Intracranial Hemorrhage Following Burr Hole Drainage for Chronic Subdural Hematoma: Four Case Reports

頭顱鑽孔手術引流顱內慢性硬腦膜下血腫併發顱內出血－病例報告

林文雄(Wen-Hsiung Lin)

《北市醫學雜誌》 18卷1期 (2021/03) Pp. 86-93

https://doi.org/10.6200/TCMJ.202103_18(1).0009

摘要

Chronic subdural hematoma is a common complication after a head injury, especially in patients with risk factors such as old age, alcoholism, or bleeding tendency. The clinical picture is characterized by headache, dizziness, limb weakness, and altered mental status. Most patients with chronic subdural hematoma can be easily cured by burr hole drainage. We report four rare cases of intracranial hemorrhage following the drainage for chronic subdural hematoma. Two patients received intracerebral hematoma evacuation after the burr hole drainage procedure, and the other two patients received medications and rehabilitation therapy only. After that, these patients were discharged under stable conditions.

關鍵字

intracranial hemorrhage ； chronic subdural hematoma ； burr hole drainage

並列摘要

慢性硬腦膜下血腫常併發在頭部外傷之後，尤其是在有高危險因子的病患，如：老年人、酒癮或凝血功能異常者。臨床症狀包括頭痛、頭暈、肢體無力或意識狀況改變等。大部份病人都可以經由頭顱鑽孔引流手術獲得良好的治療。我們報告四例較罕見的頭顱鑽孔引流手術術後併發顱內出血案例。兩例病患有再次接受顱內血腫清除手術，兩例病患僅接受藥物及復健治療。所有病患都在穩定的狀況下出院。

並列關鍵字

顱內出血 ； 慢性硬腦膜下血腫 ； 頭顱鑽孔引流手術