J Korean Neurotraumatol Soc.  2011 Apr;7(1):39-42. 10.13004/jknts.2011.7.1.39.

"Contralateral" Acute Subdural and Intracerebral Hemorrhage Occurring Simultaneously after Evacuation of Huge Chronic Subdural Hematoma

Affiliations
  • 1Department of Neurosurgery, National Medical Center, Seoul, Korea. chsjwa@hanmail.net

Abstract

We report an uncommon case of "contralateral" acute subdural hematoma (SDH) and intracerebral hemorrhage (ICH) developing simultaneously after evacuation of a huge chronic SDH associated with previous ischemic stroke. An 80-year-old female admitted with bilateral chronic SDH with midline shift by the left-sided dominant huge hematoma. The patient underwent burr-hole evacuation for the bilateral hematoma. The left-sided huge hematoma was first evacuated and the right-sided small hematoma was drained later. Immediate computerized tomography (CT) scans after surgery revealed acute brain shift contrary to the initial scan and acute SDH and ICH developing contralaterally for the huge hematoma. The pathophysiological mechanisms were discussed.

Keyword

Acute subdural hematoma; Chronic subdural hematoma; Intracerebral hemorrhage; Complication

MeSH Terms

Brain
Cerebral Hemorrhage
Female
Hematoma
Hematoma, Subdural, Acute
Hematoma, Subdural, Chronic
Humans
Stroke
Full Text Links
  • JKNTS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
    DB Error: unknown error