A rare complication of chronic subdural hematoma evacuation: brain stem hemorrhage
Chronic subdural hematoma (CSDH), which commonly affects the elderly, is one of the most frequent, but also benign neurosurgical pathologies. Burr hole drainage is the standard surgical modality for evacuation of a CSDH. This technique is known to be safe, with low morbidity and mortality rates. How...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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London Academic Publishing
2018-09-01
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| Series: | Romanian Neurosurgery |
| Subjects: | |
| Online Access: | https://www.journals.lapub.co.uk/index.php/roneurosurgery/article/view/1115 |
| _version_ | 1819181378530443264 |
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| author | Ghassen Gader Mouna Rkhami Maher Ben Salem Mohamed Badri Kamel Bahri Ihsèn Zammel |
| author_facet | Ghassen Gader Mouna Rkhami Maher Ben Salem Mohamed Badri Kamel Bahri Ihsèn Zammel |
| author_sort | Ghassen Gader |
| collection | DOAJ |
| description | Chronic subdural hematoma (CSDH), which commonly affects the elderly, is one of the most frequent, but also benign neurosurgical pathologies. Burr hole drainage is the standard surgical modality for evacuation of a CSDH. This technique is known to be safe, with low morbidity and mortality rates. However, postoperative complications have occasionally been reported. We report the case of a 70-year-old man who presented a fatal brain stem hemorrhage after burr-hole drainage for unilateral chronic subdural hematoma. Asymmetrical and rapid decompression were thought to be leading to vascular disruption or sudden increase in cerebral blood flow, was probably responsible for the secondary brain stem bleeding. Therefore, a slow rate of evacuation of chronic subdural hematomas, as well as rigorous postoperative reanimation, are recommended in order to prevent serious complications. |
| first_indexed | 2024-12-22T22:29:17Z |
| format | Article |
| id | doaj.art-4dfcc65e95ad4ed5b58d56157b9f2bb5 |
| institution | Directory Open Access Journal |
| issn | 1220-8841 2344-4959 |
| language | English |
| last_indexed | 2024-12-22T22:29:17Z |
| publishDate | 2018-09-01 |
| publisher | London Academic Publishing |
| record_format | Article |
| series | Romanian Neurosurgery |
| spelling | doaj.art-4dfcc65e95ad4ed5b58d56157b9f2bb52022-12-21T18:10:29ZengLondon Academic PublishingRomanian Neurosurgery1220-88412344-49592018-09-01323A rare complication of chronic subdural hematoma evacuation: brain stem hemorrhageGhassen GaderMouna RkhamiMaher Ben SalemMohamed BadriKamel BahriIhsèn ZammelChronic subdural hematoma (CSDH), which commonly affects the elderly, is one of the most frequent, but also benign neurosurgical pathologies. Burr hole drainage is the standard surgical modality for evacuation of a CSDH. This technique is known to be safe, with low morbidity and mortality rates. However, postoperative complications have occasionally been reported. We report the case of a 70-year-old man who presented a fatal brain stem hemorrhage after burr-hole drainage for unilateral chronic subdural hematoma. Asymmetrical and rapid decompression were thought to be leading to vascular disruption or sudden increase in cerebral blood flow, was probably responsible for the secondary brain stem bleeding. Therefore, a slow rate of evacuation of chronic subdural hematomas, as well as rigorous postoperative reanimation, are recommended in order to prevent serious complications.https://www.journals.lapub.co.uk/index.php/roneurosurgery/article/view/1115chronic subdural hematoma evacuation |
| spellingShingle | Ghassen Gader Mouna Rkhami Maher Ben Salem Mohamed Badri Kamel Bahri Ihsèn Zammel A rare complication of chronic subdural hematoma evacuation: brain stem hemorrhage Romanian Neurosurgery chronic subdural hematoma evacuation |
| title | A rare complication of chronic subdural hematoma evacuation: brain stem hemorrhage |
| title_full | A rare complication of chronic subdural hematoma evacuation: brain stem hemorrhage |
| title_fullStr | A rare complication of chronic subdural hematoma evacuation: brain stem hemorrhage |
| title_full_unstemmed | A rare complication of chronic subdural hematoma evacuation: brain stem hemorrhage |
| title_short | A rare complication of chronic subdural hematoma evacuation: brain stem hemorrhage |
| title_sort | rare complication of chronic subdural hematoma evacuation brain stem hemorrhage |
| topic | chronic subdural hematoma evacuation |
| url | https://www.journals.lapub.co.uk/index.php/roneurosurgery/article/view/1115 |
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