{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,12,2]],"date-time":"2023-12-02T00:54:19Z","timestamp":1701478459135},"reference-count":8,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background: <\/jats:title>\n<jats:p>Infratentorial chronic subdural hematoma (cSDH) is still a rather elusive neurosurgical entity, which, due to its proximity and likely compression of the cerebellum and brainstem, can lead to devastating consequences. To establish standardized treatment, more studies and reports regarding its therapy are needed. We report a case of a simultaneous unilateral supratentorial and bilateral infratentorial cSDH, with the latter causing hydrocephalus and successfully treated with a bilateral burr-hole trepanation of occipital bone and placement of subdural drains.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Case Description: <\/jats:title>\n<jats:p>A 71-year-old man with gait disturbance, Glasgow Coma Scale 12, and a radiologically verified unilateral supratentorial and bilateral cSDH of the posterior fossa causing cerebellum, brainstem, and fourth ventricle compression with obstructive hydrocephalus, underwent surgical evacuation of infratentorial hematoma with a bilateral burr-hole trepanation. The postoperative course was uneventful, with a control head computed tomography scan showing the resolution of the hematoma and hydrocephalus. The patient was discharged with no newly acquired neurological deficits.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>Due to a limited number of reports and studies involving infratentorial cSDHs causing hydrocephalus, decision-making and optimal surgical treatment remain unclear. We recommend a timely surgical evacuation of the hematoma if the patient is symptomatic while avoiding placement of external ventricular drainage.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_178_2023","type":"journal-article","created":{"date-parts":[[2023,12,1]],"date-time":"2023-12-01T09:57:20Z","timestamp":1701424640000},"page":"413","update-policy":"http:\/\/dx.doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Bilateral posterior fossa chronic subdural hematoma as a cause of hydrocephalus"],"prefix":"10.25259","volume":"14","author":[{"given":"Domagoj","family":"Dlaka","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, University Hospital Dubrava, Zagreb, Croatia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Petar","family":"Mar\u010dinkovi\u0107","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University Hospital Dubrava, Zagreb, Croatia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marina","family":"Ragu\u017e","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University Hospital Dubrava, Zagreb, Croatia"},{"name":"School of Medicine, Catholic University of Croatia, Zagreb, Croatia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dominik","family":"Romi\u0107","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University Hospital Dubrava, Zagreb, Croatia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Darko","family":"Ore\u0161kovi\u0107","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University Hospital Dubrava, Zagreb, Croatia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Darko","family":"Chudy","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University Hospital Dubrava, Zagreb, Croatia"},{"name":"Department of Surgery, School of Medicine, University of Zagreb, Zagreb, Croatia."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2023,12,1]]},"reference":[{"key":"10.25259\/SNI_178_2023\/ref-1","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1159\/000498856","article-title":"Bilateral chronic subdural hematoma in the posterior fossa treated with a burr hole irrigation: A case report and review of the literature","volume":"11","author":"Inoue","year":"2019","journal-title":"Case Rep Neurol"},{"key":"10.25259\/SNI_178_2023\/ref-2","doi-asserted-by":"crossref","first-page":"822","DOI":"10.2176\/nmc.52.822","article-title":"Bilateral chronic subdural hematomas of the posterior fossae","volume":"52","author":"Kurisu","year":"2012","journal-title":"Neurol Med Chir (Tokyo)"},{"key":"10.25259\/SNI_178_2023\/ref-3","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1016\/j.jocn.2018.01.050","article-title":"Evidence based diagnosis and management of chronic subdural hematoma: A review of the literature","volume":"50","author":"Mehta","year":"2018","journal-title":"J Clin Neurosci"},{"key":"10.25259\/SNI_178_2023\/ref-4","doi-asserted-by":"crossref","first-page":"20","DOI":"10.4103\/sni.sni_239_17","article-title":"Chronic subdural hematoma of the posterior fossa treated by suboccipital craniotomy","volume":"9","author":"Mochizuki","year":"2018","journal-title":"Surg Neurol Int"},{"key":"10.25259\/SNI_178_2023\/ref-5","doi-asserted-by":"crossref","first-page":"165","DOI":"10.2176\/jns-nmc.2021-0425","article-title":"Chronic subdural hematoma, caused by disseminated intravascular coagulation and\/or anticoagulation therapy, after COVID-19","volume":"9","author":"Nomura","year":"2022","journal-title":"NMC Case Rep J"},{"key":"10.25259\/SNI_178_2023\/ref-6","doi-asserted-by":"crossref","first-page":"497","DOI":"10.1007\/s007010200072","article-title":"Spontaneous bilateral chronic subdural haematoma of the posterior fossa. Case report and review of the literature","volume":"144","author":"Stendel","year":"2002","journal-title":"Acta Neurochir (Wien)"},{"key":"10.25259\/SNI_178_2023\/ref-7","doi-asserted-by":"crossref","first-page":"118066","DOI":"10.1016\/j.jns.2021.118066","article-title":"History and current progress of chronic subdural hematoma","volume":"429","author":"Tamura","year":"2021","journal-title":"J Neurol Sci"},{"key":"10.25259\/SNI_178_2023\/ref-8","doi-asserted-by":"crossref","first-page":"468","DOI":"10.25259\/SNI_710_2022","article-title":"Spontaneous chronic subdural hematoma of the posterior fossa: A case report","volume":"13","author":"Zemel","year":"2022","journal-title":"Surg Neurol Int"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/bilateral-posterior-fossa-chronic-subdural-hematoma-as-a-cause-of-hydrocephalus\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/bilateral-posterior-fossa-chronic-subdural-hematoma-as-a-cause-of-hydrocephalus\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,1]],"date-time":"2023-12-01T09:57:36Z","timestamp":1701424656000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/bilateral-posterior-fossa-chronic-subdural-hematoma-as-a-cause-of-hydrocephalus\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12,1]]},"references-count":8,"alternative-id":["10.25259\/SNI_178_2023"],"URL":"https:\/\/doi.org\/10.25259\/sni_178_2023","relation":{},"ISSN":["2152-7806","2229-5097"],"issn-type":[{"value":"2152-7806","type":"electronic"},{"value":"2229-5097","type":"print"}],"subject":[],"published":{"date-parts":[[2023,12,1]]},"article-number":"413"}}