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Development of a contralateral acute subdural hematoma during awake craniotomy for glial tumor in a 12-year-old boy: A case report

Authors
Joe, HB; Park, SY; Park, KS; Kyoung, KD; Choi, YH; Cho, KG; Moon, BK
Citation
Anesthesia and Pain Medicine, 6(2):157-159, 2011
Journal Title
Anesthesia and Pain Medicine
ISSN
1975-5171
Abstract
Contralateral acute subdural hematomas that occur during removal of brain tumors under general anesthesia are extremely rare, and there are no reports of this developing during awake craniotomy for brain tumors. We report a case of a 12-year-old boy who complained of sudden and severe headache and nausea around the completion of removal of a glial tumor of the frontal lobe under awake anesthesia. Postoperative computerized tomography scan revealed the presence of contralateral acute minimal subdural hematoma. We suggest that during craniotomy with awake anesthesia for brain tumors, contralateral acute subdural hematoma may occur, even in the absence of brain bulging or changes in vital signs. Sudden intra-operative headache and nausea should be investigated by immediate postoperative computerized tomography scans to ascertain diagnosis.
Keywords
Awake craniotomyContralateral subdural hematomaGlial tumor
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Anesthesiology & Pain Medicine
AJOU Authors
조, 한범박, 성용박, 관식문, 봉기
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