Abstract
Intracerebral hematoma is an unusual complication following surgical evacuation of
chronic subdural hematoma. We report a case of 61-year-old patient operated at our
department for a right-sided chronic subdural hematoma (CSDH), who presented with
mild headache and left hemiparesis (4/5, Medical Research Council [MRC] grade). Postoperatively,
the patient developed a small hematoma in ipsilateral frontal lobe. Serial computed
tomography (CT) of the head showed progressive increase in size of hematoma with development
of motor dysphasia. Frontal hematoma was evacuated by craniotomy and the patient improved
in motor dysphasia. We emphasize the rarity of this complication and discuss the pathogenesis
as well as management of this condition.
Keywords
chronic subdural hematoma - intracerebral hematoma - surgery - good outcome