Saratov JOURNAL of Medical and Scientific Research

Features of treatment of chronic subdural hematoma in a patient with COVID-19 (clinical case)

Year: 2022, volume 18 Issue: №2 Pages: 202-205
Heading: neurosurgery Article type: Case report
Authors: Chekhonatskiy А.А., Lymarev M.V., Bubashvili A.I., Bazhanov S.P., Filatov D.N., Tsyganov V.I.
Organization: Saratov State Medical University

Objective: to demonstrate the features of diagnosis and successful experience of surgical treatment of chronic subdural cerebral hematoma in a patient who underwent COVID-19. The choice of surgical treatment methods for patients with chronic subdural cerebral hematoma formed due to a violation of the blood coagulation system after COVID-19 and/or prolonged use of anticoagulants is very difficult due to possible complications. In the presented clinical case, the method of closed external drainage was chosen, which contributed to reducing the risk of complications and shortened the recovery period of the patient who underwent COVID-19 in the postoperative period.

1. Park MH, Kim CH, Cho TG et al. Clinical features according to the histological types of the outer membrane of chronic subdural hematoma. Korean J Neurotrauma 2015; 11 (2): 70-4.
2. Kurabe S, Ozawa T, Watanabe T, et al. Efficacy and safety of postoperative early mobilization for chronic subdural hematoma in elderly patients. Acta Neurochir (Wien) 2010; 152 (7): 1171-4.
3. Konovalov AN, Kravchuk AD, Potapov AA, et al. Minimally invasive surgery of chronic subdural hematomas. In: Reconstructive and minimally invasive surgery of the consequences of traumatic brain injury. Moscow: Antidor, 2012; p. 226-83.
4. Lega ВС, Danish SF, Malhotra NR, et al. Choosing the best operation for chronic subdural hematoma: A decision analysis. J Neurosurg 2010; 113 (3): 615-21.
5. Zhu N, Zhang D, Wang W, et al. China novel coronavirus investigating and research team. A novel coronavirus from patients with pneumonia in China, 2019. N Engl J Med 2020; (382): 727-33.
6. Qingmei H, Qingqing L, Shenhe J, et al. Recent insights into 2019-nCoV: A brief but comprehensive review. J Infect 2020. DOI: 10.1016/j.jinf.2020.02.010.
7. Lu H, Stratton CW, Tang YW. Outbreak of pneumonia of unknown etiology in Wuhan China: the mystery and the miracle. J Med Virol 2020; 92 (4): 401-2.
8. Gazzeri R, Galarza M, Neroni M, et al. Continuous subgaleal suction drainage for the treatment of chronic subdural haematoma. Acta Neurochir (Wien) 2007; 149 (5): 487-93.
9. Lind CR, Lind CJ, Mee EW. Reduction in the number of repeated operations for the treatment of subacute and subdural hematomas by placement of subdural drains. J Neursurgery 2003; 99(1): 44-6.
10. Kansal R, Nadkarni T, Goel A. Single versus double burr hole drainage of chronic subdural hematomas. A study of 267 cases. J Clin Neurosci 2010; 17 (4): 428-9.
11. Likhterman LB, Kravchuk AD, Okhlopkov VA. Chronic subdural hematomas: challenges and solutions. Part 2: New concept for treatment of chronic subdural hematomas and the results. Clinical analysis in general medicine 2021; (3): 51-7.

2022_2_202-205.pdf686.3 KB

No votes yet