scholarly journals Subdural Hematoma: A Rare Presentation of a Convexity Meningioma

2014 ◽  
Vol 41 (4) ◽  
pp. 506-507 ◽  
Author(s):  
David Pelz ◽  
Adrian B. Levine ◽  
Keith W. MacDougall
Keyword(s):  
Subdural Hematoma ◽  
Chronic Subdural Hematoma ◽  
Past Medical History ◽  
Midline Shift ◽  
Resonance Imaging ◽  
Rare Presentation ◽  
History Of ◽  
Ct Head ◽  
Magnetic Resonance Imaging Mri ◽  
Gcs Score

A 69-year-old male presented to a peripheral emergency department with a several day history of increasing confusion and headache. On admission, his Glasgow Coma Scale (GCS) score was 10 (E3 M6 V1). He was mute but would obey commands intermittently. Cranial nerve exam was normal and there was no evidence of weakness. A computed tomogram (CT) head (Figure 1) showed a chronic subdural hematoma with midline shift, as well as a mass within the left frontal region that appeared consistent with a convexity meningioma seen on magnetic resonance imaging (MRI) two years prior (Figure 2). The patient was not on any blood thinners and had no history of falls. Past medical history also included hypertension and prostate cancer.

scholarly journals Kernohan-Woltman notch phenomenon and intention tremors in case of chronic subdural hematoma

2014 ◽  
Vol 21 (1) ◽  
pp. 109-112
Author(s):  
P. Sasikala ◽  
Bindu Menon ◽  
Amit Agarwal
Keyword(s):  
Ct Scan ◽  
Movement Disorders ◽  
Subdural Hematoma ◽  
Chronic Subdural Hematoma ◽  
Mass Effect ◽  
Midline Shift ◽  
Rare Presentation ◽  
Surgical Evacuation ◽  
Significant Mass Effect ◽  
Significant Mass

Abstract Movement disorders are atypical and rare presentation of chronic subdural hematomas. We report a case of 60 year man who presented with intention tremors and altered sensorium. The patient had Kernohan-Woltman notch phenomenon on clinical examination. CT scan brain showed a large left fronto-temporo-parietal chronic subdural hematoma with significant mass effect and midline shift. His symptoms relieved completely after surgical evacuation of the hematoma.

scholarly journals Post traumatic isolated ipsilateral oculomotor nerve palsy

2019 ◽  
pp. 188-190
Author(s):  
Praveen Kumar ◽  
Sharad Pandey ◽  
Kulwant Singh ◽  
Mukesh Sharma ◽  
Prarthana Saxena
Keyword(s):  
Subdural Hematoma ◽  
Nerve Palsy ◽  
Chronic Subdural Hematoma ◽  
Oculomotor Nerve Palsy ◽  
Rare Presentation ◽  
Third Nerve Palsy ◽  
Common Causes ◽  
History Of ◽  
Post Traumatic ◽  
Third Nerve

The common causes of isolated third nerve palsy are microvascular infarction, intracranial aneurysm, diabetes, hypertension and atherosclerosis. Here we are presenting a case of 26-year female presenting with a history of head injury two months back. She presented with ptosis on the left side. On computed tomography, a large left-sided chronic subdural hematoma with significant midline shift was found. Isolated ipsilateral third nerve palsy is a rare presentation with unilateral chronic subdural hematoma. Improvement in ptosis after surgery indicate a good neurological outcome.

scholarly journals Simultaneous Spinal and Intracranial Chronic Subdural Hematoma Cured by Craniotomy and Laminectomy: A Video Case Report

2016 ◽  
Vol 8 (1) ◽  
pp. 72-77 ◽  
Author(s):  
Hideki Kanamaru ◽  
Kenji Kanamaru ◽  
Tomohiro Araki ◽  
Kazuhide Hamada
Keyword(s):  
Subdural Hematoma ◽  
Chronic Subdural Hematoma ◽  
Rare Condition ◽  
Rare Entity ◽  
Resonance Imaging ◽  
Lumbar Mri ◽  
Magnetic Resonance Imaging Mri ◽  
Enhanced Computed Tomography ◽  
Video Case Report ◽  
Space Occupying Lesion

