Download PDF
CC BY-NC-ND 4.0 · Indian Journal of Neurotrauma 2021; 18(01): 63-65
DOI: 10.1055/s-0040-1713723
Case Report

Tricompartmental, Remote Intracerebral Hemorrhages Following Drainage of a Unilateral Chronic Subdural Hematoma: An Appraisal of the Pathogenesis

Prasad Krishnan
1  Department of Neurosurgery, National Neurosciences Centre, Kolkata, West Bengal, India
,
Nabanita Ghosh
2  Department of Neuroanesthesiology, National Neurosciences Centre, Kolkata, West Bengal, India
› Author Affiliations Funding None.
› Further Information
  Permissions and Reprints

Abstract

Intracerebral hemorrhage is a rare and unanticipated complication after burr hole drainage of a chronic subdural hematoma and usually occurs on the same side as the hematoma. In the absence of bleeding diathesis, iatrogenic injury or hypertension, it is commonly attributed to sudden expansion of the compressed brain, following rapid and uncontrolled removal of the subdural hematoma. Other factors like differential expansion of the various intracranial contents, abrupt changes in hemispheric balance, precipitous increase in focal cerebral blood flow, and unforeseen increase in cerebral venous pressure consequent to faulty positioning may also contribute to the pathogenesis of this complication.

Keywords

chronic subdural hematoma - burr hole - complications - remote hemorrhage - pathogenesis


Publication History

Publication Date:
09 September 2020 (online)

© 2020. Neurotrauma Society of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India