Acute Spontaneous Subdural Hematoma in a Middle-Aged Adult: Case Report and Review of the Literature

Coombs, Jaron B.; Coombs, Bryce L.; Chin, Eric J.

doi:10.1016/j.jemermed.2014.04.026

Cited by 48 publications

(34 citation statements)

References 64 publications

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“…In 1988, Tokoro and colleagues proposed four diagnostic criteria: (a) no history of head trauma, (b) no cerebral cortex damage, (c) no evidence of ruptured aneurysm or AVM, and (d) identification of arterial hemorrhage during operation [1]. Following these criteria, about 91 cases have been reported in literature until now [6]. Our case satisfies Tokoro's criteria for the diagnosis of acute spontaneous SH of arterial origin and highlights the sudden, acute and dramatic onset, probably induced by an increase in intracranial pressure following Valsalva-maneuver.…”

Section: Discussionmentioning

confidence: 99%

“…Mortality rate ranges from 25% to 90% in reported series and may be associated with a lower GCS at presentation and delay in surgical treatment [3,6]. In a recent review, Coombs and colleagues found 91 cases of acute spontaneous SH of arterial origin reported on literature, corresponding for 61.5% of all acute spontaneous SHs with an overall mortality rate of 36.7% [6].…”

Section: Discussionmentioning

confidence: 99%

“…There is no clear precipitant, but minor head trauma is thought to play a role in rupturing an adhered cortical artery, leading to massive subdural bleeding [3,4]. Prompt neurosurgical evacuation is crucial to a good outcome [5,6]. We report a case spontaneous SH of arterial origin associated to Duret hemorrhage after sudden rise in intracranial pressure and briefly review the current literature.…”

Section: Introductionmentioning

confidence: 99%

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Spontaneous subdural hematoma associated to Duret hemorrhage

Martins

Teixeira

Paglioli

2015

Interdisciplinary Neurosurgery

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Subdural hematoma (SH) is a neurosurgical emergency, usually caused by head trauma. Non-traumatic causes include aneurysm or arterial-venous malformation rupture, coagulopathy and others. We report the case of a 66 year-old man who developed apparently unprovoked signs of increased intracranial pressure. Brain computed tomography scan showed an acute spontaneous SH, surgically treated. Throughout surgery, a ruptured cortical artery with intensive bleeding appeared and was cauterized. After surgery, patient remained comatose and a new CT demonstrated Duret hemorrhage at the brainstem. Acute spontaneous SH of arterial origin is rare and highly lethal, in which a good prognosis relies on early diagnosis and treatment.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Spontaneous subdural hematoma associated to Duret hemorrhage

Martins

Teixeira

Paglioli

2015

Interdisciplinary Neurosurgery

View full text Add to dashboard Cite

show abstract

“…Bu durum beynin yüzeyel venlerini dura sinüslerine bağlayan küçük köprü venlerinin hasar görmesine yol açmakta ve subdural hematom meydana gelmektedir (13). Subdural hematom daha az sıklıkla yüzeyel arterlerin kanaması sebebiyle de oluşabilmektedir (2,12,3). Geçirilmiş travma öyküsü, antikoagülan kullanımı ve alkolizm ile subdural hematom oluşma riski artmaktadır.…”

Section: Discussionunclassified

“…Subdural hematom travmadan itibaren hematomun ortaya çıkma süresine göre akut, subakut ve kronik olarak sınıflandırılmaktadır (8). Spontan subdural hematom ise gençlerde oldukça nadir olarak oluşmaktadır (9)(10)(11)(12). Biz burada acil servise baş ağrısı yakınması ile başvuran ve travma hikayesi olmayan genç bir hastayı sunduk.…”

Section: Introductionunclassified