Brainstem hemorrhage following decompressive craniectomy

Laurent Lonjaret; Maxime Ros; Sergio Boetto; Olivier Fourcade; Thomas Geeraerts

doi:10.1016/j.jocn.2012.01.014

Brainstem hemorrhage following decompressive craniectomy

J Clin Neurosci. 2012 Sep;19(9):1293-5. doi: 10.1016/j.jocn.2012.01.014. Epub 2012 Jun 19.

Authors

Laurent Lonjaret¹, Maxime Ros, Sergio Boetto, Olivier Fourcade, Thomas Geeraerts

Affiliation

¹ Department of Anesthesiology and Intensive Care, University Hospital of Toulouse, Hôpital Purpan, Place du Dr Baylac, 31059 Toulouse Cedex 9, France. [email protected]

PMID: 22721886
DOI: 10.1016/j.jocn.2012.01.014

Abstract

Decompressive craniectomy (DC) is used for the management of refractory raised intracranial pressure, but the impact of DC on surgical outcome is still controversial. We report a 21-year-old man admitted to our hospital after a road traffic accident. The brain CT scan revealed a left hemispheric acute subdural hematoma. After DC, he developed a brainstem hemorrhage. Recovery was, however, good.

Publication types

Case Reports

MeSH terms

Accidents, Traffic
Brain Stem / pathology*
Brain Stem Hemorrhage, Traumatic / etiology*
Brain Stem Hemorrhage, Traumatic / pathology*
Craniotomy / adverse effects*
Decompression, Surgical / adverse effects*
Glasgow Coma Scale
Hematoma, Subdural / surgery
Humans
Intracranial Hypertension / etiology
Intracranial Hypertension / surgery
Male
Postoperative Complications / pathology*
Postoperative Complications / therapy
Tomography, X-Ray Computed
Young Adult