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Chronic Subdural Hematoma Formation After DBS Surgery: A Case Report

Article

Last updated: 27 Dec 2024

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Tags

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Abstract

Background
Chronic subdural hematoma is one of the most common neurosurgical pathologies. The pathophysiology of chronic subdural hematoma may be based on traumatic damage to the dura mater and associated inflammatory processes. Deep brain stimulation (DBS) surgery is an invasive method for treating Parkinson's disease. It is performed by opening a burr hole followed by stereotactic placement of electrodes through an incision in the dura mater. Therefore, this surgery may be one of the iatrogenic causes of chronic subdural hematoma.

Case Presentation
We present an uncommon case of chronic subdural hematoma (cSDH) formation and subsequent evacuation after deep brain stimulation (DBS) surgery. A 69-year-old male with Parkinson's disease had a DBS placement three months ago and had right-sided motor weakness for the last two days. A computed tomography (CT) scan revealed a 3 cm left-sided cSDH, which was evacuated emergently. The patient had marked improvement in motor function postoperatively and was discharged after three days.

Conclusion
While DBS remains a valuable treatment modality, its invasive nature may cause hemorrhagic complications, and there should be a low threshold for neuroimaging for patients with new neurological symptoms.

DOI

10.21608/pajn.2024.269605.1117

Keywords

Subdural hematoma, deep brain stimulation, Parkinson’s, Case Report

Authors

First Name

Bilal Bahadır

Last Name

Akbulut

MiddleName

-

Affiliation

Ege University Faculty of Medicine Department of Neurosurgery

Email

b.bahadirakbulut@gmail.com

City

Izmir

Orcid

0000-0002-7983-5056

First Name

Mustafa Serdar

Last Name

Bölük

MiddleName

-

Affiliation

Ege University Faculty of Medicine Department of Neurosurgery

Email

mserdarboluk@gmail.com

City

Izmir

Orcid

0000-0002-9406-4114

First Name

Erkin

Last Name

Özgiray

MiddleName

-

Affiliation

Ege University Faculty of Medicine Department of Neurosurgery

Email

eozgiray@gmail.com

City

Izmir

Orcid

0000-0002-1156-9468

Volume

19

Article Issue

1

Related Issue

48601

Issue Date

2024-06-01

Receive Date

2024-02-12

Publish Date

2024-06-01

Page Start

81

Page End

83

Print ISSN

1319-6995

Online ISSN

2735-4482

Link

https://pajn.journals.ekb.eg/article_361592.html

Detail API

https://pajn.journals.ekb.eg/service?article_code=361592

Order

13

Type

Case Reports

Type Code

1,546

Publication Type

Journal

Publication Title

Pan Arab Journal of Neurosurgery

Publication Link

https://pajn.journals.ekb.eg/

MainTitle

Chronic Subdural Hematoma Formation After DBS Surgery: A Case Report

Details

Type

Article

Created At

27 Dec 2024