We describe a case of subdural hematoma developing following spinal anesthesia and diagnosed late. In 2017 39th annual international conference of the ieee engineering in medicine and biology society. During a 3year period, 26 nearterm and term nonasphyxiated infants were found to have a subdural hematoma on computed tomography. If you sustain a major brain injury, this area can fill with blood and. Sciencedirect is a registered trademark of elsevier. However, their neurological deterioration is usually rapid, which seems to align them with acute subdural hematoma asdh. Chronic subdural hematomas may take weeks to months to appear. There was a hematoma on right parietal and temporal lobe. On rare occasions, rupture of a cerebral aneurysm causes acute subdural hematoma sdh in addition to subarachnoid hemorrhage sah. He was diagnosed as acute subdural hematoma with a cranial ct, however a conservative therapy was performed because he was in a brain death. Duret hemorrhage following subdural hematoma evacuation.
A chronic subdural hematoma is an old collection of blood and blood breakdown products between the surface of the brain and its outermost covering the dura. Patogenesis y fisiopatologia del hematoma subdural cronico. A subdural hematoma is a buildup of blood on the surface of the brain. Subdural hematoma and lupus anticoagulants uc davis. The patient was initially diagnosed as having an ischemic infarction but eventually was shown to have a subacute subdural hematoma with delay in surgical evacuation and a major permanent deficit. We present an additional case with a tabulation of pertinent data. Conclusion this case confirms chronic subdural hematoma formation is a possible complication following third ventriculostomy.
The imaging of subdural hematoma has evolved significantly. Acute intracranial subdural hematoma following a lumbar. If the subdural hematoma is small subdural hematoma is characterized by a well defined and encapsulated collection between the dura mater and arachnoid membranes containing a mixture of fluid and coagulated blood in various stages 5, 6. A guide for patients and families 3 subacute subdural hematomas are ones found within 37 days of an injury. Subdural hematoma is extracerebral accumulation of blood between the dura matter and the subarachnoid layer. It usually results from tears in bridging veins that cross the subdural space. Subdural hematoma in term infants pediatric neurology. Subdural hematoma an overview sciencedirect topics. Concomitant intracranial chronic subdural hematoma and. Intracranial hypotension may occur when csf is removed from the subarachnoid space. An autopsy case of acute subdural hematoma caused by.
Risk factors include advancing age, male gender, and antiplatelet or anticoagulant use. Subdural hematoma in term infants university of texas. It is one of the most common forms of intracranial hemorrhage, being considered a benign lesion, though chronically progressive, but in. At seven days after admission he died and a medicolegal autopsy was performed at kyushu university. Spontaneous acute subdural hematoma, surgical neurology. Read spontaneous acute subdural hematoma, surgical neurology on deepdyve, the largest online rental service for scholarly research with thousands of academic publications available at. Chronic subdural hematoma as a complication of endoscopic.
Its management is often equated clinically to that of the chronic subdural hematoma csdh. Neurosurgery clinics of north america journal elsevier. T1 a case of acute traumatic subdural hematoma in a child with previous bilateral encephaloduroarteriosynangiosis. This article discusses the epidemiology and natural history of chronic subdural hematoma csdh, a common disease prevalent in the elderly population. These are more commonly seen in the elderly population where brain shrinkage.
The presentation of three patients with subdural hematoma and lupus anticoagulants within only 1 year at our institutions and the report of two such patients in the literature led us to conduct a retrospective study to determine whether patients with lupus anticoagulants may have an increased risk for the development of subdural hematoma. Pedro miguel gonzalezvargas jose luis theniervilla pablo sanroman alvarez alexandre serantes combo lourdes calero felix raul alejandro. A subdural hematoma occurs when a vein ruptures between your skull and your brains surface. Acute subdural hematoma caused by ruptured cerebral. Neuropsychiatric and neuropsychologic changes in patients with chronic subdural hematoma, neurosurgery clinics of north america, vol. In the pediatric population, csh is just one of a group of sometimes related conditions known as extracerebral fluid collections. At last followup he remains symptomfree and has radiographic evidence of a patent ventriculostomy. Hematocrit effect in bilateral subdural hematomas uc davis. The frequency of sdh resulting from aneurysmal rupture is summarized, and its clinical and radiological characteristics, as well as potential pitfalls in the diagnosis and the management of this lifethreatening condition are described.
