Polymicrobial Skull Osteomyelitis: A Rare Complication of Subdural Hematoma Evacuation

2007 ◽  
Vol 8 (4) ◽  
pp. 483-490 ◽  
Author(s):  
Scott W. Calcagno ◽  
Richard M. Graves ◽  
Sue E. Baum ◽  
Richard J. Teff
Keyword(s):  
Subdural Hematoma ◽  
Rare Complication ◽  
Hematoma Evacuation

scholarly journals Duret Hemorrhage after Extradural Hematoma Evacuation–A Rare Entity

2021 ◽  
Author(s):  
Lamkordor Tyngkan ◽  
Nazia Mahfouz ◽  
Sobia Bilal ◽  
Bazla Fatima ◽  
Nayil Malik
Keyword(s):  
Intracranial Pressure ◽  
Epidural Hematoma ◽  
Rare Complication ◽  
Rare Entity ◽  
Raised Intracranial Pressure ◽  
Extradural Hematoma ◽  
Transtentorial Herniation ◽  
Hematoma Evacuation ◽  
Brainstem Injury ◽  
Acute Epidural Hematoma

AbstractTraumatic brainstem injury can be classified as primary or secondary. Secondary brainstem hemorrhage that evolves from raised intracranial pressure (ICP) and transtentorial herniation is referred to as Duret hemorrhage. We report a 25-year-old male who underwent emergency craniotomy, with evacuation of acute epidural hematoma, and postoperatively developed fatal Duret hemorrhage. Duret hemorrhage after acute epidural hematoma (EDH) evacuation is a very rare complication and the outcome is grave in most of the cases.

scholarly journals A Rare Complication of Chronic Subdural Hematoma Evacuation: Brain Stem Hemorrhage: A Case Report

2018 ◽  
Vol 32 (3) ◽  
pp. 462-465 ◽  
Author(s):  
Ghassen Gader ◽  
Mouna Rkhami ◽  
Maher Ben Salem ◽  
Mohamed Badri ◽  
Kamel Bahri ◽  
...  
Keyword(s):  
Brain Stem ◽  
Subdural Hematoma ◽  
Rare Complication ◽  
Chronic Subdural Hematoma ◽  
The Elderly ◽  
Burr Hole ◽  
Sudden Increase ◽  
Vascular Disruption ◽  
Rapid Decompression ◽  
Surgical Modality

Abstract 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.

scholarly journals Endoscopic hematoma evacuation following emergent burr hole surgery for acute subdural hematoma in critical conditions: Technical note

2018 ◽  
Vol 12 ◽  
pp. 48-51 ◽  
Author(s):  
Jun Maruya ◽  
Satoshi Tamura ◽  
Ryo Hasegawa ◽  
Ayana Saito ◽  
Keiichi Nishimaki ◽  
...  
Keyword(s):  
Subdural Hematoma ◽  
Technical Note ◽  
Burr Hole ◽  
Critical Conditions ◽  
Acute Subdural Hematoma ◽  
Hematoma Evacuation

scholarly journals Cardiopulmonary Hemodynamic Changes During Acute Subdural Hematoma Evacuation

2006 ◽  
Vol 46 (5) ◽  
pp. 219-225 ◽  
Author(s):  
Tomonori TAMAKI ◽  
Yoji NODE ◽  
Yasuhiro YAMAMOTO ◽  
Akira TERAMOTO
Keyword(s):  
Subdural Hematoma ◽  
Acute Subdural Hematoma ◽  
Hemodynamic Changes ◽  
Hematoma Evacuation

Letter to the Editor Regarding “Twist Drill Procedure for Chronic Subdural Hematoma Evacuation—An Analysis of Predictors for Treatment Success”

