J Korean Neurotraumatol Soc.  2007 Dec;3(2):107-112. 10.13004/jknts.2007.3.2.107.

Multi-Layer Chronic Subdural Hematoma Requiring Craniotomy

Affiliations
  • 1Department of Neurosurgery, Ajou University School of Medicine, Suwon, Korea. sandori@ajou.ac.kr

Abstract

The chronic subdural hematoma is common traumatic lesion of head injury. The incidence of chronic subdural hematoma estimated 1-2/100,000 per year. And the causes, clinical characteristics, and therapeutic management are well established. And chronic subdural hematoma with multi-layer hematoma membrane was also usually reported. But it's etiology, characteristics, management of still have remained obscure. We report a case of a 60-year-old man, who complained of gait disturbance and voiding difficulty. Computed tomography (CT) scan revealed chronic subdural hematoma with multi-layer hematoma membrane. Burr hole craniostomy was performed 2 times, but sign and symptom was still remained and CT scan revealed reaccumulation of hematoma. Craniotomy was performed 2 times and multi-layer hematoma membrane was totally removed. Follow-up CT scan did not show reaccumulated hematoma.

Keyword

Chronic subdural hematoma; Burr hole craniostomy; Craniotomy

MeSH Terms

Craniocerebral Trauma
Craniotomy*
Follow-Up Studies
Gait
Hematoma
Hematoma, Subdural, Chronic*
Humans
Incidence
Membranes
Middle Aged
Tomography, X-Ray Computed
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