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Instituto Nacional de Neurología y Neurocirugía

2020, Number 3

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Arch Neurocien 2020; 25 (3)

Remote intracerebral hemorrhage underwent drainage subdural hematoma. What are the causes?. Case report and literature review

Franco-Jiménez JA, Solorio-Pineda S, Ceja-Espinosa A, Tafur-Grandett AA, Ruiz-Flores MI

Language: Spanish
References: 18
Page: 19-25
PDF size: 557.20 Kb.


ABSTRACT

Introduction: Remote intracerebral hemorrhage is an infrequent neurosurgical complication, which occurs in up to 18% of intracranial procedures and even less in spinal surgery.
Clinical case: A 89 years old man with a right subdural hematoma, who underwent drainage by craniotomy, but in the control CT scan presented a left intraparenchymal haematoma at occipito-temporal zone, and with intraventricular blood.
Conclusion: There are some theories that have tried to explain the causes of remote intracerebral hemorrhage, as is the hyperperfusion syndrome, hypertension, amyloid angiopathy, venous infarctation or other clinical associated conditions such as the use of oral anticoagulants.


REFERENCES

  1. Sousa J, Golash A, Vaz J, Chaudhary H. Spontaneous intracerebral haemorrhage following evacuation of chronic subdural hematomas. J Clin Neurosci 2004; 11(7):794-796. https://doi.org/10.1016/j.jocn.2003.12.003.

  2. Patibandla M, Thotakura A, Shukla D, Purohit A, Addagada G, Nukavarapu M. Postoperative hematoma involving brainstem, peduncles, cerebellum, deep subcortical white matter, cerebral hemispheres following chronic subdural hematoma evacuation. Asian J Neurosurg; 2014, 12(2):259-262. Doi: 10.4103/1793-5482.144163

  3. Morandi X, Haegelen C, Henaux PL, Riffaud L. Brain shift is central to the pathogenesis of intracerebral haemorrhage remote from the site of the initial neurosurgical procedure. Med Hypotheses. 2006; 67(4):856–9. https://doi. org/10.1016/j.mehy.2006.03.047

  4. Savardekar A, Salunke P. Subependymal hemorrhage following drainage of chronic subdural hematoma: Probable causative mechanisms and prevention strategies. J Neurosci Rural Pract. 2015; 6(2):252. Doi: 10.4103/0976-3147.150303

  5. Kalfas IH, Little JR. Postoperative hemorrhage: a survey of 4992 intracranial procedures. Neurosurgery 1988; 23(3): 343-347. DOI: 10.1227/00006123-198809000-00010

  6. Gutierrez-Aceves GA, Riestra-Castañeda R, Ruiz-Sandoval JL, González-Gallo F, González-Cornejo S. Hemorragia de tallo cerebral como complicación de cirugía supratentorial. Arch Neurocienc. 2007; 12(2):122–4.

  7. Renner C, Hegenbarth U, Schneider JP, Meixensberger J. Fatal bihemispheric intracerebral hemorrhage after burrhole evacuation of chronic subdural hematoma in a bone marrow-transplanted patient: Case report and review of the literature. Surg Neurol. 2004; 62(3):260–3. DOI: 10.1016/j.surneu.2003.11.034

  8. Hyam JA, Turner J, Peterson D. Cerebellar haemorrhage after repeated burr hole evacuation for chronic subdural haematoma. J Clin Neurosci. 2007; 14(1):83-6. DOI: 10.1016/j.jocn.2005.12.048

  9. D’Avella D, De Blasi F, Rotilio A, Pensabene V, Pandolfo N. Intracerebral hematoma following evacuation of chronic subdural hematomas. J Neurosur 1986; 65(5): 710-712. https://doi.org/10.3171/jns.1986.65.5.0710

  10. Brisman MH, Bederson JB, Sen CN, Germano IM, Moore F, Post KD. Intracerebral hemorrhage occurring remote from the craniotomy site. Neurosurgery. 1996; 39(6):1114–22. DOI: 10.1097/00006123-199612000-00009

  11. Friedman JA, Piepgras DG, Duke DA, McClelland RL, Bechtle PS, Maher CO, et al. Remote cerebellar hemorrhage after supratentorial surgery. Neurosurgery. 2001; 49(6):1327–40. DOI: 10.1097/00006123-200112000-00008

  12. Missori P, Salvati M, Polli FM, Conserva V, Delfini R. Intraparenchymal haemorrhage after evacuation of chronic subdural haematoma. Report of three cases and review of the literature. Br J Neurosurg 2002; 16(1), 63-66. DOI: 10.1080/026886902753512637

  13. Tanaka A, Nakayama Y, Yoshinaga S. Cerebral blood flow and intracranial pressure in chronic subdural hematomas. Surg Neurol 1997; 47(4): 346-351. https://doi.org/10.1016/s0090-3019(96)00369-2.

  14. Inao S. Relation between brain displacement and local cerebral blood flow in patients with chronic subdural haematoma. J Neurol Neurosurg Psychiatry. 2001; 71(6):741–6. Doi: 10.1136/jnnp.71.6.741

  15. Spetzler RF, Wilson CB, Weinstein P, Mehdorn M, Townsend J, Telles D. Normal perfusion pressure breakthrough theory. Clin Neurosurg 1978; 25:651-672. https://doi.org/10.1093/neurosurgery/25.cn_suppl_1.651.

  16. Ogasawara K, Ogawa A, Okuguchi T, Kobayashi M, Suzuki M, Yoshimoto T. Postoperative hyperperfusion syndrome in elderly patients with chronic subdural hematoma. Surg Neurol. 2000;54(2):155–9. DOI: 10.1016/ s0090-3019(00)00281-0

  17. Modesti LM, Hodge C J, Barnwell M L. Intracerebral hematoma after evacuation of chronic extracerebral fluid collections. Neurosurgery 1982; 10(6), 689-693. https://doi.org/10.1227/00006123-198206010-00002.

  18. Rusconi A, Sangiorgi S, Bifone L, Balbi S. Infrequent hemorrhagic complications following surgical drainage of chronic subdural hematomas. J Korean Neurosurg Soc. 2015; 57(5):379-85. DOI: 10.3340/jkns.2015.57.5.379




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