scholarly journals Tiger hide appearance: Impaction and prolapse of brain parenchyma through burr holes after evacuation of bilateral chronic subdural hematoma: A rare case report

2016 ◽  
Vol 11 (3) ◽  
pp. 321
Author(s):  
Manish Jaiswal ◽  
Ashok Gandhi ◽  
Devendra Purohit ◽  
RS Mittal
Keyword(s):  
Case Report ◽  
Subdural Hematoma ◽  
Rare Case ◽  
Chronic Subdural Hematoma ◽  
Brain Parenchyma ◽  
Rare Case Report ◽  
Burr Holes ◽  
Bilateral Chronic Subdural Hematoma

Bilateral Chronic Subdural Hematoma and Blindness: Bilateral Infarction to the Posterior Cerebral Artery following Evacuation of Bilateral Chronic Subdural Hematoma — A Rare Case Report and Review of Literature

2017 ◽  
Vol 14 (01) ◽  
pp. 046-052
Author(s):  
Sendilkumar Adimoolam ◽  
Syamala Shunmugam ◽  
Sneha Balasubramanian
Keyword(s):  
Subdural Hematoma ◽  
Past History ◽  
Rare Complication ◽  
Chronic Subdural Hematoma ◽  
Vascular Abnormality ◽  
Rare Case Report ◽  
History Of ◽  
Burr Holes ◽  
Bilateral Chronic Subdural Hematoma ◽  
Ct And Mri

Objective The authors report a rare scenario in which evacuation of bilateral chronic subdural hematoma (CSDH) was followed by bilateral PCA infarction and blindness. A literature review was also conducted, which revealed only four cases of blindness after CSDH evacuation. Methods A 45-year-old man was admitted with the chief complaint of holocranial headache for 2 months with past history of head trauma. Clinical examination was normal. CT and MRI scanning showed bilateral frontotemperoparietal CSDH without midline shift and parenchymal and vascular abnormality. Bilateral frontal and parietal burr holes and evacuation of CSDH was done. Results The patient developed progressive blindness in both the eyes in the postoperative period. MRI revealed bilateral PCA infarction. Discussion Bilateral PCA infarction following bilateral CSDH evacuation is an extremely rare entity. Only four case of blindness following CSDH evacuation have been reported so far, and all the patients suffered permanent visual loss. The exact etiopathogenesis and mechanism of this rare complication remain unknown. Conclusion Bilateral CSDH is a separate entity with altered pathophysiology and deranged cerebral autoregulation. The authors conclude that Bilateral CSDH may be sentinel tags for bilateral PCA infarction secondary to altered hemodynamics in the posterior circulation, and hence, needs to be evaluated and treated with greater diligence.

A RARE CASE REPORT OF SUBDURAL HAEMATOMA WITH ANEMIA APLASTIC

2021 ◽  
Vol 27 (2) ◽  
pp. 124-128
Author(s):  
Feda Anisah Makkiyah ◽  
Rahmah Hida Nurrizka
Keyword(s):  
Case Report ◽  
Aplastic Anemia ◽  
Subdural Hematoma ◽  
Rare Case ◽  
Subdural Haematoma ◽  
Blood Smear ◽  
Clinical Presentation ◽  
Headache Disorder ◽  
Peripheral Blood Smear ◽  
Rare Case Report

Objective and Importance. To illustrate the development of a rare case of spontaneous subdural hematoma (SDH)  secondary to aplastic anemia and conservative treatment of SDH. Clinical Presentation. A 43-year-old male complained of severe progressive headaches that starting from one month ago. His laboratory values showed pancytopenia and his peripheral blood smear showed no abnormalities except lack of the number of erythrocytes, leukocyte, and thrombocyte and we could not find any malignancy in the smear. He experienced headache,  disorder of balance and decrease of consciousness  CT imaging of the head showed  a 7.0 cm (2 cm thickness) left frontal-parietal subdural hematoma. Conclusion. Aplastic anemia is a rare case with manifested of 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 Unilateral Oculomotor Nerve Palsy as an Initial Presentation of Bilateral Chronic Subdural Hematoma: Case Report

2013 ◽  
Vol 53 (9) ◽  
pp. 616-619 ◽  
Author(s):  
Ryosuke MATSUDA ◽  
Yasuo HIRONAKA ◽  
Hisashi KAWAI ◽  
Young-Su PARK ◽  
Toshiaki TAOKA ◽  
...  
Keyword(s):  
Case Report ◽  
Subdural Hematoma ◽  
Nerve Palsy ◽  
Chronic Subdural Hematoma ◽  
Oculomotor Nerve ◽  
Initial Presentation ◽  
Oculomotor Nerve Palsy ◽  
Bilateral Chronic Subdural Hematoma

scholarly journals Combined dural inversion with multiple burr holes for refractory chronic subdural hematoma: A case report.

2021 ◽  
Author(s):  
Tuo Li ◽  
wei zhu ◽  
Hongying Hao ◽  
Hongguang Chen ◽  
Jianning Zhang
Keyword(s):  
Case Report ◽  
Subdural Hematoma ◽  
Chronic Subdural Hematoma ◽  
Common Disease ◽  
Parietal Region ◽  
Local Hospital ◽  
Case Presentation ◽  
Surgical Method ◽  
Burr Holes ◽  
Multiple Holes

Abstract Background: Chronic subdural hematoma（CSDH） is a common disease in neurosurgery department. Burr-hole drainage is the main surgical treatment. And the recurrence rate is as high as 25%.Case presentation: In this case, a male patient with CSDH in the left frontotemporal parietal region underwent two drilling and drainage operations in the local hospital, but the hematoma recurred after operations. Being unable to bearing the repeated and progressive aggravation of headache, he came to our hospital for treatment. After considering the comprehensive situation, we use a new surgical method, removal of hematoma by drilling multiple holes in the lateral skull, to cure the patient.Conclusions: we get inspirations from the therapy for moyamoya disease, combining dura mater inversion and hole burr, the scalp forms many "meat column" like structures which have powerful capability in absorption through the bone holes, so the scalp could deep into the hematoma, then the CSDH could be cured. This case Provide a new surgical method for the treatment of refractory CSDH. Key words: CSDH R ecur Bone hole Scalp Dural mater inversion

scholarly journals Clival Subdural Hematoma after Drainage of Concomitant Intracranial and Spinal Cord Subdural Hematomas – Rare Case Report

2017 ◽  
Vol 38 (01) ◽  
pp. 060-063 ◽  
Author(s):  
Ricardo Caramanti ◽  
Ronaldo Fernandes ◽  
Eduardo Abib ◽  
Richan Elakkis ◽  
Lucas Meguins ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Back Pain ◽  
Case Report ◽  
Head Trauma ◽  
Subdural Hematoma ◽  
Rare Case ◽  
Clinical Presentation ◽  
Present Case Report ◽  
Subdural Hematomas ◽  
Rare Case Report

AbstractConcomitant traumatic spinal cord and intracranial subdural hematomas associated with a retroclival hematoma are very uncommon. Their pathophysiology is not totally elucidated, but one hypothesis is the migration of the hematoma from the head to the spine. In the present case report, the authors describe the case of a 51-year-old man presenting with headache, nauseas and back pain after a head trauma who presented with intracranial and spinal cord subdural hematomas. Drainage was performed but, 1 week later, a retroclival subdural hematoma was diagnosed. The present paper discusses the pathophysiology, the clinical presentation, as well as the complications of concomitant traumatic spinal cord and intracranial subdural hematomas associated with a retroclival hematoma, and reviews this condition.

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