Intracranial epidural hematoma after use of a 3-pin head clamp in a pediatric case with posterior fossa tumor and hydrocephalus: A case report
Journal of Clinical and Investigative Surgery, cilt.6, sa.2, ss.178-182, 2021 (Hakemli Dergi)
- Yayın Türü: Makale / Vaka Takdimi
- Cilt numarası: 6 Sayı: 2
- Basım Tarihi: 2021
- Doi Numarası: 10.25083/2559.5555/6.2.17
- Dergi Adı: Journal of Clinical and Investigative Surgery
- Sayfa Sayıları: ss.178-182
- Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
- Atatürk Üniversitesi Adresli: Evet
Özet
Cranial fixation with pins is a routine adjunct in neurosurgery and is usually considered safe. A rarely reported
complication is skull fracture at the pin site and consequent epidural hematoma. Usually, these are picked up only
postoperatively and rarely, intraoperatively if there is unexplained “brain bulge” in which case the operation should
be terminated and urgent imaging has to be done. We describe such a complication that occurred while operating on
a 12‑year‑old child with a posterior fossa tumor and review the available literature dealing with such events.
Key words: Cranial fixation, depressed skull fracture, extradural hematoma, pin‑site complications