Simultaneous spinal and intracranial chronic subdural hematoma (CSDH) is a rare entity. A 67-year-old man visited our hospital due to headache after diving into a river 2 weeks before. Non-enhanced computed tomography (CT) and magnetic resonance imaging (MRI) revealed bilateral intracranial CSDH. The bilateral CSDH was evacuated and his symptoms improved. Three days after craniotomy, he complained of sensory disturbance on his buttocks. Lumbar MRI showed a space-occupying lesion behind the thecal sac at L5. CT with myelography showed a subdural mass lesion; there was no communication with the subarachnoid space. Fourteen days after craniotomy, L5 laminectomy was performed and the dura mater was incised carefully. The video shows that a liquid hematoma similar to the intracranial CSDH flowed out, followed by cerebrospinal fluid. His symptoms improved after the operation and the hematoma did not recur. This is a rare condition of spinal CSDH demonstrated by neuroimaging and intraoperative video.

scholarly journals An aggressive locoregional orbital rhabdomyosarcoma and Li Fraumeni syndrome

2021 ◽  
Vol 19 (1) ◽  
pp. 81-85
Author(s):  
Berrin Erok ◽  
◽  
Kenan Kıbıcı ◽  
Keyword(s):  
P53 Gene ◽  
Early Age ◽  
Past Medical History ◽  
Resonance Imaging ◽  
Rare Presentation ◽  
Orbital Mass ◽  
Li Fraumeni Syndrome ◽  
Li Fraumeni ◽  
Magnetic Resonance Imaging Mri ◽  
The Right

Introduction. Rhabdomyosarcoma (RMS) is the most common pediatric soft tissue sarcoma with 10 % of the cases occuring in the orbit. Patients often present with a rapidly developing proptosis and globe displacement. Aim. We aimed to present a very rare presentation of orbital RMS, with a giant exophytic orbital mass, a very rare presentation occuring in more advanced cases. Description of the case. A 3-year old girl presented to our hospital with a rapidly enlarging tissue like ulcerative mass. Her past medical history was remarkable with the diagnosis of embryonal rhabdomyosarcoma (RMS) and treatment with chemoradiotherapy at the age of 15 months. On magnetic resonance imaging (MRI), there was a giant heterogenously enhancing mass filling the right orbit and extending to the intracranial region. Li Fraumeni syndrome (LFS) was considered due to her sister death from neuroblastoma at an early age. Cytogenetic analysis revealed mutations of p53 gene, which supported our consideration. Conclusion. RMS is a highly malignant tumor which usually occurs sporadiacally. However, some rare syndromes are associated with increased incidence of RMS, such as LFS.

scholarly journals Diabetic ketoacidosis (DKA) induced cerebral edema complicating small chronic subdural hematoma/hygroma/ at Zewuditu memorial hospital: a case report

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Mestet Yibeltal Shiferaw ◽  
Tsegazeab Laeke T/Mariam ◽  
Abenezer Tirsit Aklilu ◽  
Yemisirach Bizuneh Akililu ◽  
Bethelhem Yishak Worku
Keyword(s):  
Cerebral Edema ◽  
Subdural Hematoma ◽  
Chronic Subdural Hematoma ◽  
Midline Shift ◽  
Subdural Hygroma ◽  
Case Summary ◽  
The Status ◽  
History Of ◽  
Type 1 Dm

