Spontaneous bilateral subdural haematomas in the posterior cranial fossa revealed by MRI

Bilateral posterior fossa chronic subdural hematoma treated with craniectomy: Case report and review of the literature

“…[ 5 13 ] Like sCSH, pCSH may have a nontraumatic origin and be due to convex arteriovenous malformations, aneurysms, other cerebrovascular lesions, disordered coagulation in patients receiving anticoagulation and/or antiplatelet treatment, brain tumors, and intracranial hypotension. [ 5 12 13 ] In fact, many of the previously reported patients with pCSH manifested disordered coagulation due to anticoagulant and/or antiplatelet therapy and had no past history of trauma. [ 9 ]…”

“…[ 4 ] As shown in Table 1 , the number of patients with a preoperative diagnosis of pCSH has increased in the CT era ( n = 13, including our patients). [ 2 5 7 8 10 11 12 13 14 ]…”

“…[ 2 5 7 12 13 ] Reported treatments are conservative, craniectomy, and burr hole craniostomy. [ 1 2 5 7 8 10 11 12 13 14 ] Short-term closed drainage with the drainage tube placed in the hematoma has been used in surgically treated patients. As shown in Table 1 , the clinical treatment outcome was satisfactory in the previously-reported and our patient ( n = 13); based on the GOS, 11 patients enjoyed a good outcome and 2 experienced mild disturbances.…”

“…As shown in Table 1 , the clinical treatment outcome was satisfactory in the previously-reported and our patient ( n = 13); based on the GOS, 11 patients enjoyed a good outcome and 2 experienced mild disturbances. [ 10 12 ]…”

“…Posterior fossa CSHs (pCSHs) are rare, their diagnosis is difficult, and their pathogenesis is not well understood. [ 1 5 7 12 13 ] No standard treatments have been established. [ 10 14 ] We encountered unexpected, but easily stopped intraoperative bleeding in a patient with pCSH who underwent craniectomy.…”