Calcified chronic subdural hematoma with intracerebral rupture forming a subcortical hematoma

Spontaneous Acute Subdural Hematoma following Contralateral Calcified Chronic Subdural Hematoma Surgery: An Unusual Case

“…Clinical features of CCSDHs and surgical treatments are very well known, but only few papers have been reported regarding its surgical complications and association with other hematomas, such as intracerebral hematoma [2, 3, 5, 9]. Hirakawa et al [3] reported a CCSDH, which ruptured intracerebrally, forming an acute subcortical hematoma in the frontal lobe in a 59-year-old woman with long-standing liver cirrhosis.…”

“…Only few cases have been reported regarding its surgical complications [2, 3, 5, 9]. To our knowledge, spontaneous acute subdural hematoma following contralateral CCSDH surgery has not been reported previously.…”

“…Calcified chronic subdural hematoma (CCSDH) is a well-known disease to many neurosurgeons [1,2,3,4,5,6,7,8,9,10] and accounts for between 0.3–2.7% of all chronic subdural hematomas [8]. Only few cases have been reported regarding its surgical complications [2, 3, 5, 9].…”

Spontaneous Intracerebral Hemorrhage Occurring during Progression of Chronic Subdural Hematoma

“…Second, Hirakawa et al 8) reported on another type of CS-DH with direct intracerebral rupture forming an acute subcortical hematoma. They speculated that fresh bleeding into the adjacent brain parenchyma directly resulted in subcortical ICH through a rupture of the inner membrane of CSDH.…”

“…Coagulopathy, vascular malformation, aneurysm, and neoplasm have been reported as other possible cautions of SICH development associated with CSDH. 3,8,10,14) However, remote SICH that occurs during progression of CSDH has not been previously reported.…”