{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T10:58:49Z","timestamp":1775473129808,"version":"3.50.1"},"reference-count":14,"publisher":"Medical Association of Zenica-Doboj","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicinski Glasnik"],"published-print":{"date-parts":[[2020,10,9]]},"abstract":"<jats:p>&amp;lt;p&amp;gt;&amp;lt;strong&amp;gt;Aim&amp;lt;\/strong&amp;gt; &amp;lt;br \/&amp;gt;Evacuation through burr hole craniostomy is the most common type of chronic subdural hematoma surgical treatment,&amp;lt;br \/&amp;gt;with a morbidity rate of 0-9%.&amp;lt;br \/&amp;gt;&amp;lt;strong&amp;gt;Methods&amp;lt;br \/&amp;gt;&amp;lt;\/strong&amp;gt; Here we present a case of 66-year-old Caucasian woman with bilateral hemispheric chronic subdural hematoma and&amp;lt;br \/&amp;gt;left transtentorial uncal herniation. Bilateral burr hole craniostomy with gradual and simultaneous evacuation was performed and subdural drains were placed with daily strict monitoring of drained fluid.&amp;lt;br \/&amp;gt;&amp;lt;strong&amp;gt;Results&amp;lt;\/strong&amp;gt; &amp;lt;br \/&amp;gt;Despite immediate prompt neurological improvement, on the second postoperative day bilateral ptosis and left medial rectus weakness occurred, with no signs of consciousness deterioration. Radiological exams revealed a 9 x 6 mm haemorrhage of the tegmentum mesencephali. In the next day progressive neurological improvement occurred and a follow-up at 1 month revealed persistence of bilateral ptosis with almost complete regression of the left medial rectus weakness.&amp;lt;br \/&amp;gt;&amp;lt;strong&amp;gt;Conclusion&amp;lt;\/strong&amp;gt; &amp;lt;br \/&amp;gt;Although burr hole craniostomy is considered a minor procedure, rare but fatal complications like brainstem haemorrhage may occur. Bilateral simultaneous and gradual drainage, strict monitoring of drained fluid and blood pressure in the perioperative period and frequent neurological with prompt radiological assessment in case of clinical worsening, should be the mainstay of a correct management of chronic subdural hematoma (particularly if bilateral) in order to avoid potentially fatal complications.&amp;amp;nbsp;&amp;lt;\/p&amp;gt;<\/jats:p>","DOI":"10.17392\/1299-21","type":"journal-article","created":{"date-parts":[[2024,4,21]],"date-time":"2024-04-21T10:28:16Z","timestamp":1713695296000},"page":"138-142","source":"Crossref","is-referenced-by-count":0,"title":["Brainstem haemorrhage as a rare complication of burr hole craniostomy"],"prefix":"10.17392","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8618-3239","authenticated-orcid":false,"given":"Rodolfo","family":"Corinaldesi","sequence":"first","affiliation":[{"name":"Ospedale Santa Maria della Misericordia","place":["Perugia,Italy"],"department":["Department of Neurosurgery"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Corrado Filippo","family":"Castrioto","sequence":"additional","affiliation":[{"name":"Ospedale Santa Maria della Misericordia","place":["Perugia,Italy"],"department":["Department of Neurosurgery"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesca Romana","family":"Barbieri","sequence":"additional","affiliation":[{"name":"Ospedale di Belcolle","place":["Viterbo,Italy"],"department":["Department of Neurosurgery"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luciano","family":"Mastronardi","sequence":"additional","affiliation":[{"name":"Ospedale San Filippo Neri","place":["Roma,Italy"],"department":["Department of Neurosurgery"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Umberto","family":"Ripani","sequence":"additional","affiliation":[{"name":"Pain Therapy Centre, Division of Anaesthesia, Analgesia and Intensive Care, Emergency Department, Ospedali Riuniti di Ancona","place":["Ancona,Italy"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"49509","published-online":{"date-parts":[[2020,10,9]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1007\/BF01401313","article-title":"Chronic subdural hematomas treated by enlarged burr-hole craniotomy and closed system drainage. Retrospective study of 120 patients","author":"HRichterH","year":"1984","unstructured":"Richter HP, Klein HJ, Sch\u00e4fer M. Chronic subdural \nhematomas treated by enlarged burr-hole craniotomy \nand closed system drainage. Retrospective study of \n120 patients. Acta Neurochir (Wien) 1984; 71:179-\n88.","journal-title":"Acta Neurochir"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"418","DOI":"10.1016\/S0090-3019(97)00188-2","article-title":"An overview of chronic subdural hematoma: experience with 2300 cases","author":"MSambasivanM","year":"1997","unstructured":"Sambasivan M. An overview of chronic subdural hema-\ntoma: experience with 2300 cases. Surg Neurol 1997; \n47:418-22.","journal-title":"Surg Neurol"},{"key":"ref3","first-page":"147","article-title":"Treatment of chronic subdural hematoma by closed external drainage","author":"AHardersA","year":"1982","unstructured":"Harders A, Eggert HR, Weigel K. 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Seizures following carotid endarterectomy","author":"KKieburtzK","year":"1990","unstructured":"Kieburtz K, Ricotta JJ, Moxley RT 3rd. Seizures \nfollowing carotid endarterectomy. Arch Neurol 1990; \n47:568-70.","journal-title":"Arch Neurol"}],"container-title":["Medicinski Glasnik"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/medicinskiglasnik.ba\/article\/115\/pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/medicinskiglasnik.ba\/article\/115\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T09:45:08Z","timestamp":1775468708000},"score":1,"resource":{"primary":{"URL":"https:\/\/medicinskiglasnik.ba\/article\/id\/438\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10,9]]},"references-count":14,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2020,10,9]]},"published-print":{"date-parts":[[2020,10,9]]}},"URL":"https:\/\/doi.org\/10.17392\/1299-21","archive":["Internet Archive"],"relation":{"is-cited-by":[{"id-type":"doi","id":"10.1007\/s12262-022-03503-3","asserted-by":"object"}]},"ISSN":["1840-0132","1840-0132"],"issn-type":[{"value":"1840-0132","type":"electronic"},{"value":"1840-0132","type":"print"}],"subject":[],"published":{"date-parts":[[2020,10,9]]}}}