Display options
Cite
Rusconi A, Sangiorgi S, Bifone L, et al. Infrequent Hemorrhagic Complications Following Surgical Drainage of Chronic Subdural Hematomas. J Korean Neurosurg Soc. 2015;57(5):379-85doi: 10.3340/jkns.2015.57.5.379.
Rusconi, A., Sangiorgi, S., Bifone, L., & Balbi, S. (2015). Infrequent Hemorrhagic Complications Following Surgical Drainage of Chronic Subdural Hematomas. Journal of Korean Neurosurgical Society, 57(5), 379-85. https://doi.org/10.3340/jkns.2015.57.5.379
Rusconi, Angelo, et al. "Infrequent Hemorrhagic Complications Following Surgical Drainage of Chronic Subdural Hematomas." Journal of Korean Neurosurgical Society vol. 57,5 (2015): 379-85. doi: https://doi.org/10.3340/jkns.2015.57.5.379
Rusconi A, Sangiorgi S, Bifone L, Balbi S. Infrequent Hemorrhagic Complications Following Surgical Drainage of Chronic Subdural Hematomas. J Korean Neurosurg Soc. 2015 May;57(5):379-85. doi: 10.3340/jkns.2015.57.5.379. Epub 2015 May 31. PMID: 26113968; PMCID: PMC4479722.
Copy Download .nbib Format: NLM
Share it on

J Korean Neurosurg Soc. 2015 May;57(5):379-85. doi: 10.3340/jkns.2015.57.5.379. Epub 2015 May 31.

Infrequent Hemorrhagic Complications Following Surgical Drainage of Chronic Subdural Hematomas.

Journal of Korean Neurosurgical Society

Angelo Rusconi, Simone Sangiorgi, Lidia Bifone, Sergio Balbi

Affiliations

  1. Department of Life Sciences, University of Insubria, Varese, Italy.
  2. Neurosurgical Unit, Ospedale di Circolo, Varese, Italy.

PMID: 26113968 PMCID: PMC4479722 DOI: 10.3340/jkns.2015.57.5.379

Abstract

Chronic subdural hematomas mainly occur amongst elderly people and usually develop after minor head injuries. In younger patients, subdural collections may be related to hypertension, coagulopathies, vascular abnormalities, and substance abuse. Different techniques can be used for the surgical treatment of symptomatic chronic subdural hematomas : single or double burr-hole evacuation, with or without subdural drainage, twist-drill craniostomies and classical craniotomies. Failure of the brain to re-expand, pneumocephalus, incomplete evacuation, and recurrence of the fluid collection are common complications following these procedures. Acute subdural hematomas may also occur. Rarely reported hemorrhagic complications include subarachnoid, intracerebral, intraventricular, and remote cerebellar hemorrhages. The causes of such uncommon complications are difficult to explain and remain poorly understood. Overdrainage and intracranial hypotension, rapid brain decompression and shift of the intracranial contents, cerebrospinal fluid loss, vascular dysregulation and impairment of venous outflow are the main mechanisms discussed in the literature. In this article we report three cases of different post-operative intracranial bleeding and review the related literature.

Keywords: Chronic subdural hematoma; Head trauma; Remote cerebellar hemorrhage; Subarachnoid hemorrhage

References

  1. J Neurosurg. 2005 Jun;102(6):1159-62 - PubMed
  2. Surg Neurol. 1996 Mar;45(3):272-7 - PubMed
  3. J Clin Neurosci. 2007 Jan;14(1):83-6 - PubMed
  4. Clin Neurol Neurosurg. 2013 Apr;115(4):425-31 - PubMed
  5. Clin Neurosurg. 1978;25:651-72 - PubMed
  6. Anesth Analg. 1993 Feb;76(2):432-3 - PubMed
  7. J Korean Neurosurg Soc. 2009 Dec;46(6):592-5 - PubMed
  8. Int J Surg Case Rep. 2013;4(10):834-6 - PubMed
  9. Neurosurgery. 2003 Dec;53(6):1315-26; discussion 1326-7 - PubMed
  10. J Korean Neurosurg Soc. 2013 Feb;53(2):108-11 - PubMed
  11. Acta Neurochir (Wien). 2008 May;150(5):497-9; discussion 499 - PubMed
  12. Surg Neurol. 1997 Jan;47(1):12-4; discussion 14-5 - PubMed
  13. J Korean Neurosurg Soc. 2009 Aug;46(2):136-43 - PubMed
  14. Neurosurgery. 1982 Jun;10 (6 Pt 1):689-93 - PubMed
  15. Neurosurgery. 1988 Feb;22(2):411-3 - PubMed
  16. Acta Neurochir (Wien). 2006 Sep;148(9):993-6 - PubMed
  17. Kurume Med J. 2004;51(2):163-7 - PubMed
  18. J Clin Neurosci. 2013 Mar;20(3):389-93 - PubMed
  19. Acta Neurochir (Wien). 1989;97(1-2):31-9 - PubMed
  20. Br J Neurosurg. 1991;5(5):467-73 - PubMed
  21. Neurol Med Chir (Tokyo). 2001 Aug;41(8):371-81 - PubMed
  22. Cerebellum. 2006;5(1):64-8 - PubMed
  23. J Neurol Neurosurg Psychiatry. 2003 Jun;74(6):752-5 - PubMed
  24. J Neurosurg Sci. 2009 Jun;53(2):55-7 - PubMed
  25. Acta Neurochir (Wien). 1980;52(1-2):55-9 - PubMed
  26. Med Sci Sports Exerc. 2003 Jan;35(1):65-8 - PubMed
  27. Minerva Anestesiol. 1998 Apr;64(4):149-53 - PubMed
  28. Surg Neurol. 2000 Aug;54(2):155-9 - PubMed
  29. Clin Neurol Neurosurg. 2005 Apr;107(3):223-9 - PubMed
  30. Neurol Res. 2012 Jun;34(5):422-9 - PubMed
  31. Clin Neurosurg. 1976;23:465-82 - PubMed
  32. Cerebellum. 2012 Dec;11(4):880-6 - PubMed
  33. Surg Neurol. 1997 May;47(5):418-22 - PubMed
  34. J Neurosurg. 1975 Jan;42(1):43-6 - PubMed

Publication Types