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The authors report the case of a patient in whom a contralateral extradural hematoma developed immediately after craniotomy for a traumatic intracranial lesion. Contrary to other reported cases but one, intraoperative brain bulging was not observed in this case. The pathophysiology of this complication is discussed. Immediate postoperative CT scan in patients who do not improve as expected is recommended for the early detection of this complication.
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