2020 ◽  
Vol 139 ◽  
pp. 698 ◽  
Author(s):  
Giuseppe Emmanuele Umana ◽  
Stefano Chiriatti ◽  
Marco Fricia ◽  
Nicola Alberio ◽  
Salvatore Cicero ◽  
...  
Keyword(s):  
Subdural Hematoma ◽  
Treatment Success ◽  
Chronic Subdural Hematoma ◽  
Twist Drill ◽  
Hematoma Evacuation ◽  
Letter To The Editor

scholarly journals A spinal subdural hematoma induced by guidewire-based lumbar drainage in a patient with ruptured intracranial aneurysms

Open Medicine ◽  
2019 ◽  
Vol 14 (1) ◽  
pp. 247-250
Author(s):  
Meng Qi ◽  
Tao Huang ◽  
Lei Xu ◽  
Ning Wang ◽  
Peipei Zhang ◽  
...  
Keyword(s):  
Subdural Hematoma ◽  
Muscle Tension ◽  
Lower Limbs ◽  
Lumbar Drainage ◽  
Spinal Hematoma ◽  
Hematoma Evacuation ◽  
Ruptured Intracranial Aneurysm ◽  
Close Observation ◽  
Spinal Subdural Hematoma ◽  
Ruptured Intracranial Aneurysms

AbstractWe present a rare case of spinal subdural hematoma induced by guidewire-based lumbar drainage in a subarachnoid hemorrhage patient with a ruptured intracranial aneurysm. Decreased muscle strength and muscle tension of bilateral lower limbs were noted, and an MRI confirmed the spinal subdural hematoma from the sacral to the thoracic segments. The spinal subdural hematoma evacuation and spinal canal decompression were performed by laminectomy. However, the patient did not benefit from the surgery and developed lower limb muscle atrophy. The complication of the spinal subdural hematoma after lumbar drainage is extremely rare; only limited approaches are available for the treatment of spinal hematoma to improve the outcome and avoid severe consequences. Thus, the present case might suggest refraining from use of a guidewire during lumbar drainage for the prevention of spinal subdural hematoma and close observation of the related symptoms and signs for the early detection of spinal hematoma after the procedure. In addition, full decompression can be performed by complete hematoma evacuation and laminectomy of related segments for the treatment of spinal subdural hematoma induced by lumbar drainage.

scholarly journals Spontaneous Intracranial Hypotension Manifesting as a Unilateral Subdural Hematoma with a Marked Midline Shift

2015 ◽  
Vol 7 (1) ◽  
pp. 71-77 ◽  
Author(s):  
Joji Inamasu ◽  
Shigeta Moriya ◽  
Junpei Shibata ◽  
Tadashi Kumai ◽  
Yuichi Hirose
Keyword(s):  
Mental Status ◽  
Subdural Hematoma ◽  
Intracranial Hypotension ◽  
Spontaneous Intracranial Hypotension ◽  
Altered Mental Status ◽  
Midline Shift ◽  
Hematoma Evacuation ◽  
Neurologic Deterioration ◽  
Blood Patch ◽  
Csf Leakage

Spontaneous intracranial hypotension (SIH) is a syndrome in which hypovolemia of the cerebrospinal fluid (CSF) results in various symptoms. Although its prognosis is usually benign, cases with a rapid neurologic deterioration resulting in an altered mental status have been reported. One of the characteristic radiographic findings in such cases is the presence of bilateral accumulation of subdural fluid (hematoma/hygroma). When SIH-related subdural hematoma is present only unilaterally with a concomitant midline shift, making an accurate diagnosis may be challenging, and inadvertent hematoma evacuation may result in further neurologic deterioration. We report a 58-year-old woman with an altered mental status who had visited a local hospital and in whom a brain CT showed a unilateral subdural hematoma with a marked midline shift. She was referred to our department because of her neurologic deterioration after hematoma evacuation. A CT myelography revealed a massive CSF leakage in the entire thoracic epidural space. She made a full neurologic recovery following blood patch therapy. Our case is unique and educational because the suspicion for SIH as an underlying cause of subdural hematoma is warranted in nongeriatric patients not only with bilateral but also unilateral lesions. An immediate search for CSF leakage may be important in cases with failed hematoma evacuation surgery.

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