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A Bedside, Single Burr Hole Approach to Multimodality Monitoring in Severe Brain Injury
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Published on: March 26, 2019

Contralateral acute interdural haematoma occurring after burr hole drainage of chronic subdural haematoma

Ki Seong Eom1, Tae Young Kim, Jong Tae Park

  • 1Department of Neurosurgery, Wonkwang University college of Medicine, Iksan, Korea. jtpark@wonkwang.ac.kr

British Journal of Neurosurgery
|March 24, 2009
PubMed

We report the case of a 78-year-old man with chronic subdural haematoma (CSDH) who presented with impairment in recent memory and gait disturbance. He underwent burr-hole craniostomy with a closed-drainage system. A computed tomography scan conducted on postoperative day 3 demonstrated an acute epidural haematoma over the contralateral frontoparietal convexity. Craniotomy and haematoma evacuation were immediately performed. The haematoma was located between the outer and inner dura mater that each comprise a single layer. To our knowledge, this is the first reported case of an acute haematoma located between the separated dura mater that occurred following drainage of a contralateral CSDH, and it is the second reported case of interdural haematoma over the cerebral convexity.

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