Immediate development of a contralateral acute subdural hematoma following acute subdural hematoma evacuation

Jared Fridley, Jonathan Thomas, Ryan Kitagawa, Joshua Chern, Ibrahim Omeis
Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia 2011, 18 (3): 422-3
Contralateral hematoma formation following acute subdural hematoma (ASDH) evacuation is a well-described complication. The most common type of contralateral hematoma is an epidural hematoma. Rarely, ASDH develops on the contralateral side. We report an elderly woman who presented with a post-traumatic ASDH and underwent ipsilateral hematoma evacuation by craniotomy and subsequently developed a contralateral ASDH. Because of the potential consequences of a delayed ASDH, there should be a low threshold for early post-operative imaging following ASDH evacuation, especially in elderly patients and those with additional associated intracranial injuries.

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