Epidural Hematoma, a Rare Complication After the Use of Mayfield Clamp: A Case Report and Review of the Literature

Martin Plevko; Václav Vybíhal; Marek Sova; Pavel Fadrus; Martin Smrčka

doi:10.13004/kjnt.2023.19.e39

Epidural Hematoma, a Rare Complication After the Use of Mayfield Clamp: A Case Report and Review of the Literature

Korean J Neurotrauma. 2023 Sep 7;19(4):471-479. doi: 10.13004/kjnt.2023.19.e39. eCollection 2023 Dec.

Authors

Martin Plevko^{1

2}, Václav Vybíhal^{1

2}, Marek Sova^{1

2}, Pavel Fadrus^{1

2}, Martin Smrčka^{1

2}

Affiliations

¹ Department of Neurosurgery, Faculty of Medicine, Masaryk University, Brno, Czech Republic.
² Department of Neurosurgery, University Hospital Brno, Brno, Czech Republic.

Abstract

Herein, we describe a case of epidural hematoma associated with the use of a Mayfield head clamp. An 18-year old patient with an upper brainstem tumour causing obstructive hydrocephalus underwent a routine third ventriculostomy, which unexpectedly revealed an intracranial hemorrhage. We outline potential risk factors, propose an algorithm for preventing complications associated with the use of pin-type fixation, and conducted a structured review of the literature to identify similar clinical scenarios.

Keywords: Complication; Cranial epidural hematoma; Hydrocephalus.

Publication types

Case Reports