Cerebellar haemorrhage after repeated burr hole evacuation for chronic subdural haematoma

Hyam, Jonathan A.; Turner, J. A.; Peterson, David

doi:10.1016/j.jocn.2005.12.048

Cited by 30 publications

(24 citation statements)

References 21 publications

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“…19) Eleven cases of RCH after burr-hole trepanation for cSDH have been reported, which are summarized in Table 1, including the present case. [5][6][7][8][9][10][11][12] Mean age at diagnosis was 66 years (range 43-86 years), male individuals being affected more than twice as much as females. Hematoma location was bilateral in 54.5% and unilateral in 45.5%.…”

Section: Discussionmentioning

confidence: 99%

“…1,2) Although remote cerebellar hemorrhage (RCH) is a known complication of supratentorial and spinal surgery, 3,4) to the best of our knowledge only a few cases have been published in the computed tomography (CT) era describing RCH particularly as a postoperative event following burr-hole evacuation for cSDH. [5][6][7][8][9][10][11][12] The authors contribute another report to that list, summarize the available cases of RCH in the treatment of cSDH and review the pathophysiology of RCH.…”

Section: Introductionmentioning

confidence: 99%

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Remote Cerebellar Hemorrhage after Supratentorial Burr-Hole Trepanation for Unilateral Chronic Subdural Hematoma: Case Report

Moser¹,

Hildebrandt²

2014

NMC Case Report Journal

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Remote Cerebellar Hemorrhage after Supratentorial Burr-Hole Trepanation for Unilateral Chronic Subdural Hematoma: Case Report

Moser¹,

Hildebrandt²

2014

NMC Case Report Journal

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“…Los HCD han sido descritos como complicación de cirugía intracraneal 4,6,8,10,12,[16][17][18]22,23,27,31,[34][35][36][37][38] . Las intervenciones donde se describe con más frecuencia este tipo de complicación son la lobectomía temporal o frontal para el tratamiento de la epilepsia o la cirugía de aneurismas 10, 16,31,34 .…”

Section: Discussionunclassified

“…Sin embargo se han descrito otras más graves, como infecciones 1,20,28 , neumoencéfalo 1,14 , parálisis de cuerda vocal 28 , infarto cerebral 28 , hemorragias cerebrales múltiples 29 o herniación transtentorial 3,32 . A su vez los HCD han sido descritos como una complicación rara tras cirugía supratentorial 4,6,8,10,12,[16][17][18]22,23,27,31,34,35,[36][37][38] y, menos frecuentemente tras cirugía raquídea con apertura dural 2,7,9,11,13,19,21,25,26,30,33 , aparentemente en relación con la pérdida de LCR.…”

Section: Introductionunclassified

Hematomas de cerebelo como complicación de drenaje lumbar: Presentación de dos casos y revisión de la literatura

et al. 2008

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ResumenLos hematomas de cerebelo a distancia (HCD) son una complicación rara, consistente en la aparición de un hematoma en el cerebelo tras intervenciones quirúrgicas en áreas que no guardan relación anatómica con él. Esta complicación ha sido descrita tras cirugía supratentorial y, menos frecuentemente, tras cirugía raquídea con apertura dural con importante pérdida de líquido cefalorraquídeo (LCR).Presentamos dos pacientes con un hematoma de cerebelo tras la colocación de un drenaje lumbar externo (DLE) por sospecha diagnóstica de hidrocefalia crónica del adulto (HCA). Ambos evolucionaron favorablemente tras la retirada de los DLE. Así mismo, realizamos una revisión de la literatura sobre los mecanismos etiopatogénicos, diagnóstico, tratamiento y pronóstico de los HCD.PALABRAS CLAVE: Drenaje lumbar. Hematoma de cerebelo. Hematomas a distancia. Hidrocefalia crónica del adulto. Hidrocefalia normotensiva. Remote cerebellar hemorrhage after lumbar spinal fluid drainage. Report of two cases and literature review SummaryRemote cerebellar hematoma, a cerebellar hematoma occurring after performing a surgical procedure in an anatomical distant area from the cerebellum, is a rare complication. It has been reported after supratentorial surgery and, less often, after spinal surgery with dural opening with important loss of cerebrospinal fluid. We report the occurrence of remote cerebellar hemorrhage after lumbar spinal fluid drainage in two patients with suspected normal pressure hydrocephalus. They were managed conservatively with good outcome. We review the pathologic mechanism, diagnostic procedures, management and prognosis of remote cerebellar hemorrhage.

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“…2,11,18,24,25) Intracranial hematomas following burr hole drainage may occur either close to or remote from the original site, but hemorrhage in the brain stem secondary to the surgery is extremely rare. 2,4,8,14) We treated a 76-yearold man who suffered brain stem hemorrhage after bilateral CSDH evacuation, who fortunately recovered with only mild gait disturbance.…”

Section: Introductionmentioning

confidence: 99%

Brain Stem Hemorrhage Following Burr Hole Drainage for Chronic Subdural Hematoma -Case Report-

Park

Kang

Lee

et al. 2009

Neurol. Med. Chir.(Tokyo)

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A 76-year-old man presented with brain stem hemorrhage after burr-hole drainage for bilateral chronic subdural hematomas. Neuroimaging demonstrated resolution of the transtentorial herniation but also detected new brain stem hemorrhage, manifesting as gait disturbance. He recovered after conservative treatment. Asymmetrical and rapid decompression, which leads to vascular disruption and/or sudden increase in cerebral blood flow, was probably responsible for the secondary brain stem hemorrhage. Therefore, simultaneous and bilateral decompression with a slow rate of evacuation of massive bilateral chronic subdural hematomas is recommended to prevent serious complications such as secondary intracranial hematoma.

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Cerebellar haemorrhage after repeated burr hole evacuation for chronic subdural haematoma

Cited by 30 publications

References 21 publications

Remote Cerebellar Hemorrhage after Supratentorial Burr-Hole Trepanation for Unilateral Chronic Subdural Hematoma: Case Report

Remote Cerebellar Hemorrhage after Supratentorial Burr-Hole Trepanation for Unilateral Chronic Subdural Hematoma: Case Report

Hematomas de cerebelo como complicación de drenaje lumbar: Presentación de dos casos y revisión de la literatura

Brain Stem Hemorrhage Following Burr Hole Drainage for Chronic Subdural Hematoma -Case Report-

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