Brain stem hemorrhage after burr hole drainage of chronic subdural hematoma; report of two cases

Background: Brain stem hemorrhage after burr hole drainage of chronic subdural hematoma is a very rare complication with only 11 cases reported.Case report: We present two cases of male patients, both over sixty years old who presented with chronic subdural hematoma and developed brain stem hemorrha...

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Main Authors: Luis Martinez-Escalante, Blanca Martínez-Guerrero, Ricardo Ortega-Valencia
Format: Article
Language:English
Published: Elsevier 2022-03-01
Series:Interdisciplinary Neurosurgery
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S221475192100298X
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author Luis Martinez-Escalante
Blanca Martínez-Guerrero
Ricardo Ortega-Valencia
author_facet Luis Martinez-Escalante
Blanca Martínez-Guerrero
Ricardo Ortega-Valencia
author_sort Luis Martinez-Escalante
collection DOAJ
description Background: Brain stem hemorrhage after burr hole drainage of chronic subdural hematoma is a very rare complication with only 11 cases reported.Case report: We present two cases of male patients, both over sixty years old who presented with chronic subdural hematoma and developed brain stem hemorrhage limited to the middle mesencephalic region after burr hole draining. Conclusion: Surgical drainage of chronic subdural hematoma must be carefully done especially when there is a great midline shift. Because of the local blood flow changes in the brain stem, any sudden decompression will increase the risk of bleeding.
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spelling doaj.art-6cd1bd59773540989e7e6878cc758ae02022-12-21T22:42:53ZengElsevierInterdisciplinary Neurosurgery2214-75192022-03-0127101386Brain stem hemorrhage after burr hole drainage of chronic subdural hematoma; report of two casesLuis Martinez-Escalante0Blanca Martínez-Guerrero1Ricardo Ortega-Valencia2UMAE-Hospital de Traumatologia y Ortopedia Lomas Verdes, Instituto Mexicano del Seguro Social, Mexico; Corresponding author at: Departamento Clinico de Neurocirugia, UMAE-Hospital de Traumatologia y Ortopedia Lomas Verdes, Instituto Mexicano del Seguro Social, Super Avenida Lomas Verdes S/N Naucalpan de Juarez, Estado de México Cp 53120, Mexico.Clinical Department of Intensive Care Unit, UMAE-Hospital de Traumatologia y Ortopedia Lomas Verdes, Instituto Mexicano del Seguro Social, MexicoClinical Department of Neurosurgery, UMAE-Hospital de Traumatologia y Ortopedia Lomas Verdes, Instituto Mexicano del Seguro Social, MexicoBackground: Brain stem hemorrhage after burr hole drainage of chronic subdural hematoma is a very rare complication with only 11 cases reported.Case report: We present two cases of male patients, both over sixty years old who presented with chronic subdural hematoma and developed brain stem hemorrhage limited to the middle mesencephalic region after burr hole draining. Conclusion: Surgical drainage of chronic subdural hematoma must be carefully done especially when there is a great midline shift. Because of the local blood flow changes in the brain stem, any sudden decompression will increase the risk of bleeding.http://www.sciencedirect.com/science/article/pii/S221475192100298XHematomaSubduralChronic intracranial hemorrhagesDecompression post-operative hemorrhageDuret's hemorrhageBrain stem hemorrhage
spellingShingle Luis Martinez-Escalante
Blanca Martínez-Guerrero
Ricardo Ortega-Valencia
Brain stem hemorrhage after burr hole drainage of chronic subdural hematoma; report of two cases
Interdisciplinary Neurosurgery
Hematoma
Subdural
Chronic intracranial hemorrhages
Decompression post-operative hemorrhage
Duret's hemorrhage
Brain stem hemorrhage
title Brain stem hemorrhage after burr hole drainage of chronic subdural hematoma; report of two cases
title_full Brain stem hemorrhage after burr hole drainage of chronic subdural hematoma; report of two cases
title_fullStr Brain stem hemorrhage after burr hole drainage of chronic subdural hematoma; report of two cases
title_full_unstemmed Brain stem hemorrhage after burr hole drainage of chronic subdural hematoma; report of two cases
title_short Brain stem hemorrhage after burr hole drainage of chronic subdural hematoma; report of two cases
title_sort brain stem hemorrhage after burr hole drainage of chronic subdural hematoma report of two cases
topic Hematoma
Subdural
Chronic intracranial hemorrhages
Decompression post-operative hemorrhage
Duret's hemorrhage
Brain stem hemorrhage
url http://www.sciencedirect.com/science/article/pii/S221475192100298X
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