Cerebellar haemorrhage after repeated burr hole evacuation for chronic subdural haematoma.
We report a 79-year-old man whose third burr hole craniotomy evacuation for recurrent chronic subdural haematoma (CSDH) was complicated by cerebellar haemorrhage. The patient died 9 days later. Two previously documented cases in which this complication arose after evacuation of extra-axial collections also resulted in death. Remote cerebellar haemorrhage is a rare complication of neurosurgery but is associated with high mortality. This complication should be considered among the differential diagnoses after neurological deterioration following CSDH evacuation.
Hyam
Jonathan A
JA
Department of Neurosurgery, Charing Cross Hospital, Fulham Palace Road, London, W6 8RF, United Kingdom. jhyam25@hotmail.com
Turner
Jonathan
J
Peterson
David
D
D000368:Aged; D002531:Cerebellum / Q000293:injuries*; D002543:Cerebral Hemorrhage / Q000175:diagnosis / Q000209:etiology*; D003399:Craniotomy / Q000009:adverse effects; D017809:Fatal Outcome; D015600:Glasgow Coma Scale; D020200:Hematoma, Subdural, Chronic / Q000601:surgery*; D006801:Humans; D008297:Male; D019635:Neurosurgical Procedures; D011183:Postoperative Complications / Q000175:diagnosis / Q000473:pathology*; D014057:Tomography, X-Ray Computed