Percutaneous epidural drainage through a burr hole
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The 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 the previous craniectomy for meningioma resection who presented to the Emergency Department with symptoms of intracranial hypertension. Brains CT showed an 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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