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KMID : 0359819940230080977
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Journal of Korean Neurosurgical Society
1994 Volume.23 No. 8 p.977 ~ p.981
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Intracerebral and Brain Stem Hemorrhage Following Evacuation of Chronic Subdural Hematoma and Hygroma
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김충현
조창성/송관영/한윤경/하영일
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Abstract
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Two cases of intracerebral and brain stem hemorrhage occurring after evacuation of chronic subdural hematoma and subdural hygroma are reported. A patient who had undergone craniostomy with closed drainage for subdural hygroma had intracerbral and
fatal
brain stem hemorrhage in the immediate postoperative period. Despite rapid and intensive treatment, he died. The other patient had intracerebral hematoma following drainage of chronic subdural hematoma and left with severe disability.
Possible pathogenic mechanisms leading to development of the postoperative intraparenchymal hemorrhage are suggested. Sudden increase in cerebral blood flow combined with defective autoregulation seemed the most likely pathogenic mechanism to be
responsible for the postoperative hemorrhage.
If close neurosurgical observation of patients and clinical awareness for the intraparenchymal hemorrhage after evacuation of chronic extracerebral fluid collections give, this devastating complication may be avoided.
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KEYWORD
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