Postoperative intracerebral and intraventricular hemorrhages following removal of a chronic subdural hematoma |
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| Authors: | S v rien Muneza, M. Rampanjato Rasoloherimampiononiaina,Marie Jeanne Nduwamariya |
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| Affiliation: | aDepartment of Surgery, Centre Hospitalier Universitaire de Kigali, P.O. Box 4652, Nyarugenge, Kigali, Rwanda;bDepartment of Anaesthesia and Intensive Care, Centre Hospitalier Universitaire de Kigali, Nyarugenge, Kigali, Rwanda |
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| Abstract: | We report a patient with multiple intracerebral and intraventricular hemorrhages after removal of bilateral chronic subdural hematomas (CSDH). Possible mechanisms include a sudden increase in cerebral blood flow within fragile cerebral vessels following decompression of CSDH, defective vascular autoregulation, and damage to the cerebral vascular tree. Clinical awareness of this complication and slow decompression of CSDH are stressed. |
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| Keywords: | Chronic subdural hematoma Intracerebral hemorrhage Intraventricular hemorrhage Remote site |
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