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Year : 2018  |  Volume : 13  |  Issue : 4  |  Page : 1213-1215

Extradural hematoma following decompressive craniectomy for acute subdural hematoma: Two case reports illustrating different mechanisms

Department of Neurosurgery, Sultan Qaboos University Hospital, Al khaud, Muscat, Oman

Correspondence Address:
Dr. Mahesh Krishna Pillai
Department of Neurosurgery, PB 38, Sultan Qaboos University Hospital, Al khaud, Muscat
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ajns.AJNS_87_17

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The occurrence of extradural hematoma (EDH) after decompressive craniectomy (DC) for traumatic brain injury is uncommon. We report two cases, one developing ipsilateral EDH and another developing contralateral simultaneous EDH and subdural hematoma after DC. The strategies to anticipate the occurrence of such concurrent hematomas (CH) are highlighted. We propose a subclassification of CH into “immediate” and “delayed,” based on their difference in clinical presentation, image findings, pathogenesis, and surgical management.

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