A Case of Unknown Origin Subarachnoid Hemorrhage Immediately Following Drainage for Chronic Subdural Hematoma
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概要
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A 56-year-old man treated with anticoagulants complained of a gradually worsening headache. A left chronic subdural hematoma (CSH) was shown by head computed tomographic (CT) scans and the operation, one burr hole surgery under local anesthesia, itself was performed uneventfully. However, immediately after we began draining the hematoma at the patient's bedside, the patient complained of a sudden headache. CT scans showed a subarachnoid hemorrhage (SAH). Cerebral angiography was immediately performed, but the source of hemorrhage could not be found. The next day, a CT scan showed that most of the SAH had disappeared. To our knowledge, there are no previous reports of SAH of unknown origin following surgery for CSH. The likely mechanism for the occurrence of the SAH, in addition to a coagulopathy due to anticoagulant therapy, could include the possibility that the drainage of the hematoma produced a movement of the hemisphere along with hyperperfusion that resulted in the rupture of a weak subarachnoid vessel, such as a perforating artery.
- 久留米大学医学部 The Kurume Medical Journal 編集部の論文
著者
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Matsumoto Yoshifumi
Department Of Integrated Biosciences Graduate School Of Frontier Sciences The University Of Tokyo
-
Moritake Kouzo
Department Of Neurosurgery Kyoto University
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Daisu Mitsuhiro
Department Of Neurosurgery Shimane University School Of Medicine
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Ohta Fumihito
Department Of Neurosurgery Shimane Medical University
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Miyazaki Takeshi
Department Of Materials Science And Technology Nagaoka University Of Technology
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DAISU MITSUHIRO
Department of Neurosurgery, Masuda Red Cross Hospital
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