2019 Volume 42 Issue 1 Pages 59-62
We presented a patient with acute bilateral epidural hematomas, which were operated simultaneously. A 56–year–old male accidentally fell down and hit his head against the floor. He was observed because he had no symptom, but his consciousness deteriorated 6 hours later. Immediate Computed Tomography (CT) revealed symmetrical bilateral epidural hematomas in each parietotemporal regions. Then he was transferred to our hospital. On admission, his consciousness level was 200 in Japan Coma Scale (JCS). We called for an emergency operation for rapid decompression of the brain. After we estimated the area of hematomas by CT scan, we realized that we couldn’t make bilateral craniotomies and remove the hematomas at the same time in supine position. So we decided to operate in prone position. Bilateral craniotomies were carried out at the same time, and the epidural hematomas were also simultaneously removed successfully by the two groups of neurosurgeons. Clinical course after operation was uneventful and the patient was discharged post operative day 10. Simultaneous bilateral craniotomies and removal of the epidural hematomas would have contributed to obtaining the good result in this patient.