Abstract Background While both DKA & CSDH/subdural hygroma/ are known to cause significant morbidity and mortality, there is no a study that shows the role & effect of DKA on CSDH/subdural hygroma/ & vice versa to authors’ best knowledge; hence this work will show how important relation does exist between DKA & CSDH/ hygroma. Case summary This study highlights the diagnostic & management challenges seen for a case of a 44 years old female black Ethiopian woman admitted with a diagnosis of newly diagnosed type 1 DM with DKA + small CSDH/subdural hygroma/ after she presented with sever global headache and a 3 month history of lost to her work. She needed burrhole & evacuation for complete clinical improvement besides DKA’s medical treatment. Conclusion DKA induced cerebral edema on the CSDH/subdural hematoma/ can have a role in altering any of the parameters (except the thickness of CSDH) for surgical indication of patients with a diagnosis of both CSDH +DM with DKA. Hence, the treating physicians should be vigilant of different parameters that suggests tight brain &/ cerebral edema (including midline shift, the status of cisterns, fissures & sulci) and should not be deceived of the thickness of the CSDH/subdural hygroma/alone; especially when there is a disproportionately tight brain for the degree of collection. Whether DKA induced cerebral edema causes a subdural hygroma is unknown and needs further study.

scholarly journals Multiple myeloma revealed by a sphenoid plasmocytoma: case report and literature review

2016 ◽  
Vol 3 (2) ◽  
pp. 57-59
Author(s):  
Selma Kadiri
Keyword(s):  
Multiple Myeloma ◽  
Positive Staining ◽  
Resonance Imaging ◽  
Rare Presentation ◽  
Sphenoidal Sinus ◽  
Biological Studies ◽  
Plasma Cell Neoplasms ◽  
Gamma Peak ◽  
History Of ◽  
Magnetic Resonance Imaging Mri

Plasma cell neoplasms can manifest as a solitary or multiple plasmocytomas and may be associated with or progressing to multiple myeloma (MM). Cranial and intracranial plasmocytomas revealing multiple myeloma are very rare and only few cases are reported in the literature. We report the case of a sphenoid plasmocytoma that revealed a multiple myeloma in a 56 year-old woman with 3 months history of temporal headache and diplopia. Magnetic resonance imaging (MRI) and computed tomography (CT) showed a sphenoid mass. An endoscopic sphenoidal biopsy was performed and the histopathological exams showed a plasmocytoma with a positive staining for CD138. Further biological studies confirmed the diagnosis of multiple myeloma with a monoclonal gamma peak of immunoglobulin (Ig) A. The patient started systemic chemotherapy and received decompressive radiation therapy on the sphenoidal sinus. She remained in remission for 8 months and died from renal dysfunction. Although the sphenoid plasmocytoma is a very rare presentation of multiple myeloma it should be considered for effective patient management and prognosis improvement

scholarly journals A Rare Case of Ossified Chronic Subdural Hematoma Complicated with Tension Pneumocephalus

2019 ◽  
Vol 80 (04) ◽  
pp. e44-e45
Author(s):  
Mehmet Turgut ◽  
Murat Ö. Yay
Keyword(s):  
Subdural Hematoma ◽  
Rare Case ◽  
Chronic Subdural Hematoma ◽  
Epileptic Seizures ◽  
Resonance Imaging ◽  
Microsurgical Technique ◽  
Tension Pneumocephalus ◽  
The Past ◽  
History Of ◽  
The Right

AbstractA 59-year-old man presented with epileptic seizures interpreted as episodic syncope in the past 3 years and the patient had a history of head trauma about 4 years ago. Computed tomography revealed an ossified chronic subdural hematoma involving the right frontotemporoparietal region, which was totally resected using microsurgical technique. Postoperatively, weakness developed in right arm and magnetic resonance imaging revealed a bilateral tension pneumocephalus, which was immediately treated by a left frontal burr hole trepanation, and the patient was discharged uneventfully.

scholarly journals Chronic subdural hematoma pressure measurement and its correlation with clinical characteristics and postoperative neurological outcome

