Arachnoid Cyst with a Non-traumatic Acute Subdural Hematoma in an Eleven-year-old Patient

AbstractA non-traumatic intra-cystic hemorrhage in an arachnoid cyst is a rare event, with few cases reported in the literature. We present a case of an eleven-year-old boy patient, which presented a spontaneous acute subdural hematoma and intra-cystic hemorrhage after a strong headache episode. The results were evidenced by a computed tomography (CT) scan and surgical findings. We perform a brief literature review on the arachnoid cyst and its suggested treatments. In our case, the patient underwent a surgical treatment with a complete resolution of the case.

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Correlation of Initial Computed Tomography Findings with Outcomes of Patients with Acute Subdural Hematoma: A Prospective Study

Indian Journal of Neurotrauma ◽

10.1055/s-0040-1713721 ◽

2020 ◽

Author(s):

Ajay Choudhary ◽

Kaviraj Kaushik ◽

Surya Narayanan Bhaskar ◽

Laxmi Narayan Gupta ◽

Rajesh Sharma ◽

...

Keyword(s):

Computed Tomography ◽

Head Injury ◽

Ct Scan ◽

Subdural Hematoma ◽

Emergency Services ◽

Skull Fracture ◽

Contralateral Side ◽

Acute Subdural Hematoma ◽

Outcome Analysis ◽

Midline Shift

AbstractIn modern emergency service systems, patients are often treated with sedation, intubation, and ventilation at the accident site. But neurosurgical assessment before all these emergency services is important. Thus, this study was designed to investigate the relationships between various parameters of initial CT scan findings and the outcomes of the patients. Methodology A total of 56 adult patients of traumatic acute subdural hematoma (SDH) whose computed tomography (CT) scan was performed within 8 hours of injury were recruited. The patients with prolonged hypotension, open head injury or depressed skull fracture, bilateral side acute SDH, or contusions/hematoma/extradural hematoma on the contralateral side were excluded. Six separate CT findings were analyzed and recorded, including hematoma, midline shift, subarachnoid hemorrhage (SAH), presence of basal cistern obliteration (BCO), intraparenchymal hematoma/contusion in the same hemisphere, and presence of effacement of the sulcal spaces, and were followed up for three months for outcome analysis. Results The overall mortality and functional recovery rate were 27 and 50%, respectively. The patients with obliterated basal cisterns and the presence of underlying SAH in patients with acute SDH had statistically significant poorer outcomes as compared with others. However, the extent of midline shift, SDH thickness, and the presence of underlying contusions and sulcal effacement on initial CT scan showed no statistically significant correlation with patients’ outcomes. Conclusions BCO and presence of subarchnoid hemorrhage underlying acute SDH on the earliest scan in head injury patients signify the severity of brain parenchymal injury. Along with the initial Glasgow Coma Scale score after resuscitation, these two factors should be considered as the most significant ones for predicting the outcomes in traumatic acute SDH patients.

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Cecal herniation through the foramen of winslow: Case presentation and literature review

Journal of Clinical Images and Medical Case Reports ◽

10.52768/2766-7820/1144 ◽

2021 ◽

Vol 2 (3) ◽

Author(s):

Jena Deitrick ◽

◽

William Sessions ◽

Daniel Nguyen ◽

Ariel Santos ◽

...

Keyword(s):

Computed Tomography ◽

Surgical Treatment ◽

Literature Review ◽

Intestinal Obstruction ◽

Ct Scan ◽

Internal Hernia ◽

Rare Type ◽

Case Presentation ◽

Foramen Of Winslow ◽

Surgical Condition

Foramen of Winslow hernias are a rare type of internal hernia that account for less than 1% of all cases of intestinal obstruction. It is extremely rare surgical condition with estimated mortality of about 50%. Timely diagnosis aided by computed tomography (CT scan) can facilitate proper planning and surgical treatment. Optimal treatment depends on patient’s condition, status of the incarcerated structure as well as surgeon’s comfort and preference.

