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Year : 2010  |  Volume : 5  |  Issue : 1  |  Page : 79-81

Multiple remote epidural hematomas following pineal gland tumor resection

1 Department of Neurosurgery, Daejeon Sun General Hospital, Daejeon, Korea
2 Department of Neurosurgery, ChungNam National University Hospital, Daejeon, Korea

Correspondence Address:
Jeong-Wook Lim
Department of Neurosurgery, Daejeon Sun General Hospital, 10-7 Mok-dong, Jung-Gu, Daejeon 301-725
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1817-1745.66674

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In cases of pineal tumor combined with obstructive hydrocephalus, preoperative ventriculostomy or ventriculoperitoneal shunting is typically required prior to tumor resection. The objectives of preoperative ventriculostomy are gradual reduction of intracranial pressure and consequent preoperative brain protection. Here we report a case of pineal tumor resection with preoperative ventriculostomy that was complicated by multiple epidural hematomas. While postoperative intracranial hemorrhage may occur at any site, it is rare in those areas remote from the operative field. In the present case, multiple remote sequential epidural hematomas developed following resection of a pineal gland tumor. We also discuss the pathophysiologic mechanisms and provide a literature review.


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