Decompressive surgery for acute subdural haematoma leading to contralateral extradural haematoma: a report of two cases and review of literature

Br J Neurosurg. 2005 Dec;19(6):490-4. doi: 10.1080/02688690500495216.


Development of a contralateral epidural haematoma during or immediately after cranial surgery is a well-described entity. However, in a case of acute subdural haematoma where the brain is usually tense, postoperative development of contralateral extradural haematoma is uncommon. We report two cases of contralateral extradural haematoma after decompressive surgery for acute subdural haematoma. We recommend routine postoperative CT immediately after cranial surgery for head trauma. This would help in timely detection and treatment of such a complication.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Brain Edema / etiology
  • Craniotomy / adverse effects*
  • Decompression, Surgical / adverse effects*
  • Hematoma, Epidural, Cranial / etiology*
  • Hematoma, Subdural, Acute / surgery*
  • Humans
  • Male
  • Middle Aged
  • Tomography, X-Ray Computed