{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T15:42:14Z","timestamp":1791906134713,"version":"4.3.4"},"reference-count":15,"publisher":"Scientific Scholar","issue":"02","license":[{"start":{"date-parts":[[2019,9,25]],"date-time":"2019-09-25T00:00:00Z","timestamp":1569369600000},"content-version":"vor","delay-in-days":1272,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Neurosciences in Rural Practice"],"published-print":{"date-parts":[[2016,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>Cranial fixation with pins is a routine adjunct in neurosurgery and is usually considered safe. A rarely reported complication is skull fracture at the pin site and consequent epidural hematoma. Usually, these are picked up only postoperatively and rarely, intraoperatively if there is unexplained \u201cbrain bulge\u201d in which case the operation should be terminated and urgent imaging has to be done. We describe such a complication that occurred while operating on a 12-year-old child with a posterior fossa tumor and review the available literature dealing with such events.<\/jats:p>","DOI":"10.4103\/0976-3147.178661","type":"journal-article","created":{"date-parts":[[2016,3,14]],"date-time":"2016-03-14T08:58:52Z","timestamp":1457945932000},"page":"286-289","source":"Crossref","is-referenced-by-count":12,"title":["Pin-site epidural hematoma: A catastrophic complication of cranial fixation in a child"],"prefix":"10.25259","volume":"07","author":[{"given":"Prasad","family":"Krishnan","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, National Neurosciences Centre, Kolkata, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Soumen Kanti","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, National Neurosciences Centre, Kolkata, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajaraman","family":"Kartikueyan","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, National Neurosciences Centre, Kolkata, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sachinkumar Maheshbhai","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, National Neurosciences Centre, Kolkata, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2019,9,25]]},"reference":[{"key":"key-10.4103\/0976-3147.178661-1","first-page":"174","volume-title":"Depressed skull fractures in children secondary to skull clamp fixation devices","author":"Lee","year":"1994","journal-title":"Pediatr Neurosurg"},{"key":"key-10.4103\/0976-3147.178661-2","first-page":"917","volume-title":"Depressed skull fracture and epidural hematoma from head fixation with pins for 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(Wien)"},{"key":"key-10.4103\/0976-3147.178661-6","first-page":"S187","volume-title":"The use of the three-pronged Mayfield head clamp resulting in an intracranial epidural hematoma in an adult patient","author":"Lee","year":"2010","journal-title":"Eur Spine J"},{"key":"key-10.4103\/0976-3147.178661-7","first-page":"e195","volume-title":"Epidural haematoma by Mayfield head-holder: Case report and review of literature","author":"Poli","year":"2013","journal-title":"J Pediatr Sci"},{"key":"key-10.4103\/0976-3147.178661-8","first-page":"211","volume-title":"Pin-site epidural hematoma in an adult case of chronic hydrocephalus with associated thinning of the cranium","author":"Jha","year":"2009","journal-title":"Br J Neurosurg"},{"key":"key-10.4103\/0976-3147.178661-9","first-page":"691","volume-title":"Epidural hematoma following use of a three-point skull clamp","author":"Yan","year":"2007","journal-title":"J Clin 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