Chronic subdural haematoma associated with pre-eclampsia: Case report and review of the literature

New Onset Intraparenchymal Hemorrhage Following Infant Feeding Tube-Guided Evacuation of Chronic Subdural Hematoma: A Report of Two Cases

“…Various surgical approaches for symptomatic SDH have been described in literature that include twist-drill craniostomy, one or two burr-hole craniostomy, and craniotomy. [2][3][4] Although rapid improvement in neurological functions is the hallmark of CSDH evacuation, the rate of complications irrespective of the type of surgical technique is high (5-10%). 5 Such complications include recurrence of hematoma, subdural empyema, tension hydrocephalus, seizures, intracerebral hematoma, and cerebral infarction.…”

Intramural Hematoma of the Esophagus Complicating Severe Preeclampsia

“…Instead, we believe the following were precipitating factors: coagulopathy secondary to LMWH treatment and platelet reduction in association with high blood pressure during the episode of severe preeclampsia. Even though no case of IHE in association with gestational hypertension has ever been described, it is a well-known fact that preeclampsia carries an increased risk of bleeding and of several hemorrhagic complications such as liver, renal, and intracranial hematoma [7–10]. …”

Commentary

“…The most commonly used surgical approaches include: Twist-drill craniostomy, one or two burr holes craniectomy, and craniotomy. [3][4][5] Chronic SDH is subject to post-operative complication in 5 to 10% of the cases, these complications included recurrence of hematoma in 8%, empyema, epilepsy, tension hydrocephalus and intracerebral hematoma. [6] Several theories have been described to explain the occurrence of ICH after evacuation of chronic SDH but remains unclear.…”

“…To avoid this undesirable complication, it is recommended slow evacuation of hematoma. [1,5,6,8] Chronic SDH is a common pathology in neurosurgical practice. The surgical management is usually simple but when complicated by ICH, it can become fatal.…”

“…In contrast to a twist drill craniostomy burr holes have a lower reoperation rate and offer the best cure to complication ratio. [4,5] Santarius found a significant advantage for the use of a drain compared to a sole burrhole craniostomy. Because of a significant reduction of recurrence this randomized trial was even stopped early.…”