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DOI: 10.1055/s-0035-1569471
Brainstem Hemorrhage after Evacuation of Chronic Subdural Hematoma: A Case Report and Review of Literature
Publication History
29 April 2015
19 October 2015
Publication Date:
17 December 2015 (online)
Abstract
Brainstem hemorrhage following evacuation of chronic subdural hematoma is extremely rare and its pathogenesis is unclear. In our case report, we present a rare case of brainstem hemorrhage following evacuation chronic subdural hematoma. Our patient was a 50-year-old man, with no comorbidities, presented with dorsal midbrain hemorrhage with ventricular extension and symptomatic progression of contralateral small chronic subdural hematoma following evacuation of chronic subdural hematoma. Contralateral subdural hematoma was evacuated and midbrain hemorrhage was managed conservatively. He was discharged with minimal neurologic deficit. Review of literature and pathogenesis of remote hemorrhage after evacuation of chronic subdural hematoma were discussed.
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References
- 1 Sambasivan M. An overview of chronic subdural hematoma: experience with 2300 cases. Surg Neurol 1997; 47 (5) 418-422
- 2 Weigel R, Schmiedek P, Krauss JK. Outcome of contemporary surgery for chronic subdural haematoma: evidence based review. J Neurol Neurosurg Psychiatry 2003; 74 (7) 937-943
- 3 Modesti LM, Hodge CJ, Barnwell ML. Intracerebral hematoma after evacuation of chronic extracerebral fluid collections. Neurosurgery 1982; 10 (6 Pt 1) 689-693
- 4 Rojas-Medina LM, Goel A. Brainstem hemorrhage secondary to evacuation of chronic subdural hematoma. Neurol India 2014; 62 (4) 435-437
- 5 Rusconi A, Sangiorgi S, Bifone L, Balbi S. Infrequent hemorrhagic complications following surgical drainage of chronic subdural hematomas. J Korean Neurosurg Soc 2015; 57 (5) 379-385
- 6 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 1986; 65 (5) 710-712
- 7 Marmarou A, Shulman K, Rosende RM. A nonlinear analysis of the cerebrospinal fluid system and intracranial pressure dynamics. J Neurosurg 1978; 48 (3) 332-344
- 8 Park KJ, Kang SH, Lee HK, Chung YG. Brain stem hemorrhage following burr hole drainage for chronic subdural hematoma—case report. Neurol Med Chir (Tokyo) 2009; 49 (12) 594-597
- 9 Miyazaki T, Matsumoto Y, Ohta F, Daisu M, Moritake K. A case of unknown origin subarachnoid hemorrhage immediately following drainage for chronic subdural hematoma. Kurume Med J 2004; 51 (2) 163-167
- 10 Kollatos C, Konstantinou D, Raftopoulos S , et al. Cerebellar hemorrhage after supratentorial burr hole drainage of a chronic subdural hematoma. Hippokratia 2011; 15 (4) 370-372
- 11 Ulivieri S, Oliveri G. Intracerebral haemorrhage following surgical evacuation of chronic subdural haematoma: case report. G Chir 2008; 29 (5) 233-234
- 12 Robinson RG. Chronic subdural hematoma: surgical management in 133 patients. J Neurosurg 1984; 61 (2) 263-268