Contralateral acute interdural haematoma occurring after burr hole drainage of chronic subdural haematoma.
We report the case of a 78-year-old man with chronic subdural haematoma (CSDH) who presented with impairment in recent memory and gait disturbance. He underwent burr-hole craniostomy with a closed-drainage system. A computed tomography scan conducted on postoperative day 3 demonstrated an acute epidural haematoma over the contralateral frontoparietal convexity. Craniotomy and haematoma evacuation were immediately performed. The haematoma was located between the outer and inner dura mater that each comprise a single layer. To our knowledge, this is the first reported case of an acute haematoma located between the separated dura mater that occurred following drainage of a contralateral CSDH, and it is the second reported case of interdural haematoma over the cerebral convexity.
Eom
Ki Seong
KS
Department of Neurosurgery, Wonkwang University college of Medicine, Iksan, Korea. jtpark@wonkwang.ac.kr
Kim
Tae Young
TY
Park
Jong Tae
JT
D000368:Aged; D003399:Craniotomy / Q000009:adverse effects*; D004322:Drainage / Q000009:adverse effects; D020199:Hematoma, Subdural, Acute / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D020200:Hematoma, Subdural, Chronic / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed