Symmetrical Peripheral Gangrene in a 75-year-old Patient with a Stroke: A Case Report

, Seong Il Jeong; , Si On Kim; , Yu Sam Won; , Chun Sik Choi

Case Report

Journal of Korean Society of Geriatric Neurosurgery 2014;10(1):62-65.
Published online June 30, 2014.

Symmetrical Peripheral Gangrene in a 75-year-old Patient with a Stroke: A Case Report

Seong Il Jeong , Si On Kim , Yu Sam Won , Chun Sik Choi

Department of Neurosurgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea

75세 뇌졸중 환자의 대칭성 말초 괴저 증후군: 증례 보고

정성일·김시온·원유삼·최천식

성균관대학교 의과대학 강북삼성병원 신경외과학교실

Abstract

Tension pneumocephalus is a rare but life-threatening complication of neurosurgical procedures, and has been reported most frequently after posterior fossa surgery performed in the sitting position. We present a 76-year-old female patient who developed an extensive tension pneumocephalus after burr-hole drainage of subacute subdural hematoma in supine position. She recovered with an immediate percutaneous aspiration of the subdural air and a repeated drainage of the hematoma. The possible causes, prevention and management of pneumocephalus secondary to burr-hole drainage are briefly reviewed.

Key Words: Tension pneumocephalusㆍComplicationㆍDrainageㆍSubdural hematoma