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KMID : 1143720210170020156
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Korean Journal of Neurotrauma
2021 Volume.17 No. 2 p.156 ~ p.161
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Delayed Onset Acute Subdural Hematoma after Burr Hole Drainage in a Patient with Chronic Subdural Hematoma and Liver Cirrhosis
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Shin Hyun-Jae
Ha Sang-Woo
Kim Seok-Won
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Abstract
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Although acute intracranial bleeding after burr hole drainage for chronic subdural hematoma (SDH) is rare, it could still occur and is associated with a poor clinical outcome. Although rare, most of them occur immediately or within a few days after drainage, especially in patients who are on antiplatelet drugs or anticoagulants. We report an unusual case of delayed-onset acute SDH that developed 14 days after burr hole drainage of chronic SDH in a 54-year-old man with liver cirrhosis and thrombocytopenia. The possible pathophysiological mechanisms of this rare entity are discussed, and the relevant literature is reviewed.
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KEYWORD
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Subdural hematoma, Delay, Liver cirrhosis
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