Spontaneous Chronic Subdural Hematoma in an Adolescent Girl

Wang, Hui Sun; Kim, Seok Won; Kim, Sung Hoon

doi:10.3340/jkns.2013.53.3.201

Cited by 13 publications

(11 citation statements)

References 10 publications

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“…In patients without trauma history, we presumed that they forgot the trauma, since the CSH is common in the aged and alcoholics. However, there are numerous cases of CSHs without trauma 3 7 8 10 11 15 24 28 30 39 40 42 47 48 49 59 62) , which made trauma as an associated factor instead of the cause.…”

Section: Discussionmentioning

confidence: 99%

Chronic Subdural Hematoma in the Aged, Trauma or Degeneration?

Lee

2016

J Korean Neurosurg Soc

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Chronic subdural hematomas (CSHs) are generally regarded to be a traumatic lesion. It was regarded as a stroke in 17th century, an inflammatory disease in 19th century. From 20th century, it became a traumatic lesion. CSH frequently occur after a trauma, however, it cannot occur when there is no enough subdural space even after a severe head injury. CSH may occur without trauma, when there is sufficient subdural space. The author tried to investigate trends in the causation of CSH. By a review of literature, the author suggested a different view on the causation of CSH. CSH usually originated from either a subdural hygroma or an acute subdural hematoma. Development of CSH starts from the separation of the dural border cell (DBC) layer, which induces proliferation of DBCs with production of neomembrane. Capillaries will follow along the neomembrane. Hemorrhage would occur into the subdural fluid either by tearing of bridge veins or repeated microhemorrhage from the neomembrane. That is the mechanism of hematoma enlargement. Trauma or bleeding tendency may precipitate development of CSH, however, it cannot lead CSH, if there is no sufficient subdural space. The key determinant for development of CSH is a sufficient subdural space, in other words, brain atrophy. The most common and universal cause of brain atrophy is the aging. Modifying Virchow's description, CSH is sometimes traumatic, but most often caused by degeneration of the brain. Now, it is reasonable that degeneration of brain might play pivotal role in development of CSH in the aged persons.

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Section: Discussionmentioning

confidence: 99%

Chronic Subdural Hematoma in the Aged, Trauma or Degeneration?

Lee

2016

J Korean Neurosurg Soc

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“…[ 3 ] Spontaneous subdural hematoma usually occurs in the presence of risk factors such as vasculopathy, coagulopathy, and concurrent anticoagulation treatment. [ 6 7 8 ]…”

Section: Introductionmentioning

confidence: 99%

Psychiatric Manifestation of Chronic Subdural Hematoma: The Unfolding of Mystery in a Homeless Patient

Kar

Kumar

Singh

et al. 2015

Indian Journal of Psychological Medicine

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The clinical manifestation of chronic subdural hematoma is not limited to neurological deficits or cognitive impairment. It may present with behavioral abnormalities. When the behavioral abnormalities present without obvious neurological deficits and in the absence of trauma, it leads to misdiagnosis. A trivial trauma may cause intracranial bleed that is either missed or ignored in the clinical history. This case report highlights the clinical picture of a homeless patient who presented with withdrawn and disorganized behavior, apathy and poverty of speech in the absence of any neurological deficit. His clinical presentation led to a possibility of psychosis and he was started on antipsychotics. He had developed extrapyramidal side effects in low dose of antipsychotic without any clinical benefit in his clinical picture. Neuroimaging done to rule out any possible organicity-revealed bilateral subdural hematoma, which was later evacuated by neurosurgical intervention in multiple settings and the patient had improved. This case report unfolds the mystery behind the psychotic presentation in a homeless adult.

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“…Thrombocytopaenia is not included in list of severity criteria for malaria as it is unable to cause mortality by itself [6]. Wang HS et al, reported that acute spontaneous SDH is rare pathological entity without traumatic aetiology and accounts for less than 5% of cases [7]. Several reports of SDH in young individuals, who had risk factors such as hypertension, solid tumour dural metastasis, vascular malformations and alcoholism were reported [8].…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Subdural Haemorrhage: A Rare Association with Plasmodium Vivax Malaria

Mallela

Shetty

Koya

et al. 2016

JCDR

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A 35-year-old man presented with sudden onset of headache and vomiting since five days. On examination patient had jaundice and was haemodynamically stable. CNS examination showed Glasgow Coma Scale (GCS) of 12(E3V4M5), pupils were bilaterally equal and reacting to light, extraocular movements were normal with no facial asymmetry. Motor and sensory system examination was grossly normal. Deep tendon reflexes were normal with bilateral plantar response being flexor. Fundus examination was normal. Other system examination was unremarkable.

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Spontaneous Chronic Subdural Hematoma in an Adolescent Girl

Cited by 13 publications

References 10 publications

Chronic Subdural Hematoma in the Aged, Trauma or Degeneration?

Chronic Subdural Hematoma in the Aged, Trauma or Degeneration?

Psychiatric Manifestation of Chronic Subdural Hematoma: The Unfolding of Mystery in a Homeless Patient

Spontaneous Subdural Haemorrhage: A Rare Association with Plasmodium Vivax Malaria

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