2021 ◽  
Vol 9 (1) ◽  
pp. 44
Author(s):  
Tinu Ravi Abraham ◽  
Shaju Mathew ◽  
P. K. Balakrishnan ◽  
Ajax John ◽  
Haris Thottathil Pareed ◽  
...  
Keyword(s):  
Subdural Hematoma ◽  
Prognostic Value ◽  
Clinical Characteristics ◽  
Chronic Subdural Hematoma ◽  
Pressure Group ◽  
Midline Shift ◽  
Hematoma Volume ◽  
Ranking Score ◽  
The Mean ◽  
Gcs Score

Background: The pressure of the chronic SDH (subdural haemotoma), the age of the patient, preoperative GCS score and midline shift were considered prognostic dependent factors. The study aimed at the significance of the pressure of chronic SDH in the outcome of patients.Methods: A correlation between subdural hematoma pressure and preoperative and postoperative clinical variables such as hematoma volume, midline shift, age, GCS score and postoperative modified ranking scale score as well as complications were assessed and analyzed.Results: According to the pressure of chronic SDH, 56 patients were grouped into 4 groups. In the pressure group <15 cm/h20 group the mean age was 85 and postoperative ranking score was 3 and the recurrence was 21 % while in high pressure group (>25 cm/h20) the mortality was 14% and no recurrence.Conclusions: The pressure of the chronic SDH has significant prognostic value in chronic SDH surgeries.

Subdural Hematoma of the Brainstem in a Dog: Magnetic Resonance Findings and Treatment

2005 ◽  
Vol 41 (6) ◽  
pp. 400-405 ◽  
Author(s):  
P. Filippo Adamo ◽  
Jason T. Crawford ◽  
Rebecca L. Stepien
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Subdural Hematoma ◽  
Traumatic Event ◽  
Cervical Pain ◽  
Resonance Imaging ◽  
Neurological Signs ◽  
History Of ◽  
Magnetic Resonance Imaging Mri

An 8-year-old, spayed female Dalmatian with a history of seizures was evaluated for cervical pain and bilateral scleral hemorrhages. Diagnostic evaluations revealed a mass displacing the ventral brainstem on magnetic resonance imaging (MRI). The mass was surgically removed and histologically confirmed to be a hematoma. The dog’s neurological signs resolved completely after surgery. Although extradural, subdural, subarachnoid, and intraparenchymal hemorrhages have been reported in dogs and cats, this is the first known report of a subdural hematoma of the ventral brainstem in a dog. On the basis of the history and the appearance of the subdural hematoma on MRI, a traumatic event during the seizure episodes was considered the most likely cause of the subdural hematoma in this case.

scholarly journals Traumatic subdural hygroma: five cases with changed density and spontaneous resolution

2007 ◽  
Vol 65 (1) ◽  
pp. 68-72 ◽  
Author(s):  
Marco Antonio Zanini ◽  
Luiz Antonio de Lima Resende ◽  
Carlos Clayton Macedo de Freitas ◽  
Seizo Yamashita
Keyword(s):  
Ct Scan ◽  
Subdural Hematoma ◽  
Chronic Subdural Hematoma ◽  
Spontaneous Resolution ◽  
Resonance Imaging ◽  
Subdural Hygroma ◽  
Scan Data ◽  
Magnetic Resonance Imaging Mri ◽  
Tomography Scan ◽  
Final Evolution

Thirty-four consecutive adult patients with subdural traumatic hygroma were analysed for clinical evolution, serial computed tomography scan (CT), and magnetic resonance imaging (MRI) over a period of several months. Five of the patients presented CT scan and MRI evolution data showing increasing density over a period of 11 days to 6 months post trauma. In these five patients, final clinical and CT scan data were benign, with complete spontaneous resolution. Descriptions in literature of evolving traumatic subdural hygroma have presented CT scan density modifications changing into chronic subdural hematoma. Our patients show another possibility, density transformation, which sometimes show as subdural hematoma in CT scan and MRI, but with final evolution where clinical condition and CT scan return to normal.

Sign in / Sign up

Export Citation Format

Share Document