Cerebral Swelling and Ventricular Alterations Following Evacuation of Intracranial Extracerebral Hematoma

Cook, Albert W.; Browder, E. Jefferson; Carter, W B

doi:10.3171/jns.1962.19.5.0419

Cited by 23 publications

(6 citation statements)

References 1 publication

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“…Many pathological events may contribute to the development of an ICH after the evacuation of a chronic subdural hematoma. For example, damage to the cerebral vasculature secondary to perioperative parenchymal shift, a sudden increase in blood flow combined with defective vascular autoregulation, and hemorrhage into a previously undetected contusion have been proposed to explain the occurrence of delayed intracranial hematomas or SDH1,2,7). This mechanism is supported by several pathologic findings.…”

Section: Discussionmentioning

confidence: 95%

Intracerebral Hemorrhage Following Evacuation of a Chronic Subdural Hematoma

Kim

2013

J Korean Neurosurg Soc

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Burr hole drainage has been widely used to treat chronic subdural hematomas (SDH), and most of them are easily treated by simple trephination and drainage. However, various complications, such as, hematoma recurrence, infection, seizure, cerebral edema, tension pneumocephalus and failure of the brain to expand due to cerebro-cranial disproportion may develop after chronic SDH drainage. Among them, intracerebral hemorrhage after evacuation of a recurrent chronic SDH is very rare. Here, we report a fatal case of delayed intracerebral hemorrhage caused by coagulopathy following evacuation of a chronic SDH. Possible pathogenic mechanisms of this unfavorable complication are discussed and a review of pertinent literature is included.

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Section: Discussionmentioning

confidence: 95%

Intracerebral Hemorrhage Following Evacuation of a Chronic Subdural Hematoma

Kim

2013

J Korean Neurosurg Soc

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“…aging of the cerebral vascular tree may not tolerate a sudden restoration of normal perfusion pressure in areas of deranged cerebral vascular autoregulation (5,10). The second hypothesis was suggested by Savadekar and Salunke.…”

Section: Discussionmentioning

confidence: 99%

Isolated Intraventricular Hemorrhage Following Evacuation of Chronic-Subacute Subdural Hemorrhage: A Case Report

Kızılay¹,

Aydin²,

Yılmaz³

et al. 2018

meandros

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Chronic subdural hemorrhage is commonly encountered in the elderly. However, the outcomes of surgery for chronic subdural hemorrhage are frequently benign, surgeons may sometimes encounter unexpected complications after evacuation of chronic subdural hemorrhage such as isolated intraventricular hemorrhage. A few hypotheses have been developed to explain this phenomenon. Here, we present a case report and explain this phenomenon with new a hypothesis.

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“…[2,3] The azygous ACA may be associated with malformations like holoprosencephaly, agenesis of corpus callosum, meningoceles, lipoma, arachnoid cyst, and porencephalic cyst. [4][5][6][7] In the available literature, the association of an azygous ACA with a coexisting suprasellar tumor has not been described. The association of an azygous ACA with an anterior cranial fossa meningioma, as seen in our patient, may be coincidental.…”

Section: Sirmentioning

confidence: 99%

“…[6] Damage to the cerebral vasculature secondary to a perioperative parenchymal shift, a sudden increase in the blood flow combined with a defective vascular autoregulation, and hemorrhage into a previously undetected contusion have also been proposed to explain the occurrence of a delayed intracerebral hematoma or a SDH. [7,8] Long-term use of antiplatelet agents may lead to an altered coagulation state and precipitate a remote hemorrhage. [9] A slow evacuation of the hematoma is, therefore, of paramount importance and can reduce the incidence of this catastrophic complication.…”

Section: Sirmentioning

confidence: 99%