AI Article Synopsis
- Chronic subdural hematomas (CSDHs) primarily affect elderly individuals and are typically treated with a simple burr hole surgery, though rare complications can occur, such as various types of hemorrhages.
- An 89-year-old man with CSDH experienced right-side weakness and underwent surgery, leading to a CT scan revealing an unexpected acute intraventricular hemorrhage the next day.
- This case highlights the unusual occurrence of intraventricular hemorrhage following CSDH drainage, potentially caused by shifts in the brain structure and increased blood flow after the procedure.
Article Abstract
Background: Chronic subdural hematomas (CSDHs) mainly occur in elderly people and usually develop after minor head injuries. CSDH can be cured by a relatively simple burr hole surgery. Rarely reported, hemorrhagic postsurgical complications include subarachnoid, intracerebral, intraventricular, and remote cerebellar hemorrhages. The causes of such uncommon complications are difficult to explain and remain poorly understood.
Case Description: We report the case study of an 89-year-old man with CSDH who presented with the right hemiparesis. He underwent burr hole surgery with a closed-drainage system. A computed tomography (CT) scan conducted the following day demonstrated an acute intraventricular hemorrhage and hyperperfusion of the ipsilateral hemisphere.
Conclusion: This is a rare case of an acute hematoma in the ventricle following drainage of a CSDH. The likely mechanism of this intraventricular hemorrhage could be that the drainage of the hematoma produced a movement of the ventricle and hemisphere accompanied by hyperperfusion.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8053470 | PMC |
| http://dx.doi.org/10.25259/SNI_306_2020 | DOI Listing |
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