scholarly journals Neuroendoscopic Approach of a Massive Bilateral Chronic Subdural Hematoma in a Child Using a Single Burr Hole

Cureus ◽  
2021 ◽  
Author(s):  
Leopoldo Mandic Ferreira Furtado ◽  
José Aloysio Da Costa Val Filho ◽  
Camila Moura de Sousa ◽  
François Dantas ◽  
Júlia da Silva Costa
Keyword(s):  
Subdural Hematoma ◽  
Chronic Subdural Hematoma ◽  
Burr Hole ◽  
Bilateral Chronic Subdural Hematoma

scholarly journals Bilateral Chronic Subdural Hematoma in the Posterior Fossa Treated with a Burr Hole Irrigation: A Case Report and Review of the Literature

2019 ◽  
Vol 11 (1) ◽  
pp. 87-93
Author(s):  
Takuro Inoue ◽  
Hisao Hirai ◽  
Ayako Shima ◽  
Fumio Suzuki ◽  
Masayuki Matsuda
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Posterior Fossa ◽  
Subdural Hematoma ◽  
Chronic Subdural Hematoma ◽  
Burr Hole ◽  
Ventricular Drainage ◽  
Review Of The Literature ◽  
Bilateral Chronic Subdural Hematoma ◽  
Radiological Examinations

Chronic subdural hematoma (CSH) in the posterior fossa is extremely rare. The surgical strategy is still controversial. We report a case of bilateral CSH in the posterior fossa successfully treated with a single-burr hole surgery. A 74-year-old man under anticoagulation and antiplatelet therapy developed headache and nausea during observation for an asymptomatic supratentorial CSH. Radiological examinations revealed appearance of bilateral CSH in the posterior fossa associated with hydrocephalus. Upon rapid deterioration of the patient’s consciousness, an urgent treatment was required. A burr hole was made near the transverse-sigmoid junction on the left side to access the hematoma. No ventricular drainage was placed as his consciousness improved during the decompression of the hematoma. Postoperative computed tomography showed that bilateral CSH and hydrocephalus had been successfully treated. In bilateral CSH in the posterior fossa, there may be a connection between each side. CSH in the posterior fossa, when urgent, can be treated under local anesthesia with a unilateral burr hole irrigation.

scholarly journals Multiple contralateral recurrence of bilateral chronic subdural hematoma: case report and literature review

2019 ◽  
Vol 9 (6) ◽  
Author(s):  
Diawara Seylan ◽  
Alpha Boubacar Bah ◽  
Ibrahima Berete ◽  
Ibrahima Sory Souare ◽  
Vamala Guilavogui ◽  
...  
Keyword(s):  
Subdural Hematoma ◽  
Relevant Literature ◽  
Chronic Subdural Hematoma ◽  
Burr Hole ◽  
Multiple Recurrence ◽  
Opposite Hemisphere ◽  
Bridging Veins ◽  
Bilateral Chronic Subdural Hematoma ◽  
Symptomatic Side

We report a case of bilateral chronic subdural hematoma (CSDH) operated with a single burr-hole on the more symptomatic side (left) followed by a symptomatic expansion of the contralateral (right) hematoma 7 days after the surgery treated again with a burr-hole on the other side. A week later the patient presented again a bilateral CSDH that was re-operated on both side with a good outcome at 6 months follow-up. Relevant literature was reviewed, and we believe that the multiple recurrence of these hematomas in the opposite hemisphere resulted from the rapid drainage of the hematoma, which caused the rupture of weak bridging veins during drainage. Slow decompression is recommended to avoid rapid intracranial changes during drainage of a subdural hematoma.

scholarly journals Unilateral drainage of bilateral chronic subdural hematoma

2021 ◽  
Vol 11 (6) ◽  
pp. 155-158
Author(s):  
Allan J Drapkin ◽  
Manuel Campos P
Keyword(s):  
Head Trauma ◽  
Subdural Hematoma ◽  
Chronic Subdural Hematoma ◽  
Optimal Treatment ◽  
Burr Hole ◽  
Course Of Action ◽  
Burr Hole Evacuation ◽  
Bilateral Chronic Subdural Hematoma

Bilateral chronic subdural hematoma (bCSDH) is a condition frequently encountered in neurosurgical practice, and it is usually the result of head trauma. Despite its frequency, no consensus currently exists regarding its optimal treatment. While the use of corticosteroids in the treatment of chronic subdural hematoma is not currently accepted by the neurosurgical community, there is enough evidence in the literature that supports its use. In bCSDH the unilateral burr hole evacuation of the larger of the subdural collections followed by a course of corticosteroids seems to be an effective and safer course of action in the management of bilateral chronic subdural hematoma.

scholarly journals Middle Meningeal Artery Embolization for the Treatment of Bilateral Chronic Subdural Hematoma

2021 ◽  
Vol 12 ◽  
Author(s):  
Qi Wei ◽  
Gangxian Fan ◽  
Zhenzhu Li ◽  
Qingbo Wang ◽  
Ke Li ◽  
...  
Keyword(s):  
Subdural Hematoma ◽  
Chronic Subdural Hematoma ◽  
Clinical Information ◽  
Middle Meningeal Artery ◽  
Burr Hole ◽  
Brain Diseases ◽  
Imaging Results ◽  
Retreatment Rate ◽  
Bilateral Chronic Subdural Hematoma ◽  
Meningeal Artery

Background: Bilateral chronic subdural hematoma (bCSDH) is a frequent condition commonly linked to the need for retreatment; however, the reason for this high retreatment rate remains unclear. The middle meningeal artery (MMA) was found to have a relationship with the occurrence and development of chronic subdural hematomas. This study examines a possible method to reduce bCSDH recurrence using bilateral MMA embolization combined with bilateral burr-hole drainage.Materials and Methods: Ten patients with bCSDH who underwent bilateral MMA embolization combined with bilateral burr-hole drainage at our hospital between June 2018 and May 2020, were retrospectively analyzed. Patients' clinical information, prognoses, imaging results, as well as surgical results were documented and analyzed.Results: Ten patients were diagnosed with bCSDH with no comorbid brain diseases. They underwent bilateral MMA embolization combined with bilateral burr-hole drainage. We embolized the MMA immediately before burr hole drainage successfully and employed angiography to validate these results. All the patients attained relief of symptoms without adverse events, and no re-expansion or relapse was reported in the follow-up computed tomography.Conclusion: Bilateral MMA embolization combined with bilateral burr-hole drainage is an available treatment for patients with bCSDH and may have the potential for preventing recurrence.

Modified Burr-Hole Craniostomy for the Treatment of Chronic Subdural Hematoma in Adults

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Zhiyong Zhao ◽  
Jinglong Zhang ◽  
Guojin Zhang ◽  
Yuntai Cao ◽  
Gang Wang ◽  
...  
Keyword(s):  
Subdural Hematoma ◽  
Chronic Subdural Hematoma ◽  
Burr Hole

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.

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