ISSN 2149-2247 | E-ISSN 2149-2549
Case Report
An Asymptomatic, Supratentorial, Remote Epidural Hematoma Following Posterior Fossa Surgery
1 Department of Neurosurgery, Yıldırım Beyazıt University Training and Research Hospital, Ankara, Turkey  
2 Department of Neurosurgery, Fırat University Faculty of Medicine, Elazig, Turkey  
3 Department of Neurosurgery, Memorial Hospital, Ankara, Turkey  
4 Department of Neurosurgery, Ataturk Traninig and Research Hospital, Ankara, Turkey  
Erciyes Med J 2017; 39: 32-34
DOI: 10.5152/etd.2017.16121
Key Words: Epidural, posterior fossa, supratentorial, remote, hematoma

An epidural hematoma (EDH) following posterior fossa surgery is extremely rarely reported. We report the case of a 49-year-old woman diagnosed with cerebellar lesions and hydrocephalus. The patient underwent left paramedian suboccipital craniotomy, and total resection of the lesion was performed. After the surgery, the patient was transferred to the intensive care unit with a Glasgow coma score of 15. Because the patient was neurologically stable, computed tomography (CT) was performed on the first postoperative day. A right, frontal, large EDH was seen on the CT image without any complaint and neurological deterioration. EDH evacuation was performed by right frontal craniotomy, and the patient was discharged with full recovery. This case reinforces the importance of a close follow-up and the early imaging of posterior fossa tumors, particularly with hydrocephalus, for not overlooking this rare, but serious, complication, even if a patient is clinically silent.

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