scholarly journals Treatment of recurrent chronic subdural hematoma in a patient with Arachnoid cyst

2009 ◽  
Vol 62 (9-10) ◽  
pp. 469-472
Author(s):  
Djula Djilvesi ◽  
Petar Vulekovic ◽  
Tomislav Cigic ◽  
Zeljko Kojadinovic ◽  
Igor Horvat ◽  
...  
Keyword(s):  
Case Report ◽  
Ct Scan ◽  
Temporal Lobe ◽  
Arachnoid Cyst ◽  
Subdural Hematoma ◽  
Neurological Disorders ◽  
Chronic Subdural Hematoma ◽  
Burr Hole ◽  
Surrounding Tissue ◽  
Subjective Complaints

Introduction. Arachnoid cysts are congenital fluid-filled compartments within the cerebrospinal fluid cisterns and major cerebral fissure, between two layers of the arachnoid membrane. They can develop anywhere within the subarachnoid space, most frequently located within the Sylvian fissure in the middle fossa. In young patients with the arachnoid cyst and history od head trauma chronic subdural hemathoma is present up to 4.6%. Case report. This is a case report of a 21 year old male, with left temporal lobe arachnoid cyst. Three months after minor head injury the patient was admitted to our clinic with chronic subdural hematoma compressing the surrounding tissue. The scull burr-hole trepanation was performed and the hematoma was drained. The control CT scan showed a reduced size of the chronic subdural hematoma with the smaller subdural collection of the fresh blood. Three weeks after the intervention the new CT scan showed the recurrence of the chronic subdural hematoma. The second trepanation was performed and the hematoma was drained. After the second operation, the patient was with no neurological disorders and subjective complaints. Three months after the second intervention, the control CT scan visualized only the arachnoid cyst in the temporal lobe, without the presence of the subdural hematoma. Conclusion. We conclude that a chronic subdural hematoma and reccurrent chronic subdural hematoma in patients with the arachnoid cyst in the fossa media should be drained by applying the method of burr-hole trepanation. In the patient with no subjective complaints and neurological disorders, the operative treatment of the arachnoid cyst is not considered necessary.

Chronic subdural hematoma following ventriculoperitoneal shunt: A case report

2020 ◽  
Vol 5 (3) ◽  
pp. 1258-1260
Author(s):  
Mohan Karki ◽  
Yam Bahadur Roka ◽  
Mukesh Pandit ◽  
Sachidanand Yadav
Keyword(s):  
Case Report ◽  
Ct Scan ◽  
Ventriculoperitoneal Shunt ◽  
Subdural Hematoma ◽  
Rare Complication ◽  
Chronic Subdural Hematoma ◽  
Mass Effect ◽  
Severe Headache ◽  
Burr Hole ◽  
Vp Shunt

Chronic Subdural Hematoma (CSDH) is rare complication following ventriculoperitoneal (VP) shunt for hydrocephalus. A fourteen year/male presented with complain of gradually weakness of right sided limbs, severe headache, seizure and slurring of speech after two and half month of VP shunt placement for congenital hydrocephalus. CT scan head was done and it reported left CSDH with mass effect. Patient was managed with left parietal single burr-hole and CSDH evacuation.

scholarly journals Trephine Craniotomy versus Burr Hole Drainage for Chronic Subdural Hematoma—An Institutional Analysis of 156 Patients

2020 ◽  
Vol 17 (02) ◽  
pp. 110-120
Author(s):  
Ramesh Chandra Vemula ◽  
B. C.M. Prasad ◽  
Venkat Koyalmantham ◽  
Kunal Kumar
Keyword(s):  
Ct Scan ◽  
Recurrence Rate ◽  
Subdural Hematoma ◽  
Surgical Intervention ◽  
Chronic Subdural Hematoma ◽  
Burr Hole ◽  
P Value ◽  
First Choice ◽  
Significant Difference ◽  
Preoperative Ct

