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The brain showed extensive postsurgical changes, including a small occipital subdural hematoma, sutures within the dura , and a ventriculostomy tract in each frontal lobe.
Brain shift occurs when the dura is opened, cerebrospinal fluid leaks out, and the brain either shrinks or swells.
The dural covering of the spinal cord also showed pigmentation adjacent to intervertebral disk.
Middle cranial fossa exploration revealed two punched out defects in the dura, with generalised dural thinning, overlying the tegmen and mastoid dural plate, which were eroded.
Neuropathologic examination demonstrated massive distension of the entire dural venous sinus system by dark blue-purple thrombi.
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