Large Amount of Epidural Effusion Outside the Dura After Percutaneous Puncture and Suction Treatment

Abstract

Epidural fluid collection is commonly seen as a low-density accumulation beneath the dura on postoperative computed tomography scans. It is discussed less in the literature because, in most cases, the fluid amount is small, self-absorbing, and typically does not cause neurological deficits, so intervention is usually unnecessary. However, when a significant amount of fluid accumulates, patients may experience symptoms such as altered consciousness and even coma. In such cases, treatment is necessary to reduce intracranial pressure, preventing further deterioration of consciousness and potentially life-threatening situations. The authors report a case of a large epidural fluid collection following cranioplasty, resulting in progressive deterioration of consciousness in the patient. Computed tomography scans indicated brain herniation. Subsequently, percutaneous puncture and suction treatment were performed, followed by appropriate pressure dressing. The patient gradually recovered from a shallow coma to clear consciousness and was discharged after rehabilitation.