scholarly journals Delayed Onset Acute Subdural Hematoma after Burr Hole Drainage in a Patient with Chronic Subdural Hematoma and Liver Cirrhosis

2021 ◽  
Vol 17 ◽  
Author(s):  
Hyun Jae Shin ◽  
Sang Woo Ha ◽  
Seok Won Kim
1992 ◽  
Vol 76 (1) ◽  
pp. 134-136 ◽  
Author(s):  
Conrad T. E. Pappas ◽  
Joseph M. Zabramski ◽  
Andrew G. Shetter

✓ An unusual case of an iatrogenic dural arteriovenous fistula is reported. The patient presented with a history of progressive generalized headache over a period of 3 to 4 weeks. Computerized tomography demonstrated a chronic subdural hematoma that was successfully evacuated by burr-hole drainage. The patient's postoperative course was complicated by recurrent acute subdural hematomas at the drainage site. Coagulation studies were unremarkable. Selective external carotid angiography demonstrated a small dural arteriovenous fistula adjacent to the burr hole used for the initial operative procedure. Extension of the bone flap and coagulation of the fistula resulted in a good outcome. In the patient with recurrent acute subdural hematoma, the possibility of a vascular malformation must be considered. Selective internal and external carotid angiography is key to the correct diagnosis.


2015 ◽  
Vol 48 (2) ◽  
pp. 132-137
Author(s):  
Hisashi Nagai ◽  
Akina Nara ◽  
Rutsuko Yamaguchi ◽  
Ken-ichi Yoshida ◽  
Koichi Uemura

2000 ◽  
Vol 93 (4) ◽  
pp. 686-688 ◽  
Author(s):  
Shinya Mandai ◽  
Masaru Sakurai ◽  
Yuzo Matsumoto

✓ The authors present a case of refractory chronic subdural hematoma (CSH) in a 59-year-old man with coagulopathy due to liver cirrhosis. The patient was successfully treated by embolization of the middle meningeal artery after several drainage procedures. This new therapeutic approach to recurrent CSH is discussed.


2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Zhiyong Zhao ◽  
Jinglong Zhang ◽  
Guojin Zhang ◽  
Yuntai Cao ◽  
Gang Wang ◽  
...  

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