{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T16:57:39Z","timestamp":1786121859709,"version":"build-2736575974"},"reference-count":12,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\n Background:<\/jats:title>\n Cochlear implants provide substantial functional benefit to patients with severe sensorineural hearing loss. Management of acute intracranial hemorrhage adjacent to a functioning cochlear implant presents a unique challenge, requiring a balance between urgent neurosurgical intervention and preservation of implant integrity and auditory function.<\/jats:p>\n <\/jats:sec>\n \n Case Description:<\/jats:title>\n An 18-year-old male with congenital bilateral deafness and a right cochlear implant presented following a road traffic accident with severe headache and vomiting. Computed tomography demonstrated a large right parietotemporal acute epidural hematoma (EDH) centered directly beneath the cochlear implant receiver\u2013stimulator. To minimize the risk of implant damage, a targeted burr-hole evacuation was performed two centimeters superior to the implant, using suction via a flexible nasogastric tube. Near-complete evacuation of the hematoma was achieved. Postoperatively, the patient made a full neurological recovery with preserved cochlear implant function.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n In selected cases of acute EDH adjacent to a functioning cochlear implant, a minimally invasive burr-hole approach may represent a safe and effective alternative to standard craniotomy, allowing hematoma evacuation while preserving implant function.<\/jats:p>\n <\/jats:sec>","DOI":"10.25259\/sni_190_2026","type":"journal-article","created":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T07:03:09Z","timestamp":1786086189000},"page":"442","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Large acute posttraumatic epidural hematoma centered beneath a cochlear implant: A case report"],"prefix":"10.25259","volume":"17","author":[{"given":"Moath A. J.","family":"Albhnasawi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anwar S. S.","family":"Abualrous","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed O. S.","family":"Abumustafa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nidal M. M.","family":"Abuhadrous","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2026,8,7]]},"reference":[{"key":"10.25259\/SNI_190_2026\/ref-1","first-page":"S7","article-title":"Guidelines for the surgical management of traumatic brain injury: Surgical management of acute epidural hematomas","volume":"58","author":"Brain Trauma Foundation","year":"2006","journal-title":"Neurosurgery"},{"key":"10.25259\/SNI_190_2026\/ref-2","first-page":"1040","article-title":"Cochlear implantation in children with head injury","volume":"78","author":"Broomfield","year":"2014","journal-title":"Int J Pediatr Otorhinolaryngol"},{"key":"10.25259\/SNI_190_2026\/ref-3","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1007\/s00381-015-2985-y","article-title":"Massive life-threatening bifrontal epidural hematoma following placement of an external ventricular drain","volume":"32","author":"Dash","year":"2016","journal-title":"Childs Nerv Syst"},{"key":"10.25259\/SNI_190_2026\/ref-4","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1007\/BF01405991","article-title":"Epidural haematoma following a shunt revision","volume":"36","author":"Gulliksen","year":"1977","journal-title":"Acta Neurochir (Wien)"},{"key":"10.25259\/SNI_190_2026\/ref-5","doi-asserted-by":"crossref","first-page":"2103","DOI":"10.1089\/neu.2010.1742","article-title":"Burr-hole drainage for the treatment of acute epidural hematoma in coagulopathic patients: A report of eight cases","volume":"29","author":"Habibi","year":"2012","journal-title":"J Neurotrauma"},{"key":"10.25259\/SNI_190_2026\/ref-6","doi-asserted-by":"crossref","first-page":"527","DOI":"10.3171\/jns.1963.20.6.0527","article-title":"Epidural hematoma as complication of ventricular drainage. Report of a case and review of literature","volume":"20","author":"Higazi","year":"1963","journal-title":"J Neurosurg"},{"key":"10.25259\/SNI_190_2026\/ref-7","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1007\/s00701-005-0723-z","article-title":"Emergency management of epidural haematoma through burr hole evacuation and drainage. 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Report of two cases","volume":"56","author":"Pereira","year":"1998","journal-title":"Arq Neuropsiquiatr"},{"key":"10.25259\/SNI_190_2026\/ref-11","first-page":"10","article-title":"Acute epidural hematoma: From injury to death","volume":"39","author":"Rahimi-Movaghar","year":"2025","journal-title":"Med J Islam Repub Iran"},{"key":"10.25259\/SNI_190_2026\/ref-12","doi-asserted-by":"crossref","first-page":"212","DOI":"10.1016\/j.cjtee.2017.01.004","article-title":"Trephination mini-craniectomy for traumatic posterior fossa epidural hematomas in selected pediatric patients","volume":"20","author":"Sheng","year":"2017","journal-title":"Chin J Traumatol"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/large-acute-posttraumatic-epidural-hematoma-centered-beneath-a-cochlear-implant-a-case-report\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/large-acute-posttraumatic-epidural-hematoma-centered-beneath-a-cochlear-implant-a-case-report\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T07:03:11Z","timestamp":1786086191000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/large-acute-posttraumatic-epidural-hematoma-centered-beneath-a-cochlear-implant-a-case-report\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,7]]},"references-count":12,"alternative-id":["10.25259\/SNI_190_2026"],"URL":"https:\/\/doi.org\/10.25259\/sni_190_2026","relation":{},"ISSN":["2152-7806","2229-5097"],"issn-type":[{"value":"2152-7806","type":"electronic"},{"value":"2229-5097","type":"print"}],"subject":[],"published":{"date-parts":[[2026,8,7]]},"article-number":"442"}}