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Surg Neurol Int


Burr hole on polyetheretherketone cranioplasty for the management of chronic subdural hematoma: A case report.


Marrone S, Costanzo R, Scalia G, Iacopino D G, Nicoletti G F, Umana G E
Surg Neurol Int. 2022; 13:454.
PMID: 36324972.


In rare cases, chronic subdural hematoma can be a complication following cranioplasty implantation. Therefore, it can develop spontaneously or after a trauma in the underlying site of a duroplasty and represent, if compression of the brain structures, a life-threatening condition. In case of a patient with cranioplasty in polyetheretherketone (PEEK), performing a burr hole on prosthesis can represent, although unusual, an effective and safe technique for evacuation of the chronic subdural hematoma, avoiding the need to remove the prosthesis itself. Nevertheless, a rare and insidious prosthesis infection can occur, even after years.