Postoperative intracerebral and intraventricular hemorrhages following removal of a chronic subdural hematoma.
We report a patient with multiple intracerebral and intraventricular hemorrhages after removal of bilateral chronic subdural hematomas (CSDH). Possible mechanisms include a sudden increase in cerebral blood flow within fragile cerebral vessels following decompression of CSDH, defective vascular autoregulation, and damage to the cerebral vascular tree. Clinical awareness of this complication and slow decompression of CSDH are stressed.
Muneza
Sévérien
S
Department of Surgery, Centre Hospitalier Universitaire de Kigali, Nyarugenge, Kigali, Rwanda. severien.muneza@chukigali.org
Rasoloherimampiononiaina
M Rampanjato
MR
Nduwamariya
Marie Jeanne
MJ
D000369:Aged, 80 and over; D002533:Cerebral Angiography / Q000379:methods; D002543:Cerebral Hemorrhage / Q000209:etiology*; D020200:Hematoma, Subdural, Chronic / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D019635:Neurosurgical Procedures / Q000009:adverse effects*; D011183:Postoperative Complications; D014057:Tomography, X-Ray Computed / Q000379:methods