Indian Journal of Radiology Indian Journal of Radiology  

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INTERVENTIONAL RADIOLOGY Table of Contents   
Year : 2016  |  Volume : 26  |  Issue : 4  |  Page : 469-471
Percutaneous epidural drainage through a burr hole


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

Correspondence Address:
Priscila M Falsarella
Department of Interventional Radiology, Hospital Israelita Albert Einstein, Morumbi, São Paulo
Brazil
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-3026.195778

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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.


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