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Indian J Radiol Imaging. 2016 Oct-Dec;26(4):469-471. doi: 10.4103/0971-3026.195778.

Percutaneous epidural drainage through a burr hole.

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  • 1Department of Interventional Radiology, Hospital Israelita Albert Einstein, São Paulo, Brazil.

Abstract

Intracranial extradural collection may cause an increase in intracranial pressure, requiring rapid emergency treatment to reduce morbidity and mortality. We described an alternative CT-guided percutaneous access for extradural collection drainage. We report a case of a patient with previous craniectomy for meningioma ressection who presented to the Emergency Department with symptoms of intracranial hypertension. Brains CT showed a extradural collection with subfalcine herniation. After multidisciplinary discussion a CT-guided percutaneous drainage through previous burr hole was performed. The patient was discharged after 36 hours of admission, without further symptoms. We describe a safe and effective alternative percutaneous access for extradural collection drainage in patients with previous burr hole.

KEYWORDS:

Burr hole; epidural abscess; percutaneous drainage

PMID:
28104940
PMCID:
PMC5201076
DOI:
10.4103/0971-3026.195778
[PubMed - in process]
Free PMC Article
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