Contralateral acute epidural haematoma following evacuation of a chronic subdural haematoma with burr-hole craniostomy and continuous closed system drainage: a rare complication.
Chronic subdural haematoma (CSDH) is one of the most frequent causes for neurosurgical intervention. Although the prognosis is generally good and treatment modalities are well established, some devastating intracranial haematomas can complicate its evacuation. The authors report here a case of an acute epidural haematoma occurring after evacuation of a contralateral chronic subdural haematoma (CSDH) with burr-hole craniostomy and continuous closed system drainage without irrigation. Since this is a rare, but potentially life-threatening, complication, clinicians should suspect its occurrence when an unexpected postoperative course is demonstrated.
Panourias
Ioannis G
IG
Department of Neurosurgery, University of Thessaly Medical School, 80 Kyprou Street, Volos 38221, Greece. i.panourias@med.uth.gr
Skandalakis
Panajiotis N
PN
D000208:Acute Disease; D000368:Aged; D000369:Aged, 80 and over; D002404:Catheterization / Q000295:instrumentation; D002908:Chronic Disease; D003399:Craniotomy / Q000295:instrumentation / Q000379:methods*; D005260:Female; D007839:Functional Laterality / Q000502:physiology*; D015600:Glasgow Coma Scale; D006407:Hematoma, Epidural, Cranial / Q000175:diagnosis / Q000209:etiology*; D006408:Hematoma, Subdural / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D011183:Postoperative Complications; D014057:Tomography, X-Ray Computed