Infected organized subdural hematoma after burr hole operation: A case report

Norikata Kobayashi, Tatsuya Ishikawa, Tatsushi Muto, Hideya Kawai, Kentarou Hikichi, Junta Moroi, Akifumi Suzuki, Nobuyuki Yasui

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)

Abstract

Infected subdural hematoma is characterized by hematogenous infection of pre-existing subdural hematoma. We present a case of infected subdural hematoma after burr hole surgery for chronic subdural hematoma. A 75-year-old woman with fever, convulsion, aphasia, and right hemiparesis was admitted to our hospital 49 days after initial burr hole surgery for chronic subdural hematoma. During this second admission, another burr hole operation was performed in which drainage and irrigation of the hematoma cavity was undertaken and infection of the organized hematoma was revealed. Subsequently total removal of hematoma including its inner and outer membrane was performed through a large craniotomy. The postoperative course was uneventful; the patient's symptoms resolved and she was able to return to her previous life. Previous reports have suggested that infected subdural hematoma can lead to fatal outcome. Prompt surgical treatment is therefore required. When burr hole surgery fails, craniotomy must be performed to remove the whole hematoma, including its inner and outer membrane, as soon as possible.

Original languageEnglish
Pages (from-to)464-469
Number of pages6
JournalJapanese Journal of Neurosurgery
Volume18
Issue number6
DOIs
Publication statusPublished - 2009

Keywords

  • Craniotomy
  • Infected subdural hematoma
  • Organized hematoma

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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