Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
권호 표지
DOI QR코드

DOI QR Code

Intracerebral Hemorrhage Following Evacuation of a Chronic Subdural Hematoma

  • Kim, Jong Kyu (Department of Neurosurgery, College of Medicine, Chosun University) ;
  • Kim, Seok Won (Department of Neurosurgery, College of Medicine, Chosun University) ;
  • Kim, Sung Hoon (Department of Rehabilitation, Wonju Christian Hospital, Yonsei University Wonju College of Medicine)
  • Received : 2012.08.02
  • Accepted : 2013.02.04
  • Published : 2013.02.28
Download PDF
⟨ Previous Next ⟩

Abstract

Burr hole drainage has been widely used to treat chronic subdural hematomas (SDH), and most of them are easily treated by simple trephination and drainage. However, various complications, such as, hematoma recurrence, infection, seizure, cerebral edema, tension pneumocephalus and failure of the brain to expand due to cerebro-cranial disproportion may develop after chronic SDH drainage. Among them, intracerebral hemorrhage after evacuation of a recurrent chronic SDH is very rare. Here, we report a fatal case of delayed intracerebral hemorrhage caused by coagulopathy following evacuation of a chronic SDH. Possible pathogenic mechanisms of this unfavorable complication are discussed and a review of pertinent literature is included.

Keywords

References

  1. Cook AW, Browder EJ, Carter WB : Cerebral swelling and ventricular alterations following evacuation of intracranial extracerebral hematoma. J Neurosurg 19 : 419-423, 1962 https://doi.org/10.3171/jns.1962.19.5.0419
  2. d'Avella D, De Blasi F, Rotilio A, Pensabene V, Pandolfo N : Intracerebral hematoma following evacuation of chronic subdural hematomas. Report of two cases. J Neurosurg 65 : 710-712, 1986 https://doi.org/10.3171/jns.1986.65.5.0710
  3. Harada K, Ohtsuru K, Nakayama K, Takagi S, Shigemori M, Tokunaga T, et al. : Contralateral development of acute subdural hematoma following surgery for chronic subdural hematoma--case report. Neurol Med Chir (Tokyo) 32 : 969-971, 1992 https://doi.org/10.2176/nmc.32.969
  4. Hubschmann OR : Twist drill craniostomy in the treatment of chronic and subacute subdural hematomas in severely ill and elderly patients. Neurosurgery 6 : 233-236, 1980 https://doi.org/10.1227/00006123-198003000-00001
  5. Kawakami Y, Chikama M, Tamiya T, Shimamura Y : Coagulation and fibrinolysis in chronic subdural hematoma. Neurosurgery 25 : 25-29, 1989 https://doi.org/10.1227/00006123-198907000-00005
  6. Kim SS, Kim CH, Cheong JH, Kim JM : Massive intracerebral hemorrhage following drainage of subdural hygroma. J Korean Neurosurg Soc 41 : 261-263, 2007 https://doi.org/10.3340/jkns.2007.41.4.261
  7. Kim SW, Lee SM, Shin H : Bilateral acute subdural hematoma following evacuation of chronic subdural hematoma. J Korean Neurosurg Soc 41 : 267-268, 2007 https://doi.org/10.3340/jkns.2007.41.4.267
  8. Lee KS : The pathogenesis and clinical significance of traumatic subdural hygroma. Brain Inj 12 : 595-603, 1998 https://doi.org/10.1080/026990598122359
  9. Modesti LM, Hodge CJ, Barnwell ML : Intracerebral hematoma after evacuation of chronic extracerebral fluid collections. Neurosurgery 10 (6 Pt 1) : 689-693, 1982 https://doi.org/10.1227/00006123-198206010-00002
  10. Mori K, Maeda M : Surgical treatment of chronic subdural hematoma in 500 consecutive cases : clinical characteristics, surgical outcome, complications, and recurrence rate. Neurol Med Chir (Tokyo) 41 : 371-381, 2001 https://doi.org/10.2176/nmc.41.371
  11. Tindall GT, Payne NS 2nd, O'Brien MS : Complications of surgery for subdural hematoma. Clin Neurosurg 23 : 465-482, 1976 https://doi.org/10.1093/neurosurgery/23.CN_suppl_1.465
  12. Turgut M, Akalan N, Sağlam S : A fatal acute subdural hematoma occurring after evacuation of "contralateral" chronic subdural hematoma. J Neurosurg Sci 42 : 61-63, 1998

Cited by

  1. Infrequent Hemorrhagic Complications Following Surgical Drainage of Chronic Subdural Hematomas vol.57, pp.5, 2013, https://doi.org/10.3340/jkns.2015.57.5.379
  2. Subependymal hemorrhage following drainage of chronic subdural hematoma: Probable causative mechanisms and prevention strategies vol.6, pp.2, 2015, https://doi.org/10.4103/0976-3147.150303
  3. Frontal and occipital horn ratio is associated with multifocal intraparenchymal hemorrhages in neonatal shunted hydrocephalus vol.20, pp.5, 2013, https://doi.org/10.3171/2017.6.peds16481
  4. Frontal and occipital horn ratio is associated with multifocal intraparenchymal hemorrhages in neonatal shunted hydrocephalus vol.20, pp.5, 2013, https://doi.org/10.3171/2017.6.peds16481
  5. Efficacy of Single Burr Hole in Management of Chronic Subdural Hematoma vol.10, pp.1, 2013, https://doi.org/10.4236/ojmn.2020.101009
  6. Intraparenchymal Hemorrhage After Evacuation of Chronic Subdural Hematoma: A Case Series and Literature Review vol.155, pp.None, 2013, https://doi.org/10.1016/j.wneu.2021.08.077