[01] Guru Dutta Satyarthee, Department of Neurosurgery, Gamma Knife, AIIMS, New Delhi, India. [02] Luis Rafael Moscote Salazar, Neurosurgeon-Critical Care, RED LATINO Latin American Trauma & Intensive Neuro-Care Organization, Bogota, Colombia.

Neurological worsening in case of glioma during follow-up period, following gross total surgical excision and subsequently received radiotherapy, common causes are recurrence of lesion at the operative site, radiation necrosis, radiation induced intracranial tumor recurrence at distant site, seizure, vasculitis, hydrocephalus, meningitis, however, rarely chronic subdural haematoma can also be responsible. Authors report a 39-year -old female with grade II astrocytoma in the right temporal lobe, underwent craniotomy and gross total excision of glioma, received radiotherapy and a course of chemotherapy. She presented with recurrence of symptoms, 18 months after the adjuvant therapy. Cranial computed tomography revealed chronic subdural hematoma (CSDH) and underwent burr-hole craniostomy for evacuation of chronic subdural hematoma. After surgical evacuation of chronic subdural haematoma, headache along with fresh neurological deficit improved completely. To the best of knowledge of authors, current study is the first report in the western literature. Pertinent literature and management is briefly discussed. Authors recommends, possibility of chronic subdural hematoma development in the follow-up period must also be kept as one of differential diagnosis for neurological worsening of surgically resected glioma followed by radiotherapy.

Corpus Callosal Glioma, Radiotherapy, Chronic Subdural Hematoma

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