scholarly journals Life threatening hyponatraemia following evacuation of spontaneous chronic subdural haematoma

2014 ◽  
Vol 96 (6) ◽  
pp. e26-e27
Author(s):  
R Johnson ◽  
T Ibrahim
Keyword(s):  
Antidiuretic Hormone ◽  
Subdural Haematoma ◽  
Chronic Subdural Haematoma ◽  
Burr Hole ◽  
Pituitary Stalk ◽  
Brain Shift ◽  
First Report ◽  
Inappropriate Secretion ◽  
Life Threatening

We report the case of a 43-year-old woman who developed life threatening hyponatraemia 4 days following burr hole drainage of a spontaneous chronic subdural haematoma (CSDH). Syndrome of inappropriate secretion of antidiuretic hormone was confirmed. This is the first report of delayed life threatening hyponatraemia developing postoperatively in CSDH. The mechanism remains unclear but may involve brain shift on the pituitary stalk following subdural evacuation.

scholarly journals Neurenteric Cysts Found on the Outer Membrane of a Subdural Haematoma

2013 ◽  
Vol 2013 ◽  
pp. 1-5
Author(s):  
Satoshi Takahashi ◽  
Yoshio Tanizaki ◽  
Kazunori Akaji ◽  
Tadashige Kano ◽  
Ban Mihara ◽  
...  
Keyword(s):  
Epithelial Cells ◽  
Outer Membrane ◽  
Subdural Haematoma ◽  
Chronic Subdural Haematoma ◽  
Burr Hole ◽  
Pathologic Examination ◽  
First Report ◽  
Underlying Causes ◽  
Ciliated Epithelial Cells

We report on a patient initially diagnosed with a chronic subdural haematoma that was resistant to treatment. After the second burr hole craniostomy within a half month failed to resolve the subdural haematoma (SDH), we performed a craniotomy to identify the point of bleeding. Macroscopic evaluation showed that most of the outer membrane of the SDH was transparent; however, further examination revealed the presence of multiple white regions. Pathologic examination showed that the white regions were fluid filled and surrounded by columnar ciliated epithelial cells. These lesions were pathologically diagnosed as neurenteric cysts. To our knowledge, this is the first report on a patient with neurenteric cysts found on the outer membrane of a CSDH. We agree that a craniotomy is a treatment of last resort for recurrent CSDHs; however, sometimes this procedure can be very useful for identifying underlying causes of obstinate SDHs as well as for their treatment.

Is it necessary to perform irrigation of a haematoma during the operation of a chronic subdural haematoma via burr hole drainage?

2019 ◽  
Vol 82/115 (4) ◽  
pp. 448-452
Author(s):  
Přemysl Stejskal ◽  
Miroslav Vaverka ◽  
Lumír Hrabálek ◽  
Martin Hampl ◽  
Štefan Trnka ◽  
...  
Keyword(s):  
Subdural Haematoma ◽  
Chronic Subdural Haematoma ◽  
Burr Hole

Early inappropriate secretion of antidiuretic hormone after trans-sphenoidal pituitary adenomectomy

1990 ◽  
Vol 104 (11) ◽  
pp. 894-895 ◽  
Author(s):  
G. E. Murty ◽  
P. Lamballe ◽  
A. R. Welch
Keyword(s):  
Antidiuretic Hormone ◽  
Clinical Features ◽  
Early Presentation ◽  
Inappropriate Secretion ◽  
Life Threatening ◽  
Life Threatening Complication ◽  
Late Phenomenon

AbstractThe syndrome of inappropriate secretion of antidiuretic hormone (SIADH) is a rare but life-threatening complication of trans-sphenoidal pituitary adenomectomy. It has previously only been described as a late phenomenon. We report an early presentation within the first week. The pathophysiology, clinical features and treatment are discussed.

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