Abstract
Subdural hygromas are characterized by a subdural collection of cerebrospinal fluid (CSF). Although its pathogenic mechanism is uncertain, it develops by the tearing of the arachnoid membrane and subsequent accumulation of CSF in the subdural space. The surgical procedures for subdural hygromas include drainage through burr holes or twist drills, subduroperitoneal shunt, and craniotomy. Reaccumulation of fluid, infection, seizure, and hydrocephalus are common complications after surgery. The incidence of intracerebral hemorrhage after drainage of the subdural hygroma is as low as 1 to 5%. This report presents a patient who had rapid neurological deterioration caused by massive intracerebral hemorrhage after drainage of the subdural hygroma.
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