Abstract Introduction Some neurosurgeons believe that doing a trephine craniotomy (TC) decreases the chance of recurrence in chronic subdural hematoma (cSDH). But this is not supported by any evidence. Methods A retrospective analysis of patients who were operated for cSDH from 2014 to 2019 at our institute was done. Factors causing recurrence were studied. Results A total of 156 patients were operated in the given period, among which 88 underwent TC and 68 patients underwent burr hole drainage (BHD) for evacuation of cSDH. All patients underwent two trephines or two burr holes placed according to the maximum thickness of the hematoma. Rate of recurrence in trephine group was 12.5% and in burr-hole group was 11.76% and was not statistically significant. Significant factors for recurrence included nontraumatic cSDH, anticoagulant use, presence of membranes, preoperative computed tomography (CT) showing iso- or mixed-density subdural collection and SDH volume > 60 mL. There was selection bias for the procedure. Patients with subdural membranes were preferentially taken for TC as the percentage of subdural membrane found intraoperatively was significantly greater in trephine group (51.1%) than burr-hole group (17.6%) (p value < 0.001).When all the patients who showed membranes in CT scan were excluded, there was no statistical difference in the base line characteristics of both the groups. After excluding the patients with membranes in preoperative CT scan, there was no significant difference in recurrence rate between the two groups.In TC group with membranes, 8 out of 45 had recurrence, whereas in burr-hole group with membranes, 8 out of 12 had recurrence. This difference was statistically significant. (p value < 0.001). Conclusion Surgical intervention in both modalities improves patient outcome with an overall recurrence rate of 12.17%. In the absence of any identifiable membranes in preoperative CT scan, BHD is the preferred surgical intervention. We prefer TC as first choice for patients with membranes in CT scan.

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 Arachnoid cyst with spontaneous chronic subdural hematoma: Case report

2018 ◽  
Vol 22 (4) ◽  
pp. 100-106
Author(s):  
Hossein Mozhdehipanah ◽  
Mohammad Sayadnasiri ◽  
◽  
Keyword(s):  
Case Report ◽  
Arachnoid Cyst ◽  
Subdural Hematoma ◽  
Chronic Subdural Hematoma

scholarly journals Tension pneumocephalus as complication of burr-hole drainage of chronic subdural hematoma: A case report

2010 ◽  
Vol 1 (1) ◽  
pp. 27 ◽  
Author(s):  
Nissar Shaikh ◽  
Irfan Masood ◽  
Yolande Hanssens ◽  
Andre Louon ◽  
Abdel Hafiz
Keyword(s):  
Case Report ◽  
Subdural Hematoma ◽  
Chronic Subdural Hematoma ◽  
Burr Hole ◽  
Tension Pneumocephalus

Reversible Parkinsonism due to Chronic Subdural Hematoma: A Case Report

2021 ◽  
Vol 5 (1) ◽  
Author(s):  
Brahim EM ◽  
◽  
Mostarchid ME ◽  
Abderrahmane H ◽  
Inas K ◽  
...  
Keyword(s):  
Case Report ◽  
Elderly Patients ◽  
Parkinson Disease ◽  
Ct Scan ◽  
Subdural Hematoma ◽  
Chronic Subdural Hematoma ◽  
Clinical Symptomatology ◽  
Cause And Effect ◽  
History Of ◽  
Effect Relation

Although Chronic Subdural Hematoma (CSDH) is frequent in elderly patients, the CSDH can exceptionally cause a parkinsonism or aggravation of pre-existing parkinsonism. Only 27 cases reversible parkinsonism due to chronic subdural hematoma was reported in the literature. Disappearance of the extra pyramidal symptoms followed craniotomy and removal of the CSDH suggest a cause-and-effect relation between the haematoma and the clinical symptomatology. A case of a 62-year-old man with a two weeks history of parkinsonism caused by a CSDH reversible after surgery evacuation of the haematoma is reported. CSDH is a rare cause of reversible parkinsonism after surgery. CT scan must be recognized in any acute Parkinsonism or any deterioration of preexisting Parkinson disease to diagnose the Parkinsonism secondary to CSDH.

Cerebral Aspergillosis after Burr-Hole Surgery for Chronic Subdural Hematoma: Case Report

Neurosurgery ◽  
1990 ◽  
Vol 26 (2) ◽  
pp. 332-335 ◽  
Author(s):  
Takato Morioka ◽  
Takatoshi Tashima ◽  
Shinji Nagata ◽  
Masashi Fukui ◽  
Kanehiro Hasuo
Keyword(s):  
Brain Tumor ◽  
Case Report ◽  
Frontal Lobe ◽  
Clinical Features ◽  
Subdural Hematoma ◽  
Clinical Course ◽  
Chronic Subdural Hematoma ◽  
Burr Hole ◽  
Neurosurgical Procedures ◽  
Subdural Space

Abstract We report a case of aspergillosis in the subdural space and frontal lobe in an 83-year-old man. The clinical course simulated that of a brain tumor. The source for the infection was considered to be the previous burr-hole surgery for chronic subdural hematoma, which was performed 2.5 years before the onset of symptoms. The patient was treated by removal of the abscess and granuloma. The clinical features and treatment of aspergillosis after neurosurgical procedures are discussed.

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