CASE REPORTS   

Journal of Neurosurgical Sciences 2006 September;50(3):71-4

Copyright © 2006 EDIZIONI MINERVA MEDICA

lingua: Inglese

Contralateral development of chronic subdural hematoma after evacuation of chronic subdural hematoma. A case report

Kamil Sucu H., Gökmen M., H. Bezirciǒglu, Tektas¸ S¸.

Izmir Atatürk Training and Research Hospital Department of Neurosurgery, I.zmir, Turkey

Contralateral acute complications such as acute epi/subdural hematomas can be encountered after evacuation of a chronic subdural hematoma, though they are rare. We found only one case of chronic subdural hematoma following the surgery for contralateral chronic subdural hematoma, have been published in English language literature. A 73-year-old male admitted to our hospital with a right-sided subdural hematoma. The subdural hematoma was evacuated through a burr-hole. A left-sided subdural higroma appeared after operation and turned into classical subdural hematoma in the course of time. After evacuation of contralateral chronic subdural hematoma, the patient recovered completely. All stages of the development of contralateral chronic subdural hematomas were shown by serial computed tomograms. It was suggested that traumatic chronic subdural hematomas develop from mostly subdural higromas. If contralateral subdural higroma is seen after surgical evacuation of a chronic subdural hematoma, the possibility of development of contralateral chronic subdural hematom must be kept on mind.