Brain stem hemorrhage following burr hole drainage for chronic subdural hematoma - Case report

Kyung Jae Park; Shin Hyuk Kang; Hoon Kap Lee; Yong Gu Chung

doi:10.2176/nmc.49.594

Brain stem hemorrhage following burr hole drainage for chronic subdural hematoma - Case report

Kyung Jae Park, Shin Hyuk Kang, Hoon Kap Lee, Yong Gu Chung

Research output: Contribution to journal › Article › peer-review

14 Citations (Scopus)

Abstract

A 76-year-old man presented with brain stem hemorrhage after burr-hole drainage for bilateral chronic subdural hematomas. Neuroimaging demonstrated resolution of the transtentorial herniation but also detected new brain stem hemorrhage, manifesting as gait disturbance. He recovered after conservative treatment. Asymmetrical and rapid decompression, which leads to vascular disruption and/or sudden increase in cerebral blood flow, was probably responsible for the secondary brain stem hemorrhage. Therefore, simultaneous and bilateral decompression with a slow rate of evacuation of massive bilateral chronic subdural hematomas is recommended to prevent serious complications such as secondary intracranial hematoma.

Original language	English
Pages (from-to)	594-597
Number of pages	4
Journal	Neurologia Medico-Chirurgica
Volume	49
Issue number	12
DOIs	https://doi.org/10.2176/nmc.49.594
Publication status	Published - 2009

Keywords

Brain stem
Chronic subdural hematoma
Decompression
Postoperative hemorrhage

ASJC Scopus subject areas

Surgery
Clinical Neurology

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10.2176/nmc.49.594

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title = "Brain stem hemorrhage following burr hole drainage for chronic subdural hematoma - Case report",

abstract = "A 76-year-old man presented with brain stem hemorrhage after burr-hole drainage for bilateral chronic subdural hematomas. Neuroimaging demonstrated resolution of the transtentorial herniation but also detected new brain stem hemorrhage, manifesting as gait disturbance. He recovered after conservative treatment. Asymmetrical and rapid decompression, which leads to vascular disruption and/or sudden increase in cerebral blood flow, was probably responsible for the secondary brain stem hemorrhage. Therefore, simultaneous and bilateral decompression with a slow rate of evacuation of massive bilateral chronic subdural hematomas is recommended to prevent serious complications such as secondary intracranial hematoma.",

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AU - Kang, Shin Hyuk

AU - Lee, Hoon Kap

AU - Chung, Yong Gu

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N2 - A 76-year-old man presented with brain stem hemorrhage after burr-hole drainage for bilateral chronic subdural hematomas. Neuroimaging demonstrated resolution of the transtentorial herniation but also detected new brain stem hemorrhage, manifesting as gait disturbance. He recovered after conservative treatment. Asymmetrical and rapid decompression, which leads to vascular disruption and/or sudden increase in cerebral blood flow, was probably responsible for the secondary brain stem hemorrhage. Therefore, simultaneous and bilateral decompression with a slow rate of evacuation of massive bilateral chronic subdural hematomas is recommended to prevent serious complications such as secondary intracranial hematoma.

AB - A 76-year-old man presented with brain stem hemorrhage after burr-hole drainage for bilateral chronic subdural hematomas. Neuroimaging demonstrated resolution of the transtentorial herniation but also detected new brain stem hemorrhage, manifesting as gait disturbance. He recovered after conservative treatment. Asymmetrical and rapid decompression, which leads to vascular disruption and/or sudden increase in cerebral blood flow, was probably responsible for the secondary brain stem hemorrhage. Therefore, simultaneous and bilateral decompression with a slow rate of evacuation of massive bilateral chronic subdural hematomas is recommended to prevent serious complications such as secondary intracranial hematoma.

KW - Brain stem

KW - Chronic subdural hematoma

KW - Decompression

KW - Postoperative hemorrhage

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Brain stem hemorrhage following burr hole drainage for chronic subdural hematoma - Case report

Abstract

Keywords

ASJC Scopus subject areas

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