Spontaneous Intracerebral Hemorrhage Occurring during Progression of Chronic Subdural Hematoma

Abstract

Spontaneous intracerbral hemorrhage (SICH) and chronic subdural hematoma (CSDH) represent the most common types of intracranial hematoma. However, SICH during the progression of CSDH is a very rare disease entity due to etiologic differences. The purpose of this report is to alert neurosurgeons to the existence of this condition and to consider possible mechanisms. An 87-year-old man presented with a sudden onset of headache, followed by quadriparesis. Brain computed tomography scan revealed CSDH in the left hemisphere and remote SICH in the right basal ganglia. CSDH was treated with burr hole drainage, however, the deep parenchymal hematoma was treated conservatively. The patient had a progressive recovery with a good outcome. We recently experienced a case of SICH that occurred during the progression of CSDH. To our knowledge, this is the first reported case of SICH occurring during the progression of CSDH. (J Kor Neurotraumatol Soc 2011;7:43-46)

Intracerebral Hematoma Following Evacuation of Chronic Subdural Hematoma: A Case Report and Review of Literature

“…5 Symptoms caused by the ICH appeared either immediately 6 or several days after surgery, 7 with life-threatening consequences in roughly 50% of patients. 5 Choi et al 8 in their paper emphasized three different mechanisms for development of SICH with CSDH. First and the most common type is SICH occurring during or after evacuation of CSDH.…”