Spontaneous Bilateral Chronic Subdural Haematoma of the Posterior Fossa. Case Report and Review of the Literature

Stendel, R.; Schulte, Tobias L.; Pietilä, Terttu; Suess, Olaf; Brock, M.

doi:10.1007/s007010200072

Cited by 24 publications

(45 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We considered that small craniectomy, including trepanation or twist drill craniostomy, is sufficient and effective to treat this rare disease, which is a less invasive method. Previous cases of bilateral CSHs of the posterior fossae, 16,18) which were similar to our case, were treated successfully with evacuation of hematoma by bilateral trepanation. Although the detailed operative procedures were not described, 16,18) we speculated the method used was very similar to the present procedure.…”

supporting

confidence: 81%

“…9,18) However, despite improvements in imaging techniques, CSH of the posterior fossa is extremely rare in the adult population. Only 3 of 535 intracranial subdural hematomas were located in the posterior fossa.…”

Section: Discussionmentioning

confidence: 99%

“…5) Only 10 cases have been reported since the introduction of CT (Table 1). 1,2,6,[11][12][13]16,18) These reports highlight the rarity, 1,12,13) the developmental mechanism, 6,18) or the difficulty of diagnosis. 2,11,16) In general, burr-hole surgery or twist-drill craniostomy over the skull convexity under local anesthesia and slight sedation is often performed for symptomatic supra- …”

Section: Discussionmentioning

confidence: 99%

“…1,2,4,6,[11][12][13]16,18) Burr-hole evacuation and irrigation with or without closed-system drainage has been widely accepted as the optimum method to treat supratentorial CSH, 3,8,14,15,17,19) but the optimal therapeutic strategy for CSH of the posterior fossa is still controversial. Here, we present a case of bilateral CSHs located in the posterior fossae which were successfully treated by posterior fossa trepanation and evacuation of the hematomas.…”

Section: Introductionmentioning

confidence: 99%

“…1,2,6,12,13,16,18) For example, some cases of unilateral CSH of the posterior fossa were treated with lateral suboccipital craniectomy. However, there are no detailed records of the operative procedure in these reports.…”

mentioning

confidence: 99%

See 4 more Smart Citations

Bilateral Chronic Subdural Hematomas of the Posterior Fossae

Kurisu

Kawabori

Niiya

et al. 2012

Neurol. Med. Chir.(Tokyo)

View full text Add to dashboard Cite

An 86-year-old female presented with rare bilateral chronic subdural hematomas (CSHs) of the posterior fossae which were successfully treated by surgical intervention. She had experienced mild head trauma one month before admission. She was transferred to our hospital because of consciousness disturbance and tetraparesis. Magnetic resonance (MR) imaging showed simultaneous occurrence of supratentorial and infratentorial CSHs. We tried to evacuate the CSHs of the bilateral posterior fossae because brainstem compression was markedly severe. Through bilateral burr-hole trepanations, chocolate-colored fluid, not containing clotted components, gushed out under great pressure. Postoperative course was uneventful. MR imaging revealed that the CSHs of the posterior fossae had completely disappeared and brainstem compression had also improved. The patient's neurological deficits were immediately improved after the operation. The patient was discharged one month after the operation for further rehabilitation. Trepanation and evacuation of the hematoma through the posterior fossa might be one of the therapeutic options for posterior fossa CSH, which is similar to supratentorial CSH. However, we considered that the emergency of this rare entity and the method of anesthesia were quite different from supratentorial CSH.

show abstract

supporting

confidence: 81%

Section: Discussionmentioning

confidence: 99%