Karamani Lydia, Januzi Donjetë, Eckard Niklas, Senft Christian, Baumgarten Peter
Department of Neurosurgery, Jena University Hospital, Friedrich-Schiller University, Jena, Germany.
Department of Neuroradiology, Jena University Hospital, Friedrich-Schiller University, Jena, Germany.
Front Surg. 2025 Mar 19;12:1533629. doi: 10.3389/fsurg.2025.1533629. eCollection 2025.
Placement of a drain in subgaleal space in the management of chronic subdural hematomas is a common technique. Subgaleal drains are considered a safe, effective and minimally invasive technique with low-complication rate. In this report, we present a rare but tragic adverse complication following the removal of a subgaleal drainage in a patient who had undergone an evacuation of a subdural bleeding. Although existing data indicates that the risk of cortical surface damage during drain removal is minimal, one must be aware of rare complications such as inadvertent injury to subcutaneous vascular structures culminating in an acute subdural hematoma.
在慢性硬膜下血肿的治疗中，在帽状腱膜下间隙放置引流管是一种常用技术。帽状腱膜下引流管被认为是一种安全、有效且微创的技术，并发症发生率低。在本报告中，我们呈现了一例罕见但悲惨的不良并发症，该并发症发生在一名接受过硬膜下出血清除术的患者拔除帽状腱膜下引流管之后。尽管现有数据表明在拔除引流管过程中皮质表面受损的风险极小，但必须意识到罕见的并发症，如意外损伤皮下血管结构，最终导致急性硬膜下血肿。
