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J Clin Neurosci. 2007 Jul;14(7):691-3. Epub 2007 Apr 25.

Epidural hematoma following use of a three-point skull clamp.

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Department of Neurosurgery, Changhua Christian Hospital, 133 Nanhsain Street, Changhua, 500, Taiwan.


We report an unusual case of epidural hematoma secondary to the use of a three-point skull-fixation device. Initially, a posterior-fossa brain tumor with hydrocephalus was diagnosed in a 15-year-old boy. Midline suboccipital craniectomy was performed with the patient placed in the prone position. A Mayfield (Ohio Medical Instrument Co., Cincinnati, OH, USA) skull clamp was used for fixation of the head during the surgical procedure, following which, a huge epidural hematoma developed within 6 hours of surgery, due to skull penetration and fracture at one of the clamp's pin sites located proximate to the coronal suture.

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