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A Pure Acute Subdural Hematoma Presenting with a Diploic Arteriovenous Fistula: Case Report and Literature Review

Journal of Neuroendovascular Therapy ◽

10.5797/jnet.cr.2020-0206 ◽

2021 ◽

Author(s):

Yutaka Fukushima ◽

Koudai Matsuda ◽

Shinichiro Yoshino ◽

Katsuyuki Hirakawa ◽

Tooru Inoue

Keyword(s):

Case Report ◽

Literature Review ◽

Arteriovenous Fistula ◽

Subdural Hematoma ◽

Acute Subdural Hematoma

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Acute Subdural Hematoma after Aneurysmal Rupture; Evacuation with Aneurysmal Clipping after Emergent Infusion Computed Tomography

Neurosurgery ◽

10.1097/00006123-199207000-00020 ◽

1992 ◽

Vol 31 (1) ◽

pp. 129-131

Author(s):

W. George Rusyniak ◽

Paul C. Peterson ◽

Shige-Hisa Okawara ◽

Webster H. Pilcher ◽

Eugene D. George

Keyword(s):

Computed Tomography ◽

Subdural Hematoma ◽

Acute Subdural Hematoma ◽

Aneurysmal Rupture

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Subdural Hematoma Complicating Ventriculoperitoneal Shunts: An Algerian Centers Experience

Indian Journal of Neurosurgery ◽

10.1055/s-0039-3402592 ◽

2020 ◽

Vol 9 (03) ◽

pp. 147-150

Author(s):

Ibrahim Assoumane ◽

M. Al-Zekri ◽

A. Khelifa ◽

N. Touati ◽

N. Lagha ◽

...

Keyword(s):

Computed Tomography ◽

Ct Scan ◽

Subdural Hematoma ◽

Endoscopic Third Ventriculostomy ◽

Brain Mri ◽

Third Ventriculostomy ◽

Ventriculoperitoneal Shunts ◽

Operative Outcomes ◽

Brain Ct Scan ◽

Shunt Dysfunction

Abstract Introduction Subdural hematoma can occur as a complication of a ventriculoperitoneal shunt (VPS), and it should be considered in any patient who present a shunt dysfunction or who does not show the expected recovery after revision of a shunt. Computed tomography (CT) scan is a quick and easy way of detecting subdural hematoma. Materials and Methods We conduct a retrospective study of 17 patients. All of them are admitted for a subdural hematoma on a VPS. The diagnosis in 13 cases is made by CT scan; three cases by brain MRI. Results We operated 16 patients and the evacuation of the hematoma with revision of the shunt was performed; we used an adjustable shunt for three patients and endoscopic third ventriculostomy in one case. The operative outcomes were favorable in 12 patients; there were 4 recurrences, 2 of which required evacuation of the hematoma through a bone flap. Conclusion The subdural hematoma is a complication observed during the surgical treatment of the hydrocephalus and can be a serious issue. We suggest that a brain CT scan should be routinely performed in symptomatic patients with VPS.

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P.082 Traumatic inter hemispheric subdural hematomas – clinical presentation, management and outcome

Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques ◽

10.1017/cjn.2016.186 ◽

2016 ◽

Vol 43 (S2) ◽

pp. S39-S40

Author(s):

R Bokari ◽

S Schur ◽

C Couturier ◽

A Al-Azri ◽

J Marcoux ◽

...

Keyword(s):

Clinical Outcome ◽

Conservative Management ◽

Subdural Hematoma ◽

Trauma Center ◽

Complete Resolution ◽

Clinical Presentation ◽

Acute Subdural Hematoma ◽

Detailed Review ◽

Subdural Hematomas ◽

Level I

Background: There is currently little data on the incidence, clinical outcome and management of traumatic interhemispheric subdural hematomas (IHSDHs). Methods: All patients admitted with an acute subdural hematoma (SDH) over a 5-year period at a Level I trauma center were included. A detailed review of all cases of large IHSDH (≥7 mm) was performed to document clinical presentation, management and outcomes. Results: Of 1182 patients with acute subdural hematomas (SDHs), 420 had IHSDHs (24%), and 50 were large IHSDHs. For patients with large IHSDH, the average age was 76 years (±11) and 44% were female. The average GCS was 12 on presentation (±4), and the average GOSE was 4 (±2). 66% of patients had associated cranial/ intracranial injuries (fracture, subarachnoid/epidural/SDH) and 26% required operations for acute convexity SDH. Three patients required operations for their IHSDH by inter hemispheric approach. By 10 weeks, 82% had a complete resolution of the IHSDHs. Conclusions: IHSDHs are often referred to as rare entities. Our results show they are common. Conservative management is often appropriate to manage even large IHSDHs, as most resolve spontaneously. This study will help document the occurrence of falx syndrome, as well as the management and outcomes of larger IHSDHs.

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