title: [Chronic subdural hematoma (CSH) complicated by bilateral occipital lobe infarction: two case reports].
abstract: Chronic subdural hematoma (CSH) is a common disease that is treated with burr hole drainage by neurosurgeons. The outcome of CSH is mostly favorable. We treated 2 cases with bilateral occipital lobe infarction due to CSH. A 57-year-old woman was ambulatory when she visited a clinic for evaluation of headache. One hour after the CT was taken, she developed acute impairment of consciousness, so that she was referred to our hospital. The second patient was a 73-year-old woman with a history of depression who was involved in a traffic accident 5 weeks before admission to our hospital. She was at first admitted to a psychiatric hospital for evaluation of gait disturbance. Three weeks after she was admitted to the psychiatric hospital, she fell into a coma. She was referred to our hospital. Their brain CT on admission revealed compressed ambient and interpeduncular cistern and bilateral CSH. Although burr hole drainage surgery was performed, the 2 patients developed severe sequelae due to occipital lobe infarction caused by central transtentorial herniation.
authors.affiliation: Department of Neurosurgery, Hirosaki University Graduate School of Medicine, Hiroshaki-city, Aomori, Japan.
authors.forename: Kanae
authors.initials: K
authors.lastname: Kudo
authors.forename: Masato
authors.initials: M
authors.lastname: Naraoka
authors.forename: Norihito
authors.initials: N
authors.lastname: Shimamura
authors.forename: Hiroki
authors.initials: H
authors.lastname: Ohkuma
mesh_terms: D000368:Aged; D005260:Female; D020200:Hematoma, Subdural, Chronic / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007238:Infarction / Q000150:complications / Q000601:surgery*; D008875:Middle Aged; D009778:Occipital Lobe / Q000601:surgery*; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome