The spontaneous reabsorbtion of posttraumatic interhemispheric subdural haematoma

Úrculo, E.; Martínez, Luis Alberto Corona; L, Gereka; Olasagasti, V.; Olascoaga, Javier; Urcola, J.

doi:10.1007/bf01411487

Cited by 8 publications

(6 citation statements)

References 4 publications

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“…Reports of spontaneous ISH with no evident trauma or coagulation disturbances are really very few, however, this possibility is greater among elderly patients, sometimes being similar to a TIA [23] as revealed by our second case. In other reports, in some of these patients [2,9,20,23] the hematoma resolved spontaneously and no surgical treatment was needed, while in another patient, the hematoma was subsequently evacuated from the convexity after its migration. This phenomenon was also present in our case 1, in whom initial medical management was followed by evacuation of a clot from the convexity.…”

Section: Discussionmentioning

confidence: 46%

“…In most cases, ISH is confined to one side of the falx because firm adherence of subarachnoidal trabeculations between the brain and the parasagittal dura precludes further dissemination of the bleeding [11]. Some patients with ISH have bilateral hematomas [15], or associated convexity subdural hematomas; these lesions are often related to severe head trauma causing bleeding from separate sources [10,18,23].…”

Section: Discussionmentioning

confidence: 99%

“…Interhemispheric subdural hematoma (ISH) was considered rare before the availability of computed tomography (CT) [1,4,5,8,10,14,21,24]. In recent years, widespread use of CT and MRI has led to its better recognition [9,11,13,15,17,18,20,23,27], and has improved our understanding of this disorder; however, several aspects are still controversial. In regard to the management of ISH, little is known about the ideal time for surgery and what, if any, are the indications for a conservative approach in a given patient.…”

Section: Introductionmentioning

confidence: 99%

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Acute Interhemispheric Subdural Hematoma: Two Case Reports and Analysis of the Literature

Llamas

Ramos-Zúñiga²,

Sandoval

2002

Minim Invasive Neurosurg

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Interhemispheric subdural hematoma (ISH) had been considered extremely rare until identification with imaging studies. Its natural history is still quite unknown in terms of potential origin and course. As a consequence of various controversies, there is still no clearly established treatment, particularly in regard to medical or surgical management. The best decision requires tailoring treatment to the individual patient according to his or her clinical condition. Two patients with acute interhemispheric subdural hematomas are reported, the controversial management of this rare entity is analysed. In reviewing current published cases of interhemispheric subdural hematoma, it seems that the outcome of an individual patient is not related to the therapeutic approach, but to the level of consciousness and the neurological condition on admission. Surgical and medical treatment indications are taken into account for management. A patient with ISH developed an extension of the hematoma to the convexity at 2 weeks of his clinical course, with a decline of his neurological condition. The hematoma was then evacuated through a parietal craniotomy with an uneventful postoperative course. Another case of ISH presented as headache and TIA, with spontaneous clinical improvement at 12 hours and with no decline in the patient's neurological condition. Management was conservative. In both cases the neurological examination was normal after 6 months. As in previously reported cases, the clinical and neurological condition of the patient on admission is crucial for the course of an ISH. Treatment strategies are based on the individual neurological response of each case and the risk-benefit ratio to decide on a medical or surgical approach.

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Section: Discussionmentioning

confidence: 46%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Acute Interhemispheric Subdural Hematoma: Two Case Reports and Analysis of the Literature

Llamas

Ramos-Zúñiga²,

Sandoval

2002

Minim Invasive Neurosurg

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“…19) In most cases of ISH presenting with falx syndrome, the ISH is large. 18) Our patient did not show a subarachnoid hemorrhage or cerebral contusion, and the size of the ISH was moderate. This suggests that even a moderate-size hematoma can produce the syndrome if the hematoma is located adjacent to the central sulcus or occipital lobe.…”

Section: Discussionmentioning

confidence: 50%

Interhemispheric Subdural Hematoma Presenting with Falx Syndrome after Trauma

Lee

Kim

Yoon

2010

J Korean Neurotraumatol Soc

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Interhemispheric subdural hematoma (ISH) presenting with falx syndrome is a rare occurrence. We present a case of ISH presenting with falx syndrome with visual disturbances. A 66-year-old woman reported headache as a result of a fall. Initial nonenhanced computed tomography (CT) showed a left frontal ISH. Two days later, she was noted to have right homonymous hemianopsia and marked right hemiparesis, especially in the right lower extremity. Follow up CT demonstrated an increase in the size of the frontal ISH and a newly developed occipital ISH. On thirteen day after the trauma, she was treated with mannitol and dexamethasone. Twelve hours after the start of the mannitol and dexamethasone therapy, the patient showed marked improvement of the neurologic deficit. Five months after the trauma, she showed no neurological deficits. (J Kor Neurotraumatol Soc 2010;6:158-161) KEY WORDS: Hematoma ㆍSubdural ㆍInterhemispheric ㆍFalx.

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“…armada em serviços de emergência, o diagnóstico de hematoma subdural inter-hemisférico (HSDI) era raro, tendo sido relatado apenas em casos de autópsia 1,5,10,13,14,17,19,23,24,34,41 . Nas últimas décadas, o uso disseminado da TC nos serviços de emergência permitiu melhor reconhecimento dessa entidade [7][8][9]13,17,19,[24][25][26][31][32][33][34]36,37,[43][44][45][46]49 .…”

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Hematoma subdural inter-hemisférico traumático agudo

Pereira¹,

Leão²,

Silva³

et al. 2004

Arq Bras Neurocir

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IntroduçãoOs autores apresentam 12 casos de HSDI agudo traumático. Discutem sua fisiopatologia, diagnóstico e tratamento.O HSDI é definido como a presença de coleção sangüínea localizada no espaço subdural e na fissura interhemisférica 2,44 . Antes do advento da tomografia computadorizada (TC) no arsenal propedêutico à mão Hematoma subdural inter-hemisférico traumático agudoCarlos Umberto Pereira*, João Domingos Barbosa Carneiro Leão**, Alvino Dutra da Silva**, Dênio José de Souza Bispo***, Egmond Alves Silva Santos*** PALAVRAS-CHAVEHematoma subdural inter-hemisférico. Traumatismo craniencefálico.

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The spontaneous reabsorbtion of posttraumatic interhemispheric subdural haematoma

Cited by 8 publications

References 4 publications

Acute Interhemispheric Subdural Hematoma: Two Case Reports and Analysis of the Literature

Acute Interhemispheric Subdural Hematoma: Two Case Reports and Analysis of the Literature

Interhemispheric Subdural Hematoma Presenting with Falx Syndrome after Trauma

Hematoma subdural inter-hemisférico traumático agudo

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