Sucu H Kamil, Gökmen M, Bezircioglu H, Tektaş S
Izmir Atatürk Training and Research Hospital, Department of Neurosurgery, Izmir, Turkey.
J Neurosurg Sci. 2006 Sep;50(3):71-4; discussion 74.
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 hematoma must be kept on mind.
慢性硬膜下血肿清除术后可能会出现对侧急性并发症，如急性硬膜外/硬膜下血肿，尽管这种情况很罕见。我们仅发现1例在对侧慢性硬膜下血肿手术后发生慢性硬膜下血肿的病例，该病例已发表于英文文献中。一名73岁男性因右侧硬膜下血肿入住我院。通过钻孔引流清除硬膜下血肿。术后出现左侧硬膜下积液，随时间推移转变为典型的硬膜下血肿。对侧慢性硬膜下血肿清除术后，患者完全康复。连续的计算机断层扫描显示了对侧慢性硬膜下血肿发展的各个阶段。提示创伤性慢性硬膜下血肿大多由硬膜下积液发展而来。如果在慢性硬膜下血肿手术清除后发现对侧硬膜下积液，必须牢记对侧慢性硬膜下血肿发生的可能性。
