Bilateral Supra- and Infratentorial Chronic Subdural Hematomas: Case Report

Abstract

A case of bilateral supra- and infratentorial chronic subdural hematomas was reported with a review of the recent literature. A 64-year-old man was suffered from progressive headache and vomiting for a month. Magnetic resonance imaging (MRI) revealed bilateral supra- and infratentorial subdural hematomas that compressed bilateral cerebral hemispheres and left cerebellum. Irrigation of the bilateral supratentorial hematomas was performed through burr holes, and left infratentorial hematoma was evacuated through left suboccipital craniotomy. The cavity of the supra- and infratentorial hematomas was composed of inner and outer membranes. The right infratentorial hematoma was conservatively treated and disappeared after the surgery. The symptoms improved rapidly, and no recurrence of hematoma was observed on MRI study three months later. Symptomatic or progressive supra-and infratentorial chronic subdural hematoma should be indicated for one-stage surgery through burr hole or craniotomy.