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Furthermore, intraoperative CO retention was informed. The patient wake up slowly, and a left-sided hemiparesis was noted.Moreover, decreasing blood hematocrit and refractory shock status developed.Head computed tomography (CT) and magnetic resonance imaging scans revealed a posterior fossa mass [Figure 1]a with marked ventriculomegaly and the patient underwent a craniotomy for tumor resection.The child was placed in 3-point pin fixation with the Mayfield headrest using pediatric pins tightened to a pressure of 40 lbs.
(b and c) A postoperative emergent computed tomography scan revealed a large right sided epidural hematoma (long arrow) with depressed fracture of the temporal bone (short arrow), where the pin had been placed the age range was from 2 years and 7 months to 6 years and 6 months.J Med Sci [serial online] 2014 [cited 2017 Nov 8];8-40. 2014/34/5/238/143654 It is common knowledge among neurosurgeons that head pin fixation devices can cause skull fracture or perforation resulting in an epidural bleeding.This is especially true for pediatric patients in whom a thin skull predisposes to inadvertent skull injury.The incidence of such complications reported in the literature is How to cite this URL: Chen TF, Yang SH, Tsai JC.Depressed skull fracture and epidural hematoma resulted from pin-type head holder for craniotomy in children.
Blood components therapy and inotropic agent infusion were prescribed for the acute illness.