Infrequent Hemorrhagic Complications Following Surgical Drainage of Chronic Subdural Hematomas.
10.3340/jkns.2015.57.5.379
- Author:
Angelo RUSCONI
1
;
Simone SANGIORGI
;
Lidia BIFONE
;
Sergio BALBI
Author Information
1. Department of Life Sciences, University of Insubria, Varese, Italy. angelo.rusconi@hotmail.com
- Publication Type:Case Report
- Keywords:
Chronic subdural hematoma;
Subarachnoid hemorrhage;
Remote cerebellar hemorrhage;
Head trauma
- MeSH:
Aged;
Brain;
Cerebrospinal Fluid;
Craniocerebral Trauma;
Craniotomy;
Decompression;
Drainage*;
Hematoma, Subdural, Acute;
Hematoma, Subdural, Chronic*;
Hemorrhage;
Humans;
Hypertension;
Intracranial Hypotension;
Pneumocephalus;
Recurrence;
Subarachnoid Hemorrhage;
Substance-Related Disorders
- From:Journal of Korean Neurosurgical Society
2015;57(5):379-385
- CountryRepublic of Korea
- Language:English
-
Abstract:
Chronic subdural hematomas mainly occur amongst elderly people and usually develop after minor head injuries. In younger patients, subdural collections may be related to hypertension, coagulopathies, vascular abnormalities, and substance abuse. Different techniques can be used for the surgical treatment of symptomatic chronic subdural hematomas : single or double burr-hole evacuation, with or without subdural drainage, twist-drill craniostomies and classical craniotomies. Failure of the brain to re-expand, pneumocephalus, incomplete evacuation, and recurrence of the fluid collection are common complications following these procedures. Acute subdural hematomas may also occur. Rarely reported hemorrhagic complications include subarachnoid, intracerebral, intraventricular, and remote cerebellar hemorrhages. The causes of such uncommon complications are difficult to explain and remain poorly understood. Overdrainage and intracranial hypotension, rapid brain decompression and shift of the intracranial contents, cerebrospinal fluid loss, vascular dysregulation and impairment of venous outflow are the main mechanisms discussed in the literature. In this article we report three cases of different post-operative intracranial bleeding and review the related literature.
