Daramar The patient presented at the Emergency Department again 5 days after the initial trauma, with complaints of headache and nausea. Kurume Med J ; We did not anticoagulate these surgical patients but did provide hydration and antiplatelet agents. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Unable to process the form.
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Gardagul Localized convexity subarachnoid hemorrhage-a sign of early cerebral venous sinus thrombosis. Cerebral venous sinus thrombosis presenting as subdural hematoma. This is an open-access article distributed under higromaw terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
National Center for Biotechnology InformationU. Dural sinus thrombosis in spontaneous intracranial hypotension: Traumatic subdural hygromas in adults: In the case presented here, the medico-legal evaluation on theday of the event reported the clinical status of the patient as exposure to mild trauma and the diagnosis of subdural higroma was made on presentation 5 days after the event.
The CT scan on the 50 th day showed enhanced hygroma density Fig 4C. Two years later he was asymptomatic, and the subdural collection had disappeared Fig 3D. In the evaluation, it was stated that the patient had a pain in his foot, was only able to eat a half portion of food, had complaints of forgetfulness, fatigue and dizziness, and was only able to walk for 10 minutes, but did not experience higronas or seizures, was not on any permanent medication and had no complaints of micturation or defecation.
On admission, the CT scan showed subarachnoid higromaw and cerebral edema Fig 4A. A year-old woman on oral contraceptives presented with headache and difficulty speaking. For different authors subdural hygroma is more prevalent in older patients with some degree of cerebral atrophy 4,9,14, Kurume Med J Learn how and when to remove these template messages.
On examination of the brain computed tomography CT scan taken on the day of the event, it was seen that there was no osseous or parenchymal pathology and both frontal extra-axial CSF spaces were wide Figure 1. Views Read Edit View history. Thirty-four consecutive adult patients with subdural traumatic hygroma were analysed for clinical evolution, serial computed tomography scan CTand magnetic resonance imaging MRI over a period higrmoas several months.
She was managed conservatively with hydroxyurea, hydration, and aspirin. Subdural hygroma Reports prepared at the time of an event without taking clinical follow-up and examinations into consideration can lead to rarely seen late complications of trauma being missed such as traumatic subdural higroma and thereby omissions in the medico-legal evaluation reports.
The CT scan on the th day showed cerebral expansion and spontaneous resolution of the cerenrales collection Fig 1D. Following endovascular treatment cersbralesnormal venous drainage and pressures are restored.
He presented a transient decreased conscience state and later reported headache Glasgow Coma Scale score A literature review was completed, and we identified seven case reports [ Table 1 ].
A year-old woman with polycythemia vera experienced a severe headache and then deteriorated to coma. This page was last edited on 18 Decembercetebrales Case 4 Case 4. She underwent emergent craniotomy and hematoma evacuation. Four of our patients presented no cerebral atrophy. Case 3 A year-old male experienced one month of escalating bifrontal headaches refractory to analgesics and antibiotics prescribed for presumed sinusitis.
Case 8 Case 8. Mechanical factors, which reduce blood flow in the cerebral sinuses and promote thrombosis, include adjacent infections typically mastoiditisneoplastic invasion of the sinus, trauma, and neurosurgical procedures.
While we did start patients 2 and 3 on aspirin, the benefit of antiplatelet agents on higroms thrombosis is negligible. He was submitted to conservative treatment. He was comatose with right midriasis Glasgow Coma Scale score 7. However, another complication, which is less frequently seen and about which less knowledge has been gathered is traumatic subdural higroma [ 1 ].
She was not on anticoagulants or antiplatelet agents. Related Posts.
HIGROMAS CEREBRALES PDF
Gardagul Localized convexity subarachnoid hemorrhage-a sign of early cerebral venous sinus thrombosis. Cerebral venous sinus thrombosis presenting as subdural hematoma. This is an open-access article distributed under higromaw terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. His prior medical history was notable for hypertension and hyperlipidemia.
Torg Therefore, medico-legal evaluation reports to be made about an individual must be prepared taking into consideration the late complications of trauma. You can help by adding to it. There are two prior case reports of medically managed SDHs that were placed on systemic anticoagulation [ Table 1 ], and we also successfully managed our first patient with systemic anticoagulation. Conservative treatment was chosen. He was comatose with right midriasis Glasgow Coma Scale score 7. Support Center Support Center.