Postoperative hematoma involving brainstem, peduncles, cerebellum, deep subcortical white matter, cerebral hemispheres following chronic subdural hematoma evacuation.
| Autor: | Patibandla MR; Department of Neurosurgery, Nizam's Institute of Medical Sciences, Hyderabad, Telangana, India., Thotakura AK; NRI Medical College, Mangalagiri, Andhra Pradesh, India., Shukla D; Department of Neurosurgery, Nizam's Institute of Medical Sciences, Hyderabad, Telangana, India., Purohit AK; Department of Neurosurgery, Nizam's Institute of Medical Sciences, Hyderabad, Telangana, India., Addagada GC; Department of Neurosurgery, Nizam's Institute of Medical Sciences, Hyderabad, Telangana, India., Nukavarapu M; Guntur Medical College, Guntur, Andhra Pradesh, India. |
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| Jazyk: | angličtina |
| Zdroj: | Asian journal of neurosurgery [Asian J Neurosurg] 2017 Apr-Jun; Vol. 12 (2), pp. 259-262. |
| DOI: | 10.4103/1793-5482.144163 |
| Abstrakt: | Among the intracranial hematomas, chronic subdural hematomas (CSDH) are the most benign with a mortality rate of 0.5-4.0%. The elderly and alcoholics are commonly affected by CSDH. Even though high percentage of CSDH patients improves after the evacuation, there are some unexpected potential complications altering the postoperative course with neurological deterioration. Poor outcome in postoperative period is due to complications like failure of brain to re-expand, recurrence of hematoma and tension pneumocephalus. We present a case report with multiple intraparenchymal hemorrhages in various locations like brainstem, cerebral and cerebellar peduncles, right cerebellar hemisphere, right thalamus, right capsulo-ganglionic region, right corona radiata and cerebral hemispheres after CSDH evacuation. Awareness of this potential problem and the immediate use of imaging if the patient does not awake from anesthesia or if he develops new onset focal neurological deficits, are the most important concerns to the early diagnosis of this rare complication. Competing Interests: There are no conflicts of interest. |
| Databáze: | MEDLINE |
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