Published online Feb 26, 2022. doi: 10.12998/wjcc.v10.i6.1863
Peer-review started: June 4, 2021
First decision: September 1, 2021
Revised: September 14, 2021
Accepted: January 13, 2022
Article in press: January 13, 2022
Published online: February 26, 2022
Processing time: 264 Days and 10.5 Hours
Epidural hematoma is one of the common postoperative complications after craniotomy. However, multiple remote epidural hematomas in different sites, including supratentorial and infratentorial regions, are exceedingly rare.
We present a rare case in which three remote epidural hematomas occurred after craniotomy. A 21-year-old woman was admitted with a headache for 1 mo, vomiting, and rapid vision loss for 1 wk. Brian magnetic resonance imaging indicated a right thalamic tumor. The intraoperative diagnosis was a cystic tumor, posterior cerebral artery aneurysm, and vascular malformation. The operation was successful. Unfortunately, the patient developed three extradural hematomas within 48 h. Family members consented to the first two hematoma evacuations but refused the third.
More attention should be paid to this kind of rare complication. Adequate preoperative evaluation is important, especially for acute patients. Monitoring neural function and early computed tomography scanning of the brain after surgery should be highlighted.
Core Tip: We report a 21-year-old emergency woman who developed three remote epidural hematomas in different sites after craniotomy.