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Brainstem Hemorrhage After Burr Hole Drainage of Chronic Subdural Hematoma

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Abstract

Chronic subdural hematoma (CSDH) is a neurological disease that always affects the elderly. Burr hole drainage is a relatively simple procedure and frequently used in the treatment for CSDH. Brainstem hemorrhage is a rare complication of CSDH drainage but with poor prognosis. We describe a case of 60-year-old man presenting with brainstem hemorrhage after receiving burr hole drainage of CSDH. The literatures were reviewed, and the possible mechanisms were discussed. Rapid brain shifting and hyperemia after operation may participate in this pathological procedure. Slow decompression of hematoma with steady lowering of intracranial pressure may help to reduce the complication.

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Authors and Affiliations

  1. Department of Neurosurgery, Jilin Province People’s Hospital, No. 1183, Gongnong Street, 130000, Changchun Jilin Province, People’s Republic of China

    Tian Xie & Meng Jing

  2. Department of Ophthalmology, The First Hospital of Jilin University, 130000, Changchun Jilin Province, People’s Republic of China

    Xiufen Liu

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  1. Tian Xie
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  2. Xiufen Liu
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  3. Meng Jing
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Contributions

Meng Jing contributed to the concepts, design, and manuscript editing. Tian Xie and Xiufen Liu contributed to literature search, manuscript preparation, manuscript writing.

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Correspondence to Meng Jing.

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This study was approved by the administration of the Human Research Ethics Committee of The Jilin Province People’s Hospital.

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The authors declare no competing interests.

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Xie, T., Liu, X. & Jing, M. Brainstem Hemorrhage After Burr Hole Drainage of Chronic Subdural Hematoma. Indian J Surg 85, 480–484 (2023). https://doi.org/10.1007/s12262-022-03503-3

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  • DOI: https://doi.org/10.1007/s12262-022-03503-3

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