Journals / Van Tıp Dergisi / 2005 / Cilt: 12 - Sayı: 1

Acute epidural hematoma occurin as a results of postoperative subcutaneous bleeding: A case report

Postoperatif cilt altından kanama sonucu oluşan akut epidural hematom: Olgu sunumu

Pages
26–28
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

As the result of this, epidural hematoma can become under skin tissue if the hemostase is made insufficiently after the hernostatic clips for the scalp hemostase are taken out, or after the operation, if the patient is found hipertansive.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Acute epidural hematoma usually perforates at epidural area as bleeding a. menengia media or its branches, result of a cranium trauma .
📊
Key Findings & Data:Acute epidural hematoma was occured in postoperative at the second day in the patient who is operated because of a (eft middle cerebral arterie aneurysm, mentioned in this study.
💡
Conclusion & Impact:As the result of this, epidural hematoma can become under skin tissue if the hemostase is made insufficiently after the hernostatic clips for the scalp hemostase are taken out, or after the operation, if the patient is found hipertansive.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Hemostaz · Hematom · epidural

Abstract

Acute epidural hematoma usually perforates at epidural area as bleeding a. menengia media or its branches, result of a cranium trauma . Its origin is rarely venosus, like especially venosus sinüs hemorrhage. Acute epidural hematoma was occured in postoperative at the second day in the patient who is operated because of a (eft middle cerebral arterie aneurysm, mentioned in this study. The patients bleeding and coagulation factors were normally evoluated. Because of the acute epidural hematoma, the patient was operated again and seen that the reason of the acute epidural hematoma was the hemorrhage of the underskin tissue. As the result of this, epidural hematoma can become under skin tissue if the hemostase is made insufficiently after the hernostatic clips for the scalp hemostase are taken out, or after the operation, if the patient is found hipertansive.

Özet

Akut epidural hematom genellikle kafa travması sonucunda arteria meningea media yada dallarının kanaması sonucu epidural mesafede kanın toplanması sonucu oluşur. Özellikle venöz sinüs kanamalarında olduğu gibi nadiren venöz orijinli olabilir. Bu çalışmada sol MCA (ortaserebral arter) anevrizması nedeni ile öpere edilen hastada cerrahi sonrası 2. günde akut epidural hematom gelişti. Hastanın kanama ve pıhtılaşma faktörleri normal olarak değerlendirildi. Akut epidural hematom nedeniyle tekrar öpere edilen hastada, epidural heınatomun nedeninin cilt altı dokulardaki kanamalar olduğu görüldü. Sonuç olarak; kraniyotomilerde eğer skalp hemostazı için kullanılan hemostatik küpler çıkartıldıktan sonra hemostaz yetersiz yapılmışsa ve cerrahi sonrası hasta hipertansif seyrediyorsa, cilt altı dokulardaki kanamalara bağlı olarak epidural hematom riskinin olabileceği düşünülmelidir.

🔖

Cite This Article

YILMAZ, N., KIYMAZ, N., YAZICI, T., ETLİK, Ö. (2005). Acute epidural hematoma occurin as a results of postoperative subcutaneous bleeding: A case report. Van Tıp Dergisi, Cilt: 12 - Sayı: 1, 26–28. https://ajindex.com/articles/334244

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (4)

  1. Aşkın Görgülü, M. Murat Taşkın. Bilateral epidural hematom. Haydarpaşa Numune Hastanesi Tıp Dergisi 34:221-224, 1994 2. D’avella D, Blasi F, Fratterelli M, Santano G, Del Vivo G
  2. Acute bilateral extradural hematomas in an adult, Neurochirurgia 28: 178-179, 1985 3. Jamjoom AB, Kane N, Sandeman D: Epilepsy related to traumatic extradural hematoma. Br Med J. 302 (6774): 448, 1991 Feb. 4. Jordan C. Grrabel, Michael Jacher, Allen J. Rothman. Bilateral extradural hematomas in a thorombocytopenic infant receiving anticoagulants. Neurosurgy 25:828-830, 1989 Novomber. 5. Jan I. McIver, M.D.
  3. Bernd W. Scheithauer, M.D.
  4. Charlotte H. Rydberg, M.D. Metastatic Hepatocellüler Carcinoma Presenting as Epidural Hematoma: Case Report. Neurosurgery 49(2): 447-9, 2001 Aug. 6. Jan M., Gouaze A., Elie A,. Lapierre F., Santini JJ. Extradural hematoma complicating ventricular decompression during posterior fossa exploration (author’s transl). Neurochirurgie 24(2): 137-9,1978 7. Ken R. Winston, M.D. Efficacy of dural tenting sutures. J. Neurosurg. 91(2): 180-4, 1999Aug. 8. Matsuno A., Katayama H., Wada H., Morikawa K., Tanaka H., Murukami M., Fuke N., Nagashima T. Significance of consecutive bilateral surgeries for patients with acute subdural who develop contralateral epi-or subdural hematoma. Surg Neurol. 60(1): 23-30, 2003 Jul. 9. Multiple supratentorial epidural hematomas after posterior fossa surgery. Neurosurg Rev. 27(2): 128- 32, 2004 Apr. 10. Sanham R. Soni: Bilateral asymmetrical extradural hematomas. J. Neurosurg. 38(5): 647-49, 1973 May. 11. Serpil U, İlhan E, Sema L, Serdar Ö, Yılmaz G, M. Necmettin Pamir.Mayfield Head Rest and Epidural Hematoma. Journal of Neurological Sciences (Turkish) 18 (4): 40, 2001 October-December. 12. Thomas P. Sullivan, Jeffrey G. Jarvik and Wendy A. Cohen. Follow-up of Conservatively Managed Epidural Hematomas: İmplications for Timing of Repeat CT. American Journal of Neuroradiology 20(1): 107-13, 1999 Jan. 13. Yoshikazu Yoshino M.D., Nobuhiko Aoki M.D., Akihiro Oikawa M.D. and Kikuo Ohno M.D. Acute epidural hematoma developing during twist-drill craniostomy: a complication of percutaneous subdural tapping for the treatment of choronic subdural hematoma. Surg Neurol. 53(6): 6001-4, 2000 Jun.