Cargando…

Acute parenchymal hemorrhage of three cases report after burr hole drainage of chronic subdural hematoma

Chronic subdural hematoma (CSDH) is one of the most common neurological diseases, which mainly occurs among elderly people and usually develop after minor head injuries. Over the years, a simple burr hole evacuation of the hematoma has been accepted as the widespread method for most cases of CSDH, b...

Descripción completa

Detalles Bibliográficos
Autores principales: Wang, Yang, Wei, Xiangping
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The African Field Epidemiology Network 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6462374/
https://www.ncbi.nlm.nih.gov/pubmed/31037200
http://dx.doi.org/10.11604/pamj.2018.31.140.13982
_version_ 1783410611354337280
author Wang, Yang
Wei, Xiangping
author_facet Wang, Yang
Wei, Xiangping
author_sort Wang, Yang
collection PubMed
description Chronic subdural hematoma (CSDH) is one of the most common neurological diseases, which mainly occurs among elderly people and usually develop after minor head injuries. Over the years, a simple burr hole evacuation of the hematoma has been accepted as the widespread method for most cases of CSDH, but acute parenchymal hemorrhage is a rare and deadly complication after surgery. We report three elderly cases of post-operative parenchymal hemorrhage and analyse the underlying factors and formulate relevant strategies in this article. Three advanced age patients had been admitted to our department with gradually increasing headache and limb activity disorder urgently and underwent an emergency operation of burr hole drainage of CSDH in frontal-temporal region after preoperative evaluations and examinations. Unfortunately, acute post-operative parenchymal hemorrhage occurred in three advanced age patients. Ultimately, the patients achieved satisfying outcome with no significant neurological deficit through conservative treatment. The exact mechanism of such uncommon complications are difficult to explain and remain poorly understood. Advanced age, hypertension, amyloidosis, high perfusion triggered by rapid hematoma release, cerebrospinal fluid (CSF) loss, oral anticoagulant, primary disease aggravation were the main mechanisms which were speculated in our report. Simultaneously, positive measures could be adopt to prevent this rare complication.
format Online
Article
Text
id pubmed-6462374
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher The African Field Epidemiology Network
record_format MEDLINE/PubMed
spelling pubmed-64623742019-04-29 Acute parenchymal hemorrhage of three cases report after burr hole drainage of chronic subdural hematoma Wang, Yang Wei, Xiangping Pan Afr Med J Case Report Chronic subdural hematoma (CSDH) is one of the most common neurological diseases, which mainly occurs among elderly people and usually develop after minor head injuries. Over the years, a simple burr hole evacuation of the hematoma has been accepted as the widespread method for most cases of CSDH, but acute parenchymal hemorrhage is a rare and deadly complication after surgery. We report three elderly cases of post-operative parenchymal hemorrhage and analyse the underlying factors and formulate relevant strategies in this article. Three advanced age patients had been admitted to our department with gradually increasing headache and limb activity disorder urgently and underwent an emergency operation of burr hole drainage of CSDH in frontal-temporal region after preoperative evaluations and examinations. Unfortunately, acute post-operative parenchymal hemorrhage occurred in three advanced age patients. Ultimately, the patients achieved satisfying outcome with no significant neurological deficit through conservative treatment. The exact mechanism of such uncommon complications are difficult to explain and remain poorly understood. Advanced age, hypertension, amyloidosis, high perfusion triggered by rapid hematoma release, cerebrospinal fluid (CSF) loss, oral anticoagulant, primary disease aggravation were the main mechanisms which were speculated in our report. Simultaneously, positive measures could be adopt to prevent this rare complication. The African Field Epidemiology Network 2018-10-25 /pmc/articles/PMC6462374/ /pubmed/31037200 http://dx.doi.org/10.11604/pamj.2018.31.140.13982 Text en © Yang Wang et al. http://creativecommons.org/licenses/by/2.0/ The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Wang, Yang
Wei, Xiangping
Acute parenchymal hemorrhage of three cases report after burr hole drainage of chronic subdural hematoma
title Acute parenchymal hemorrhage of three cases report after burr hole drainage of chronic subdural hematoma
title_full Acute parenchymal hemorrhage of three cases report after burr hole drainage of chronic subdural hematoma
title_fullStr Acute parenchymal hemorrhage of three cases report after burr hole drainage of chronic subdural hematoma
title_full_unstemmed Acute parenchymal hemorrhage of three cases report after burr hole drainage of chronic subdural hematoma
title_short Acute parenchymal hemorrhage of three cases report after burr hole drainage of chronic subdural hematoma
title_sort acute parenchymal hemorrhage of three cases report after burr hole drainage of chronic subdural hematoma
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6462374/
https://www.ncbi.nlm.nih.gov/pubmed/31037200
http://dx.doi.org/10.11604/pamj.2018.31.140.13982
work_keys_str_mv AT wangyang acuteparenchymalhemorrhageofthreecasesreportafterburrholedrainageofchronicsubduralhematoma
AT weixiangping acuteparenchymalhemorrhageofthreecasesreportafterburrholedrainageofchronicsubduralhematoma