Korean J Neurotrauma.  2021 Oct;17(2):156-161. 10.13004/kjnt.2021.17.e15.

Delayed Onset Acute Subdural Hematoma after Burr Hole Drainage in a Patient with Chronic Subdural Hematoma and Liver Cirrhosis

• Shin HJ
• Ha SW
• Kim SW

• KMID: 2523206
• DOI: http://doi.org/10.13004/kjnt.2021.17.e15

Abstract

Although acute intracranial bleeding after burr hole drainage for chronic subdural hematoma (SDH) is rare, it could still occur and is associated with a poor clinical outcome. Although rare, most of them occur immediately or within a few days after drainage, especially in patients who are on antiplatelet drugs or anticoagulants. We report an unusual case of delayed-onset acute SDH that developed 14 days after burr hole drainage of chronic SDH in a 54-year-old man with liver cirrhosis and thrombocytopenia. The possible pathophysiological mechanisms of this rare entity are discussed, and the relevant literature is reviewed.

Keyword

Subdural hematoma; Delay; Liver cirrhosis