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Related Experiment Video

Updated: Feb 28, 2026

Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation
09:01

Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation

Published on: October 15, 2021

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Delayed post-traumatic extracerebral hematomas

J M Piepmeier, F C Wagner

    The Journal of Trauma
    |June 1, 1982
    PubMed
    Summary
    This summary is machine-generated.

    Delayed extracerebral hematomas can occur after initial trauma surgery. Skull fractures at the site of delayed hematomas suggest a need for further exploration and monitoring in head injury patients.

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    Area of Science:

    • Neurosurgery
    • Trauma Surgery
    • Neuroradiology

    Background:

    • Acute craniocerebral trauma management is complex, requiring vital sign stabilization, mass lesion removal, and intracranial pressure control.
    • Computerized tomography (CT) aids in achieving these objectives, but delayed extracerebral hematomas can still develop postoperatively.

    Observation:

    • This study reviewed patients who developed delayed extracerebral hematomas shortly after evacuation of other hematomas.
    • Four out of 47 patients (10%) developed six delayed hematomas within 24 hours post-evacuation, all associated with skull fractures at the hematoma site.

    Findings:

    • Delayed post-traumatic extracerebral hematomas occurred in 10% of patients following initial hematoma evacuation.
    • All delayed hematomas were associated with a skull fracture at their respective sites.

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  • Decompression from initial hematoma removal may predispose to delayed hematoma formation.
  • Implications:

    • Consider exploration of extracerebral spaces beneath skull fractures after initial hematoma evacuation.
    • Repeat CT scans are crucial if expected patient improvement post-hematoma evacuation is not observed.
    • Intracranial decompression may precipitate the development of secondary delayed hematomas.