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J Korean Neurosurg S · Feb 2013
Intracerebral hemorrhage following evacuation of a chronic subdural hematoma.
- Jong Kyu Kim, Seok Won Kim, and Sung Hoon Kim.
- Department of Neurosurgery, College of Medicine, Chosun University, Gwangju, Korea.
- J Korean Neurosurg S. 2013 Feb 1; 53 (2): 108-11.
AbstractBurr hole drainage has been widely used to treat chronic subdural hematomas (SDH), and most of them are easily treated by simple trephination and drainage. However, various complications, such as, hematoma recurrence, infection, seizure, cerebral edema, tension pneumocephalus and failure of the brain to expand due to cerebro-cranial disproportion may develop after chronic SDH drainage. Among them, intracerebral hemorrhage after evacuation of a recurrent chronic SDH is very rare. Here, we report a fatal case of delayed intracerebral hemorrhage caused by coagulopathy following evacuation of a chronic SDH. Possible pathogenic mechanisms of this unfavorable complication are discussed and a review of pertinent literature is included.
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