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Journal of Korean Neurosurgical Society > Volume 41(4); 2007 > Article
Journal of Korean Neurosurgical Society 2007;41(4): 261-263.
doi: https://doi.org/10.3340/jkns.2007.41.4.261
Massive Intracerebral Hemorrhage Following Drainage of Subdural Hygroma.
Sung Soo Kim, Choong Hyun Kim, Jin Hwan Cheong, Jae Min Kim
Department of Neurosurgery, Hanyang University Guri Hospital, Hanyang University College of Medicine, Guri, Korea. kch5142@hanyang.ac.kr
ABSTRACT
Subdural hygromas are easily treated by trephination and drainage. Therefore, most neurosurgeons do not consider subdural hygromas seriously. However, various complications including intracerebral hemorrhage may develop after rapid drainage of subdural hygroma although rare. Postoperative intracerebral hemorrhage presents with a rapid deterioration of consciousness and focal neurological deficits occurring immediately after drainage of the subdural hygroma. The authors present an unfortunate massive intracerebral hemorrhage and pneumocephalus following drainage of the bifrontal subdural hygroma. The patient subsequently died. To prevent this disastrous complication, close neurosurgical observation and gradual drainage under a closed system seem mandatory. Possible pathogenic mechanisms for this unfavorable complication is discussed with a review of pertinent literatures.
Key Words: Subdural hygroma; Intracerebral hemorrhage; Pneumocephalus; Drainage
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