{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,24]],"date-time":"2025-10-24T05:30:04Z","timestamp":1761283804748,"version":"build-2065373602"},"reference-count":21,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,10,24]],"date-time":"2025-10-24T00:00:00Z","timestamp":1761264000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Changzhou Sci & Tech Program","award":["CJ20245009"],"award-info":[{"award-number":["CJ20245009"]}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Microvascular decompression (MVD) is the primary treatment for cranial neurovascular compression syndromes. The most critical complication is hemorrhage during or after surgery. Although intraoperative supratentorial subdural hematoma (SDH) is uncommon, its management remains complex and lacks standardization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>We report a case of acute brain swelling caused by an intraoperative supratentorial subdural hematoma during microvascular decompression (MVD) for trigeminal neuralgia. By effectively managing intracranial pressure and preventing secondary brain injury, the operation was successfully completed, resulting in a favorable postoperative recovery for the patient.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study examines the presentation and management of acute brain swelling caused by intraoperative supratentorial subdural hematoma (SDH). We aim to highlight the importance of being vigilant for this rare complication during microvascular decompression (MVD), as it can result in fatal brain swelling and encephalocele. Preventing and managing this severe complication remains challenging.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fsurg.2025.1643743","type":"journal-article","created":{"date-parts":[[2025,10,24]],"date-time":"2025-10-24T05:27:00Z","timestamp":1761283620000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Acute brain swelling due to intraoperative supratentorial subdural hematoma during microvascular decompression: a case report"],"prefix":"10.3389","volume":"12","author":[{"given":"Jia","family":"Shi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiachao","family":"Cao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qiang","family":"Zhou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,10,24]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"22","DOI":"10.1016\/j.jocn.2022.01.020","article-title":"A meta-analysis of the effectiveness and safety of microvascular decompression in elderly patients with trigeminal neuralgia","volume":"99","author":"Sun","year":"2022","journal-title":"J Clin Neurosci"},{"key":"B2","doi-asserted-by":"publisher","first-page":"348","DOI":"10.1227\/00006123-198802000-00012","article-title":"Serious complications of microvascular decompression operations for trigeminal neuralgia and hemifacial spasm","volume":"22","author":"Hanakita","year":"1988","journal-title":"Neurosurgery"},{"key":"B3","doi-asserted-by":"publisher","first-page":"1251","DOI":"10.1227\/01.neu.0000065129.25359.ee","article-title":"Microvascular decompression surgery in the United States, 1996 to 2000: mortality rates, morbidity rates, and the effects of hospital and surgeon volumes","volume":"52","author":"Kalkanis","year":"2003","journal-title":"Neurosurgery"},{"key":"B4","doi-asserted-by":"publisher","first-page":"186","DOI":"10.2176\/nmc.47.186","article-title":"Delayed hemorrhage following microvascular decompression. 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