Intracerebral hematoma after evacuation of chronic subdural hematoma

Övül, Izzet; Öner, Kazım

doi:10.1055/s-2008-1053926

Cited by 7 publications

(11 citation statements)

References 1 publication

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“…[9] Symptoms of the ICH appeared in immediate postoperative period[410111213] or several days after the event. [2451114] In all the cases the hematoma developed in the ipsilateral hemisphere, but in our case the hematomas were multiple and appeared bilaterally with large part on the contralateral side. This complication usually lead to the poor outcome in these patients[45101112] with a fatal outcome reported in one-third of the patients, with another third severely disabled.…”

Section: Discussionmentioning

confidence: 49%

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Postoperative hematoma involving brainstem, peduncles, cerebellum, deep subcortical white matter, cerebral hemispheres following chronic subdural hematoma evacuation

Patibandla

Thotakura²,

Shukla

et al. 2017

Asian J Neurosurg

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Among the intracranial hematomas, chronic subdural hematomas (CSDH) are the most benign with a mortality rate of 0.5-4.0%. The elderly and alcoholics are commonly affected by CSDH. Even though high percentage of CSDH patients improves after the evacuation, there are some unexpected potential complications altering the postoperative course with neurological deterioration. Poor outcome in postoperative period is due to complications like failure of brain to re-expand, recurrence of hematoma and tension pneumocephalus. We present a case report with multiple intraparenchymal hemorrhages in various locations like brainstem, cerebral and cerebellar peduncles, right cerebellar hemisphere, right thalamus, right capsulo-ganglionic region, right corona radiata and cerebral hemispheres after CSDH evacuation. Awareness of this potential problem and the immediate use of imaging if the patient does not awake from anesthesia or if he develops new onset focal neurological deficits, are the most important concerns to the early diagnosis of this rare complication.

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Section: Discussionmentioning

confidence: 49%

“…This complication usually lead to the poor outcome in these patients[45101112] with a fatal outcome reported in one-third of the patients, with another third severely disabled. [45111415]…”

Section: Discussionmentioning

confidence: 99%

Postoperative hematoma involving brainstem, peduncles, cerebellum, deep subcortical white matter, cerebral hemispheres following chronic subdural hematoma evacuation

Patibandla

Thotakura²,

Shukla

et al. 2017

Asian J Neurosurg

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“…Esta complicação tem uma incidência que varia entre 0,5% a 4% 35,41 . É geralmente consequência de lesão vascular secundária a uma re-expansão cerebral rápida, aumento do débito sanguíneo cerebral e ruptura da barreira hematoencefálica 4,10,12,31,35,37,45,55,63,67 ; sangramento de uma área de contusão cerebral pré-existente não detectada precocemente 10,12 ou devido a penetração do sistema de drenagem no parênquima cerebral 41 . Tem sido relatado elevação da pressão arterial transitória em alguns casos de presença de angiopatia amilóide, diabetes mellitus, atrofia cerebral, crises convulsivas e discrasias sanguíneas em pacientes idosos 2,12,35 .…”

Section: Hematoma Intracerebralunclassified

“…Tem sido relatado elevação da pressão arterial transitória em alguns casos de presença de angiopatia amilóide, diabetes mellitus, atrofia cerebral, crises convulsivas e discrasias sanguíneas em pacientes idosos 2,12,35 . Geralmente, a hemorragia intracerebral é homolateral à coleção subdural crônica drenada 12,32,37,43 ou contralateral 8,13,16,63 . Pode ser também cortical focal 10,30,37,43,55 , difusa 54 ou localizada profundamente 10 (Figuras 3a-c, 4a-c).…”

Section: Hematoma Intracerebralunclassified

Hemorragia Intracraniana Pós-Drenagem de Hematoma Subdural Crônico

Pereira¹,

Andrade²

2018

jbnc

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O hematoma subdural crônico (HSDC) é comum na prática neurocirúrgica. Ocorre mais no idoso, sexo masculino e associado a traumatismo cranioencefálico. Pode se manifestar de várias formas clinicas. A tomografia computadorizada tem sido útil no diagnóstico e conduta. Na maioria dos casos o tratamento é cirúrgico e com bons resultados. Várias complicações podem ocorrer após a drenagem do HSDC como: recidiva do hematoma, pneumoencéfalo, empiema subdural e hemorragia intracraniana. Os autores relatam uma série de casos de hemorragias intracranianas pós-drenagem do HSDC e discutem sua fisiopatologia, diagnóstico, tratamento e resultados.

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“…Of the patients with recurrence, 23 (3.6%) were older than 60 when cerebral atrophy was most pronounced. Other surgical complications included tension pneumocephalus [47] or the development of intracranial acute hematomas [48,49].…”

Section: Discussionmentioning

confidence: 99%

Chronic Subdural Hematoma Treated by Burr Holes and Closed Drainage System: A Review of 630 Cases

2001

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Objectives: To study the clinical features and surgical results of patients with chronic subdural hematoma. Methods: A retrospective study of the records of 630 patients treated surgically for chronic subdural hematoma using a burr hole and closed drainage system was conducted. Results: Six hundred and thirty patients (438 males and 192 females) ranging from 12 to 100 years with a mean age of 66.7 years were identified. Upon admission, 242 (38%) patients were in satisfactory condition (grades 0–1), 262 (42%) patients were at grade 2 and 126 (20%) were at grades 3 or 4. In 5.3% of the patients, surgical intervention was required to remove a recurring hematoma. In 77% of the patients, the results achieved could be graded as good (grades 0–1), with mortality being 2.5%. The only factor affecting the outcome was the grade at admission (p < 0.05). Conclusion: A simple and routinely used burr hole procedure either under local or general anesthesia with a closed drainage system is a safe and effective procedure for the treatment of chronic subdural hematoma.

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Intracerebral hematoma after evacuation of chronic subdural hematoma

Cited by 7 publications

References 1 publication

Postoperative hematoma involving brainstem, peduncles, cerebellum, deep subcortical white matter, cerebral hemispheres following chronic subdural hematoma evacuation

Postoperative hematoma involving brainstem, peduncles, cerebellum, deep subcortical white matter, cerebral hemispheres following chronic subdural hematoma evacuation

Hemorragia Intracraniana Pós-Drenagem de Hematoma Subdural Crônico

Chronic Subdural Hematoma Treated by Burr Holes and Closed Drainage System: A Review of 630 Cases

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