with acute traumatic brain injury, especially those with contralateral skull fractures or low GCS scores.
- Early evaluation of this rare complication is critical to improve patient outcomes.
