Medizinische Universität Graz - Research portal
Selected Publication:
SHR Neuro Cancer Cardio Lipid Metab Microb
Wolfsberger, S; Gruber, A; Czech, T.
Multiple supratentorial epidural haematomas after posterior fossa surgery.
Neurosurg Rev. 2004; 27(2):128-32
Doi: 10.1007/s10143-003-0315-4
(- Case Report)
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- Leading authors Med Uni Graz
- Wolfsberger Stefan
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- Abstract:
- Postoperative epidural haematoma distant to a site of craniotomy is a rare but possibly hazardous complication. We report a 31-year-old female who presented with a history of chronic hydrocephalus due to fourth-ventricular plexus papilloma. Following resection of the posterior fossa tumour with intraoperative placement of a ventricular drainage, she consecutively developed four supratentorial epidural haematomas at different locations, all necessitating evacuation. The clinical manifestations ranged from subtle neurological deficits to signs of tentorial herniation; the ultimate outcome was complete recovery. Rapid tapering of CSF pressure after long-standing hydrocephalus and clotting disorders could be implicated as causative factors. We stress the importance of early postoperative CT scan and optimal management of ventricular pressure and coagulation status to detect and prevent this possibly life-threatening complication.
- Find related publications in this database (using NLM MeSH Indexing)
- Adult - administration & dosage
- Craniotomy - adverse effects
- Female - administration & dosage
- Fourth Ventricle - surgery
- Hematoma, Epidural, Cranial - diagnosis, etiology, therapy
- Humans - administration & dosage
- Infratentorial Neoplasms - surgery
- Papilloma - surgery
- Find related publications in this database (Keywords)
- epidural haematoma
- multiple posterior fossa surgery
- plexus papilloma
- ventricular drainage