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POSTOPERATIVE MASSIVE EPIDURAL HEMATOMA:During or After Ventricular Decompressive Procedure in Hydrocephalic State Hiroshi FUKAI 1 , Hiromu HASEGAWA 2 1Department of Neorosurpery, Jikeikai University School of Medicine 2Department of Neurosurgery, Brain Research Institute, Niigata University School of Medicine pp.187-194
Published Date 1967/2/1
DOI https://doi.org/10.11477/mf.1406202181
  • Abstract
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Massive epidural hematoma may occur as a prompt or delayed complication of the surgical procedure of the hydrocephalic states due to congenital hydroceph-alus and subtentorial space occupying tumor. Seven such cases are described with a review of seventeen cases in the literature.

These massive epidural hematomas are probably caused by followings; Sudden release of ventricular fluid both by ventricular tap and by operative pro-cedure in the posterior fossa collapsed the dilated ven-tricles, which pulled upon the bridging vein and pro-moted the detachment of the dura mater. The separa-tion of the dura mater first occurred in the vicinity of the burr-hole. And the tear of the intervening vessels produced the epidural hematomas which creat-ed further dural detachment, and further massive epidural bleeding.

For that reason, attention must be directed to the rare occurence of epidural or subdural hematoma as a complication of the ventricular decompressive proce-dure in the various hyrocephalic states.


Copyright © 1967, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 2185-405X 印刷版ISSN 0006-8969 医学書院

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