Abstract
A 78-year-old Japanese man with a history of colon cancer was referred to our department of neurosurgery for the management of asymptomatic left chronic subdural hematoma (CSDH). He was receiving bevacizumab therapy for colon cancer, and the size of the CSDH increased or decreased depending on bevacizumab administration. Simple drainage was performed because of the risk of a critical increase in the size of CSDH during bevacizumab therapy, but since the CSDH was organized and firm, the drainage was insufficient. Therefore, neuroendoscope-assisted craniotomy was performed, and the organized CSDH was almost completely removed. The present case indicates the possible involvement of bevacizumab in the occurrence of CSDH and the efficacy of the neuroendoscopic approach in the surgical treatment of organized CSDH.
| Original language | English |
|---|---|
| Pages (from-to) | 515-518 |
| Number of pages | 4 |
| Journal | Neurologia Medico-Chirurgica |
| Volume | 51 |
| Issue number | 7 |
| DOIs | |
| Publication status | Published - 2011 Jul |
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Keywords
- Bevacizumab
- Chemotherapy
- Chronic subdural hematoma
- Minimally invasive surgical procedure
- Neuroendoscope
ASJC Scopus subject areas
- Clinical Neurology
- Surgery
Cite this
Neuroendoscope-assisted removal of an organized chronic subdural hematoma in a patient on bevacizumab therapy. / Takahashi, Satoshi; Yazaki, Takahito; Nitori, Nobuhiro; Kano, Tadashige; Yoshida, Kazunari; Kawase, Takeshi.
In: Neurologia Medico-Chirurgica, Vol. 51, No. 7, 07.2011, p. 515-518.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Neuroendoscope-assisted removal of an organized chronic subdural hematoma in a patient on bevacizumab therapy
AU - Takahashi, Satoshi
AU - Yazaki, Takahito
AU - Nitori, Nobuhiro
AU - Kano, Tadashige
AU - Yoshida, Kazunari
AU - Kawase, Takeshi
PY - 2011/7
Y1 - 2011/7
N2 - A 78-year-old Japanese man with a history of colon cancer was referred to our department of neurosurgery for the management of asymptomatic left chronic subdural hematoma (CSDH). He was receiving bevacizumab therapy for colon cancer, and the size of the CSDH increased or decreased depending on bevacizumab administration. Simple drainage was performed because of the risk of a critical increase in the size of CSDH during bevacizumab therapy, but since the CSDH was organized and firm, the drainage was insufficient. Therefore, neuroendoscope-assisted craniotomy was performed, and the organized CSDH was almost completely removed. The present case indicates the possible involvement of bevacizumab in the occurrence of CSDH and the efficacy of the neuroendoscopic approach in the surgical treatment of organized CSDH.
AB - A 78-year-old Japanese man with a history of colon cancer was referred to our department of neurosurgery for the management of asymptomatic left chronic subdural hematoma (CSDH). He was receiving bevacizumab therapy for colon cancer, and the size of the CSDH increased or decreased depending on bevacizumab administration. Simple drainage was performed because of the risk of a critical increase in the size of CSDH during bevacizumab therapy, but since the CSDH was organized and firm, the drainage was insufficient. Therefore, neuroendoscope-assisted craniotomy was performed, and the organized CSDH was almost completely removed. The present case indicates the possible involvement of bevacizumab in the occurrence of CSDH and the efficacy of the neuroendoscopic approach in the surgical treatment of organized CSDH.
KW - Bevacizumab
KW - Chemotherapy
KW - Chronic subdural hematoma
KW - Minimally invasive surgical procedure
KW - Neuroendoscope
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UR - http://www.scopus.com/inward/citedby.url?scp=79960762912&partnerID=8YFLogxK
U2 - 10.2176/nmc.51.515
DO - 10.2176/nmc.51.515
M3 - Article
VL - 51
SP - 515
EP - 518
JO - Neurologia Medico-Chirurgica
JF - Neurologia Medico-Chirurgica
SN - 0470-8105
IS - 7
ER -