Pin-site epidural hematoma in an adult case of chronic hydrocephalus with associated thinning of the cranium.
Jha, Neilank K;
Ebrahim, Shanil;
Fallah, Aria;
Cenic, Aleksa;
De Villiers, Rocco A;
(2009)
Pin-site epidural hematoma in an adult case of chronic hydrocephalus with associated thinning of the cranium.
British journal of neurosurgery, 23 (2).
pp. 211-212.
ISSN 1360-046X
DOI: https://doi.org/10.1080/02688690802434830
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We report a case of a 22-year-old man presenting with a fourth ventricular tumour and associated chronic obstructive hydrocephalus likely leading to thinning of the cranium. Intraoperatively, he developed an epidural hematoma secondary to a fracture of the temporal bone by application of the three-point skull fixator. This is the second reported adult case of an iatrogenic epidural hematoma secondary to pin-site complications. We advocate the careful placement of the pins and suggest the tightening force be catered individually especially in pediatric patients or patients with chronic hydrocephalus.