A complication of a novel epidural blood patch technique, abstract the effectiveness of epidural blood patch ebp in the treatment of postlumbar puncture headache has been proven by several well controlled prospective studies. T1 hematocrit effect in bilateral subdural hematomas. Acute subdural hematoma usually occurs after severe, highimpact injuries and is often associated with contusions of the adjacent areas of the brain. Patients should be followed closely for possible subdural hematoma formation. Hematoma subdural cronico medicina clinica elsevier. Chronic subdural hematoma is characterized by a well defined and encapsulated collection between the dura mater and arachnoid membranes containing a mixture of fluid and coagulated blood in various stages 5, 6. Read concomitant intracranial chronic subdural hematoma and spinal subdural hematoma. Handbook of neurosurgery, neurology, and spinal medicine for nurses and advanced practice health professionals.
A subdural hematoma sdh is a type of bleeding in which a collection of bloodusually associated with a traumatic brain injurygathers between the inner layer of the dura mater and the arachnoid mater of the meninges surrounding the brain. Mehta v1, harward sc1, sankey ew1, nayar g1, codd pj2. Subdural hematoma in the setting of internal carotid. Subacute subdural hematoma sasdh is an entity which is yet to capture the popular imagination among the neurosurgeons. Evidence based diagnosis and management of chronic subdural hematoma. To demonstrate that the diagnosis of an intracranial subdural hematoma should be considered for patients presenting with acute or delayed symptoms of intracranial pathology following resection of a spinal tumor. Spontaneous, atraumatic posterior fossa subdural hematoma. Interhemisferic subdural hematoma in adults is a rare complication of head injury with no more than 100 cases reported since 1940. Purchase subdural hematomas, an issue of neurosurgery clinics of north america, volume 282 1st edition. Outcome in chronic subdural hematoma oregon health. Evidence based diagnosis and management of chronic. The chronic phase of a subdural hematoma begins several weeks after the first bleeding. Pdf complications after surgery for chronic subdural.
Smarter technology for a healthier world, embc 2017 proceedings pp. An asymmetric increase in smr was seen between age groups, with the greatest effect on the youngest subpopulation smr 2. Subdural hematoma subdural hematoma is the result of bleeding over the surface of the brain, beneath the dura. As relevant history, he presented a right acute subdural hematoma three months ago, secondary to an accidental fall, with surgical treatment fig. Automated subdural hematoma segmentation for traumatic. Purchase your vitalsource ebook on the elsevier health site.
The increased mortality rates in patients with csdhs relative to standardized mortality data corroborate the conception of subdural hematoma as a sentinel health event. This issue of neurosurgery clinics will focus on subdural hematomas. A case of acute traumatic subdural hematoma in a child. To report a case of an acute intracranial subdural hematoma that formed due to cerebrospinal fluid csf leak following lumbar surgery. Clinical correlation between ct numbers and nakaguchi classifications of chronic subdural hematoma wenta chiu, jiawei lin, m. Chronic subdural hematoma management university of miami. In a consecutive series of 39 cases of acute subdural hematoma sdh, encountered since computerized tomography diagnosis became available, 61. A case of late diagnosis of chronic subdural hematoma following. Trauma case reports, a companion title to the respected publication, injury, is the only open access, online journal dedicated to publishing case. The prototype case is described, emphasizing the benign and insidious onset followed, invariably, by a deteriorating neurological status leading, almost always, to surgical evacuation. The classical presentation of this disorder is a contralateral monoparesis of the leg or a hemiparesis more pronnonced in the leg. The purpose of this paper is to present eight cases of spontaneous subdural hematoma seen at. The blood builds up in a space between the protective layers that surround your.
Surgical management of acute subdural hematomas elsevier. Spontaneous subdural hematoma is, however, very rare and it commonly has an arterial origin and their aetiology is still a matter of controversy. Inicio medicina clinica hematoma subdural cronico issn. Chronic subdural hematoma csh is generally a disease affecting the elderly and infants. In infants, the process is particularly confusing and frequently misunderstood. Automated subdural hematoma segmentation for traumatic brain injured tbi patients.
Clinical correlation between ct numbers and nakaguchi. T1 spontaneous, atraumatic posterior fossa subdural hematoma. Subdural hematomas, an issue of neurosurgery clinics of. Elsevier is a leading publisher of health science books and journals, helping to. The study objectives were to evaluate risk factors for and clinical significance of small subdural hematomas observed on computerized tomography. A 72yearold woman with previously symptomatic internal carotid artery occlusion subsequently presented with an acute hemispheric deficit.