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British Journal of Neurosurgery Volume 23, 2009 - Issue 2
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Pin-site epidural hematoma in an adult case of chronic hydrocephalus with associated thinning of the cranium

Dr Neilank K. Jha Division of Neurosurgery, McMaster University, HamiltonCorrespondence[email protected]
,
Shanil Ebrahim Institute of Medical Sciences, University of Toronto, Toronto
,
Aria Fallah Michael G. DeGroote School of Medicine, McMaster University, Hamilton, Ontario, Canada
,
Aleksa Cenic Division of Neurosurgery, McMaster University, Hamilton
&
Rocco A. De Villiers Division of Neurosurgery, McMaster University, Hamilton
Pages 211-212 | Received 02 Apr 2008, Accepted 27 Aug 2008, Published online: 06 Jul 2009
 
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Abstract

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.

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