PMC5379803_01
Arrow showing subgaleal hematoma over Lt Posterior parietal area
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F1
Two days after discharge to his home, he developed headache followed by a boggy swelling over his Lt Parietal area [Figure 1].
Axial CT scan of head shows Rt parietal heterogeneously hypodence biconvex extradural lesion
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F2
Computed tomography (CT) scan of head showed Rt parietal biconvex heterogeneously hypodence extradural lesion with a volume of 70 cc and midline shift of 6 mm along with Lt parietal subgaleal hematoma [Figure 2].
Bone window in CT scan showing increased marrow proliferation with thin cortical bone margins
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F3
Bone window in CT scan and X-ray of the skull showed an increase in marrow proliferation with thin cortical bone margins [Figures 3-5].
X-ray skull showing increased marrow proliferation with thin cortical bone margins
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F4
Bone window in CT scan and X-ray of the skull showed an increase in marrow proliferation with thin cortical bone margins [Figures 3-5].
X-ray skull showing break in continuity of inner skull margin
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F5
Bone window in CT scan and X-ray of the skull showed an increase in marrow proliferation with thin cortical bone margins [Figures 3-5].
Trephine craniotomy showing altered blood and its degraded product in extra dural space
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F6
Rt parietal trephine craniotomy done liquid altered blood came out, below liquid blood there was a layer of yellowish plaque which was sucked out [Figure 6] and send for cytological and culture sensitivity study which later came as having no malignant cells, containing blood degraded products and free from any organism.
Craniotomy bone clearly showing increased hematopoietic skull tissue Proliferation with thin cortical bone margin
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F7
When we examined the bone flap, we found that there was a gross bone marrow proliferation with thin cortical bone margin [Figure 7].
Inner surface of Craniotomy bone showing papery thin cortex with areas of Blackish discoloration and pinpoint bleeding sitesdischarged
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F8
Inner bone margin was papery thin with areas of blackish discoloration and pinpoint bleeding sites [Figure 8].
Histo pathological examination of a bone piece reviled hyper-proliferative bone marrow
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F9
Histo pathological examination of a bone piece reviled hyper-proliferative bone marrow [Figure 9].
CT scan after 3 months of surgery at the time of follow up, showing previous craniotomy site with normal brain scan
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F10
On follow up he is doing well [Figure 10].