Decompressive Craniectomy for Right Epidural Hematoma

43y man with epilepsy presenting a right epidural hematoma after seizure.

Category:

Science & Technology

Tags:

• neurosurgery
• surgery
• brain
• craniotomy
• cerebrum
• tumor
• cerebral
• hematoma
• epidural
• brain trauma

[The7thSeason]

Why do I watch this?

[abbassyma]

the surgeon here had some pit falls i guess:

1- do not coagulate the scalp with a monopolar (it damage the hair follicles and produce a bad scar

2- the localizatioin was not perfect...

3 there was no need to elevate the temporalis muscle it would be better if he elevated instead a myosseus flap preserving the vascularity and nervous supply of the temporalis and the bld supply to the bone flap, + it will result in better reconstruction latter

4- before the elevation of hitch stiches try gel foam

[Zipzap112]

@MrJon307 It is an epidural hemorrhage. Often associated with the rupture of a. meningia media of temporal side of your brain. It simply just a big blood cloth building up pressure on top of the dura, which gives the patients his neurological symptoms. If not treated it can very well end up being fatal and you need to act fast. Regards, a Danish medicine student.

[MrJon307]

What is being scraped off at 2:48 ?

[bigniginabigrig]

and that is how grape jelly is made =D

[analgesict]

@The7thSeason , dont watch this if you are not a health care professional belonging to Trauma management. I am watching this to learn about this procedure because after learning this i would be able to perform this maneuver quite confidently and save many lives.

[DocHollidayYZ]

@windowslive300 its brazil lol

[windowslive300]

From the few of these I have seen it looks like it was done kind of sloppy. Not much care was put into this.

[onidmc3350]

0.0

[bajachicken]

Mmmm grape jelly on toast anyone? :D

[Tu16]

@NeverisAwesome It is probably from the arteria meningea media, an artery above the three protective layers above the brain. The patient might even have recovered without overt neurological symptoms.

[Tu16]

@benjie414 It's the haematoma. Nothing more than spilled blood. I think it's the middle meningeal artery that ruptured (but correct me if I'm wrong) - anyways, it is an artery above the 3 protecive brain layers (Above the dura mater, 'epidural' - meaning 'above the dura'), and it is the very cause of the problem this patiënt had.