title: Tiger hide appearance: Impaction and prolapse of brain parenchyma through burr holes after evacuation of bilateral chronic subdural hematoma: A rare case report.
abstract: Burr hole evacuation of chronic subdural hematoma (SDH) with or without drainage system is the most common surgical method among various techniques. There are various complications of burr hole drainage evacuation of chronic SDH, but there is no case report regarding impaction and prolapse of brain parenchyma through burr hole as a complication. Herewith, we are reporting a case of bilateral chronic SDH with prolapse of brain parenchyma through burr holes. Magnetic resonance imaging (MRI) of brain showed a characteristic look and we named it "Tiger hide appearance". We failed to find such characteristic appearance in MRI brain on reviewing the available literature.
authors.affiliation: Department of Neurosurgery, SMS Medical College and Hospital, JLN Marg, Jaipur, Rajasthan, India.
authors.forename: Manish
authors.initials: M
authors.lastname: Jaiswal
authors.affiliation: Department of Neurosurgery, SMS Medical College and Hospital, JLN Marg, Jaipur, Rajasthan, India.
authors.forename: Ashok
authors.initials: A
authors.lastname: Gandhi
authors.affiliation: Department of Neurosurgery, SMS Medical College and Hospital, JLN Marg, Jaipur, Rajasthan, India.
authors.forename: Devendra
authors.initials: D
authors.lastname: Purohit
authors.affiliation: Department of Neurosurgery, SMS Medical College and Hospital, JLN Marg, Jaipur, Rajasthan, India.
authors.forename: R S
authors.initials: RS
authors.lastname: Mittal
keywords: Burr hole; chronic subdural hematoma; tiger hide appearance