Display options
Share it on

Surg Neurol Int. 2016 May 06;7:S255-8. doi: 10.4103/2152-7806.181979. eCollection 2016.

Bilateral posterior fossa chronic subdural hematoma treated with craniectomy: Case report and review of the literature.

Surgical neurology international

Yushin Takemoto, Jun Matsumoto, Kazutaka Ohta, Shu Hasegawa, Masaki Miura, Jun-Ichi Kuratsu

Affiliations

  1. Department of Neurosurgery, Kumamoto City Hospital, Kumamoto, Japan.
  2. Department of Neurosurgery, Kumamoto Red Cross Hospital, Kumamoto, Japan.
  3. Department of Neurosurgery, Kumamoto University, Kumamoto, Japan.

PMID: 27213111 PMCID: PMC4866054 DOI: 10.4103/2152-7806.181979

Abstract

BACKGROUND: Posterior chronic subdural hematomas (pCSHs) are rare. Their diagnosis and treatment are difficult.

DESCRIPTION: A 69-year-old woman was admitted to our hospital with nausea, headache, and mild consciousness disturbance. Computed tomography and magnetic resonance imaging showed bilateral pCSH. To prevent further neurological deterioration, we performed surgery under general anesthesia by midline suboccipital craniectomy. Unexpected bleeding from a developed circuitous occipital sinus was stopped with hemoclips. After hematoma removal, she recovered and was transferred to a rehabilitation hospital. By the 19(th) postoperative day, she had developed no neurologic deficits.

CONCLUSION: This experience demonstrates the risk of blind surgical therapy in patients with pCSH. In such patients, posterior fossa craniectomy may be preferable in terms of diagnosis and safe treatment.

Keywords: Chronic subdural hematoma; craniectomy; posterior fossa

References

  1. J Neuroradiol. 2007 Jul;34(3):213-5 - PubMed
  2. J Neurosurg. 1970 Sep;33(3):307-11 - PubMed
  3. Clin Neurol Neurosurg. 2013 Oct;115(10 ):2236-9 - PubMed
  4. Br J Neurosurg. 2004 Feb;18(1):8-18 - PubMed
  5. J Neurosurg. 1965 May;22(5):465-73 - PubMed
  6. Acta Neurochir (Wien). 2002 May;144(5):497-500 - PubMed
  7. J Neurol Neurosurg Psychiatry. 1994 Jul;57(7):830-1 - PubMed
  8. Acta Neurochir (Wien). 1998;140(10):1097-8 - PubMed
  9. J Neurol Neurosurg Psychiatry. 1971 Feb;34(1):82-5 - PubMed
  10. Eur J Radiol. 1993 Apr;16(3):183-5 - PubMed
  11. Neurosurgery. 1984 Aug;15(2):241-2 - PubMed
  12. Neurol Med Chir (Tokyo). 2012;52(11):822-5 - PubMed
  13. Neuroradiology. 2003 Aug;45(8):550-2 - PubMed
  14. Zh Vopr Neirokhir Im N N Burdenko. 1999 Jan-Mar;(1):30-1 - PubMed
  15. Arq Neuropsiquiatr. 2004 Mar;62(1):170-2 - PubMed

Publication Types