Delayed Onset Acute Subdural Hematoma after Burr Hole Drainage in a Patient with Chronic Subdural Hematoma and Liver Cirrhosis
10.13004/kjnt.2021.17.e15
- Author:
Hyun Jae SHIN
1
;
Sang Woo HA
;
Seok Won KIM
Author Information
1. Department of Neurosurgery, College of Medicine, Chosun University, Gwangju, Korea
- Publication Type:Case Report
- From:Korean Journal of Neurotrauma
2021;17(2):156-161
- CountryRepublic of Korea
- Language:English
-
Abstract:
Although acute intracranial bleeding after burr hole drainage for chronic subdural hematoma (SDH) is rare, it could still occur and is associated with a poor clinical outcome. Although rare, most of them occur immediately or within a few days after drainage, especially in patients who are on antiplatelet drugs or anticoagulants. We report an unusual case of delayed-onset acute SDH that developed 14 days after burr hole drainage of chronic SDH in a 54-year-old man with liver cirrhosis and thrombocytopenia. The possible pathophysiological mechanisms of this rare entity are discussed, and the relevant literature is reviewed.
