Intracerebral hematoma after evacuation of chronic subdural hematoma

A case of intracerebral hemorrhage occurring after evacuation of a chronic subdural hematoma is presented. The mechanism of this complication is not clear. However, hemorrhage into previously undetected areas of contusion, damage to cerebral vasculature secondary to rapid perioperative parenchymal s...

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Bibliographic Details
Published inNeurochirurgia Vol. 31; no. 5; p. 160
Main Authors Ovül, I, Oner, K
Format Journal Article
LanguageEnglish
Published Germany 01.09.1988
Subjects
Cerebral Hemorrhage - diagnostic imaging
Chronic Disease
Female
Hematoma, Subdural - surgery
Humans
Middle Aged
Postoperative Complications - diagnostic imaging
Tomography, X-Ray Computed
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Summary:A case of intracerebral hemorrhage occurring after evacuation of a chronic subdural hematoma is presented. The mechanism of this complication is not clear. However, hemorrhage into previously undetected areas of contusion, damage to cerebral vasculature secondary to rapid perioperative parenchymal shift, and sudden increase in cerebral blood flow with focal disruption of autoregulation have been postulated as causes. Although this is a rare complication after decompressive operation for chronic subdural hematoma, it should be suspected and investigated without delay in patients who deteriorate postoperatively.
ISSN:0028-3819
DOI:10.1055/s-2008-1053926