Remote Hemorrhage after Burr Hole Drainage of Chronic Subdural Hematoma.
10.13004/kjnt.2017.13.2.144
- Author:
Chang Hyeun KIM
1
;
Geun Sung SONG
;
Young Ha KIM
;
Young Soo KIM
;
Soon Ki SUNG
;
Dong Wuk SON
;
Sang Weon LEE
Author Information
1. Department of Neurosurgery, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Yangsan, Korea. mole83@daum.net
- Publication Type:Case Report
- Keywords:
Burr-hole trephination;
Catheter drainage;
Chronic subdural hematoma;
CSF overdrainage;
Remote hemorrhage;
Symptomatic subdural hygroma
- MeSH:
Catheters;
Cerebral Hemorrhage;
Cerebrospinal Fluid;
Craniotomy;
Drainage*;
Hematoma, Subdural, Acute;
Hematoma, Subdural, Chronic*;
Hemorrhage*;
Humans;
Recurrence;
Subarachnoid Hemorrhage;
Subdural Effusion;
Subdural Space;
Trephining
- From:Korean Journal of Neurotrauma
2017;13(2):144-148
- CountryRepublic of Korea
- Language:English
-
Abstract:
Chronic subdural hematoma (CSDH) and symptomatic subdural hygroma are common diseases that require neurosurgical management. Burr hole trephination is the most popular surgical treatment for CSDH and subdural hygroma because of a low recurrence rate and low morbidity compared with craniotomy with membranectomy, and twist-drill craniotomy. Many reports suggest that placing a catheter in the subdural space for drainage can further reduce the rate of recurrence; however, complications associated with this type of drainage include acute subdural hematoma, cortical injury, and infection. Remote hemorrhage due to overdrainage of cerebrospinal fluid (CSF) is another possible complication of burr hole trephination with catheter drainage that has rarely been reported. Here, we present 2 cases of remote hemorrhages following burr hole trephination with catheter drainage for the treatment of CSDH and symptomatic subdural hygroma. One patient developed intracerebral hemorrhage and subarachnoid hemorrhage in the contralateral hemisphere, while another patient developed remote hemorrhage 3 days after the procedure due to the sudden drainage of a large amount of subdural fluid over a 24-hour period. These findings suggest that catheter drainage should be carefully monitored to avoid overdrainage of CSF after burr hole trephination.
