Brain stem hemorrhage after burr hole drainage of chronic subdural hematoma; report of two cases

Autor: Blanca Martínez-Guerrero, Luis Martinez-Escalante, Ricardo Ortega-Valencia
Rok vydání: 2022
Předmět:
Zdroj: Interdisciplinary Neurosurgery, Vol 27, Iss, Pp 101386-(2022)
ISSN: 2214-7519
DOI: 10.1016/j.inat.2021.101386
Popis: Background Brain stem hemorrhage after burr hole drainage of chronic subdural hematoma is a very rare complication with only 11 cases reported. Case report: We present two cases of male patients, both over sixty years old who presented with chronic subdural hematoma and developed brain stem hemorrhage limited to the middle mesencephalic region after burr hole draining. Conclusion Surgical drainage of chronic subdural hematoma must be carefully done especially when there is a great midline shift. Because of the local blood flow changes in the brain stem, any sudden decompression will increase the risk of bleeding.
Databáze: OpenAIRE