Contralateral subdural effusion after aneurysm surgery and decompressive craniectomy: case report and review of the literature

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dc.authoridHicdonmez, Tufan/0000-0003-4847-8727
dc.authoridSimsek, Osman/0000-0002-8716-5187
dc.authoridHamamcioglu, Mustafa Kemal/0000-0003-1960-8182
dc.authorwosidHicdonmez, Tufan/AGI-0165-2022
dc.authorwosidSimsek, Osman/D-4906-2012
dc.authorwosidKILINÇER, Cumhur/C-7969-2014
dc.authorwosidHamamcioglu, Mustafa Kemal/A-3520-2019
dc.contributor.authorKilincer, C
dc.contributor.authorSimsek, O
dc.contributor.authorHamamcioglu, MK
dc.contributor.authorHicdonmez, T
dc.contributor.authorCobanoglu, S
dc.date.accessioned2024-06-12T10:56:03Z
dc.date.available2024-06-12T10:56:03Z
dc.date.issued2005
dc.departmentTrakya Üniversitesien_US
dc.description18th Scientific Congress of the Turkish-Neurosurgical-Society -- 2004 -- Kemer Antalya, TURKEYen_US
dc.description.abstractWe report a complication of decompressive craniectomy in the treatment of aneurismal subarachnoid hemorrhage (SAH) and accompanying middle cerebral artery (MCA) infarction. A 56-year-old man presented with subarachnoid hemorrhage and right sylvian hematoma. He was diagnosed with high-grade SAH and medical therapy was employed. He showed rapid clinical deterioration on day 9 of his admission. Computed tomographic scans showed right MCA infarction and prominent midline shift. Because of the patient's rapidly worsening condition, further evaluation to find origin of SAH could not be obtained, and decompressive right hemicraniectomy was performed. During sylvian dissection, right middle cerebral and posterior communicant artery aneurysms were detected and clipped. One week after operation, a contralateral frontoparietal subdural effusion and left to right midline shift was detected and drained through a burr-hole. Through successive percutaneous aspirations, effusion recurred and complete resolution was achieved after cranioplasty and subduroperitoneal shunt procedures. Decompressive craniectomy is generally accepted as a technically simple operation with a low incidence of complications. In the light of this current case, we hypothesize that a large craniectomy may facilitate the accumulation of recurrent effusion on contralateral side creating a resistance gradient between two hemispheres. This point may be especially true for subarachnoid hemorrhage cases requiring aneurysm surgery. We conclusively suggest that subdural effusions may be resistant to simple drainage techniques if a large contralateral craniectomy does exist, and early cranioplasty may be required for treatment in addition to drainage procedures. (c) 2004 Elsevier B.V. All rights reserved.en_US
dc.description.sponsorshipTurkish Neurosurg Socen_US
dc.identifier.doi10.1016/j.clineuro.2004.09.018
dc.identifier.endpage416en_US
dc.identifier.issn0303-8467
dc.identifier.issn1872-6968
dc.identifier.issue5en_US
dc.identifier.pmid16023537en_US
dc.identifier.scopus2-s2.0-22144480636en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage412en_US
dc.identifier.urihttps://doi.org/10.1016/j.clineuro.2004.09.018
dc.identifier.urihttps://hdl.handle.net/20.500.14551/19657
dc.identifier.volume107en_US
dc.identifier.wosWOS:000231112300011en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Science Bven_US
dc.relation.ispartofClinical Neurology And Neurosurgeryen_US
dc.relation.publicationcategoryKonferans Öğesi - Uluslararası - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectCerebral Infarctionen_US
dc.subjectComplications Craniotomyen_US
dc.subjectMiddle Cerebral Artery Infarctionen_US
dc.subjectSubdural Effusionen_US
dc.subjectSurgical Decompressionen_US
dc.subjectMiddle Cerebral-Arteryen_US
dc.subjectSubarachnoid Hemorrhageen_US
dc.subjectHemispheric Infarctionen_US
dc.subjectHematomaen_US
dc.subjectHydrocephalusen_US
dc.subjectInfantsen_US
dc.subjectFluiden_US
dc.subjectHemicraniectomyen_US
dc.subjectHygromaen_US
dc.subjectCollectionsen_US
dc.titleContralateral subdural effusion after aneurysm surgery and decompressive craniectomy: case report and review of the literatureen_US
dc.typeConference Objecten_US

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