Presentation and management of bilateral infratentorial chronic subdural haematoma with hydrocephalus: a case report
Abstract Background Chronic subdural haematoma (cSDH) is a significant neurological condition predominantly affecting the elderly, characterised by the accumulation of fluid, blood, and breakdown products in the subdural space. Given a global prevalence of roughly eight cases per 100,000 individuals...
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2025-06-01
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| Series: | Egyptian Journal of Neurosurgery |
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| Online Access: | https://doi.org/10.1186/s41984-025-00433-6 |
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| author | Karpaka Vinayakam Gopalakrishnan V. S. Sathish Anand Thanga Thirupathi Rajan |
| author_facet | Karpaka Vinayakam Gopalakrishnan V. S. Sathish Anand Thanga Thirupathi Rajan |
| author_sort | Karpaka Vinayakam Gopalakrishnan |
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| description | Abstract Background Chronic subdural haematoma (cSDH) is a significant neurological condition predominantly affecting the elderly, characterised by the accumulation of fluid, blood, and breakdown products in the subdural space. Given a global prevalence of roughly eight cases per 100,000 individuals, the incidence is anticipated to increase as a result of an ageing population and heightened use of anticoagulants. cSDH, however, is classically associated with minor head trauma, but the exact reason is still complex and remains unknown. The clinical presentation progresses unnoticed, therefore presenting a challenge in getting a cSDH diagnosis, but most patients suffering from cSDH can develop some sort of cognitive dysfunction and even unconsciousness. Case presentation This case study highlights a rare case of a 61-year-old female patient who presented with impaired sensorium and no history of trauma or anticoagulant use. She was diagnosed with bilateral infratentorial cSDH with obstructive hydrocephalus. After a bilateral suboccipital burr-hole craniostomy, the patient’s neurological condition significantly improved, and by the fifth postoperative day, the hydrocephalus had resolved. Conclusion The difficulty of related disorders like hydrocephalus, the rarity of infratentorial cSDH, and the necessity of prompt surgical intervention, especially in the absence of structured treatment protocols, are all highlighted in this instance. Further research is warranted to establish standardised treatment protocols for this uncommon neurosurgical challenge. |
| format | Article |
| id | doaj-art-e7f367ed08e04c37b0e53dfb3e12ed23 |
| institution | Kabale University |
| issn | 2520-8225 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Egyptian Journal of Neurosurgery |
| spelling | doaj-art-e7f367ed08e04c37b0e53dfb3e12ed232025-08-20T03:25:17ZengSpringerOpenEgyptian Journal of Neurosurgery2520-82252025-06-014011610.1186/s41984-025-00433-6Presentation and management of bilateral infratentorial chronic subdural haematoma with hydrocephalus: a case reportKarpaka Vinayakam Gopalakrishnan0V. S. Sathish Anand1Thanga Thirupathi Rajan2Department of Neurosurgery, Saveetha Medical College and Hospital, Saveetha Institute of Medical and Technical Sciences (SIMATS), Saveetha UniversityDepartment of Neurosurgery, Saveetha Medical College and Hospital, Saveetha Institute of Medical and Technical Sciences (SIMATS), Saveetha UniversityDepartment of Neurosurgery, Saveetha Medical College and Hospital, Saveetha Institute of Medical and Technical Sciences (SIMATS), Saveetha UniversityAbstract Background Chronic subdural haematoma (cSDH) is a significant neurological condition predominantly affecting the elderly, characterised by the accumulation of fluid, blood, and breakdown products in the subdural space. Given a global prevalence of roughly eight cases per 100,000 individuals, the incidence is anticipated to increase as a result of an ageing population and heightened use of anticoagulants. cSDH, however, is classically associated with minor head trauma, but the exact reason is still complex and remains unknown. The clinical presentation progresses unnoticed, therefore presenting a challenge in getting a cSDH diagnosis, but most patients suffering from cSDH can develop some sort of cognitive dysfunction and even unconsciousness. Case presentation This case study highlights a rare case of a 61-year-old female patient who presented with impaired sensorium and no history of trauma or anticoagulant use. She was diagnosed with bilateral infratentorial cSDH with obstructive hydrocephalus. After a bilateral suboccipital burr-hole craniostomy, the patient’s neurological condition significantly improved, and by the fifth postoperative day, the hydrocephalus had resolved. Conclusion The difficulty of related disorders like hydrocephalus, the rarity of infratentorial cSDH, and the necessity of prompt surgical intervention, especially in the absence of structured treatment protocols, are all highlighted in this instance. Further research is warranted to establish standardised treatment protocols for this uncommon neurosurgical challenge.https://doi.org/10.1186/s41984-025-00433-6cSDHHydrocephalusCraniostomyInfratentorial haematoma |
| spellingShingle | Karpaka Vinayakam Gopalakrishnan V. S. Sathish Anand Thanga Thirupathi Rajan Presentation and management of bilateral infratentorial chronic subdural haematoma with hydrocephalus: a case report Egyptian Journal of Neurosurgery cSDH Hydrocephalus Craniostomy Infratentorial haematoma |
| title | Presentation and management of bilateral infratentorial chronic subdural haematoma with hydrocephalus: a case report |
| title_full | Presentation and management of bilateral infratentorial chronic subdural haematoma with hydrocephalus: a case report |
| title_fullStr | Presentation and management of bilateral infratentorial chronic subdural haematoma with hydrocephalus: a case report |
| title_full_unstemmed | Presentation and management of bilateral infratentorial chronic subdural haematoma with hydrocephalus: a case report |
| title_short | Presentation and management of bilateral infratentorial chronic subdural haematoma with hydrocephalus: a case report |
| title_sort | presentation and management of bilateral infratentorial chronic subdural haematoma with hydrocephalus a case report |
| topic | cSDH Hydrocephalus Craniostomy Infratentorial haematoma |
| url | https://doi.org/10.1186/s41984-025-00433-6 |
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