scholarly journals Duret Hemorrhage after Extradural Hematoma Evacuation–A Rare Entity

2021 ◽  
Author(s):  
Lamkordor Tyngkan ◽  
Nazia Mahfouz ◽  
Sobia Bilal ◽  
Bazla Fatima ◽  
Nayil Malik
Keyword(s):  
Intracranial Pressure ◽  
Epidural Hematoma ◽  
Rare Complication ◽  
Rare Entity ◽  
Raised Intracranial Pressure ◽  
Extradural Hematoma ◽  
Transtentorial Herniation ◽  
Hematoma Evacuation ◽  
Brainstem Injury ◽  
Acute Epidural Hematoma

AbstractTraumatic brainstem injury can be classified as primary or secondary. Secondary brainstem hemorrhage that evolves from raised intracranial pressure (ICP) and transtentorial herniation is referred to as Duret hemorrhage. We report a 25-year-old male who underwent emergency craniotomy, with evacuation of acute epidural hematoma, and postoperatively developed fatal Duret hemorrhage. Duret hemorrhage after acute epidural hematoma (EDH) evacuation is a very rare complication and the outcome is grave in most of the cases.

scholarly journals Cerebellar Liponeurocytoma: A Rare Fatty Tumor and its Literature Review

2019 ◽  
Vol 10 (02) ◽  
pp. 360-363 ◽  
Author(s):  
Harsh Deora ◽  
A. R. Prabhuraj ◽  
Jitender Saini ◽  
T. C. Yasha ◽  
Arivazhagan Arimappamagan
Keyword(s):  
Magnetic Resonance Imaging ◽  
Computed Tomography ◽  
Magnetic Resonance ◽  
Intracranial Pressure ◽  
Gait Ataxia ◽  
Imaging Features ◽  
Rare Entity ◽  
Raised Intracranial Pressure ◽  
Resonance Imaging ◽  
Cerebellar Liponeurocytoma

ABSTRACTCerebellar liponeurocytoma is a rare oncological entity, and the knowledge about the treatment and outcome of these rare tumors is still evolving. Very few cases have been described in literature. We report a middle-aged male who presented with raised intracranial pressure features and gait ataxia. His imaging features revealed classical features of liponeurocytoma in cerebellar vermis, with abundant fat component evident in both computed tomography and magnetic resonance imaging. He underwent resection of the lesion and has been asymptomatic for 4 years. This report describes the classical radiological and immunohistochemical features of this rare entity with favorable outcome and reviews the existing literature.

Survival with good outcome after cerebral herniation and Duret hemorrhage caused by traumatic brain injury

2009 ◽  
Vol 110 (6) ◽  
pp. 1242-1246 ◽  
Author(s):  
Shirley I. Stiver ◽  
Alisa D. Gean ◽  
Geoffrey T. Manley
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Intracranial Pressure ◽  
Scale Score ◽  
Terminal Event ◽  
Raised Intracranial Pressure ◽  
Decompressive Hemicraniectomy ◽  
Young Adult Patient ◽  
Cerebral Herniation ◽  
Acute Epidural Hematoma

Brainstem hemorrhage can occur as a primary or secondary event in traumatic brain injury (TBI). Secondary brainstem hemorrhage that evolves from raised intracranial pressure and transtentorial herniation is referred to as Duret hemorrhage. Duret hemorrhage following TBI has been considered an irreversible and terminal event. The authors report on the case of a young adult patient with TBI who presented with a low Glasgow Coma Scale score and advanced signs of cerebral herniation. She underwent an urgent decompressive hemicraniectomy for evacuation of an acute epidural hematoma and developed a Duret hemorrhage postoperatively. In accordance with the family's wishes, aggressive TBI monitoring and treatment in the intensive care unit was continued even though the anticipated outcome was poor. After a lengthy hospital course, the patient improved dramatically and was discharged ambulatory, with good cognitive functioning and a Glasgow Outcome Scale score of 4. Duret hemorrhage secondary to raised intracranial pressure is not always a terminal event, and by itself should not trigger a decision to withdraw care. Aggressive intracranial monitoring and treatment of a Duret hemorrhage arising secondary to cerebral herniation may enable a good recovery in selected patients after severe TBI.

Intraoperative Development of Contralateral Epidural Hematoma during Evacuation of Traumatic Extraaxial Hematoma

Neurosurgery ◽  
1988 ◽  
Vol 23 (4) ◽  
pp. 480-484 ◽  
Author(s):  
Tony Feuerman ◽  
Phillip Ashley Wackym ◽  
George F. Gade ◽  
Todd Lanman ◽  
Donald Becker
Keyword(s):  
Head Injury ◽  
Intracranial Pressure ◽  
Early Diagnosis ◽  
Ct Scan ◽  
Severe Head Injury ◽  
Epidural Hematoma ◽  
Clinical Presentation ◽  
Elevated Intracranial Pressure ◽  
Burr Holes ◽  
Acute Epidural Hematoma

Abstract Intraoperative development of an epidural hematoma contralateral to a craniotomy for acute traumatic extraaxial hematoma has been previously reported. This entity, however, has never been distinctly defined and differentiated from either the delayed or the bilateral acute epidural hematoma. We present 3 new cases of intraoperative contralateral acute epidural hematoma and review the 14 previously reported cases. The typical clinical presentation is a severe head injury with an acute extraaxial hematoma and severe ipsilateral brain displacement during craniotomy. If brain displacement is not noted at craniotomy, then the contralateral hematoma is manifested by immediate postoperative neurological deterioration or intractable elevated intracranial pressure. The presence of any of these signs makes an immediate postoperative CT scan or burr holes contralateral to the original craniotomy mandatory for early diagnosis. In addition to defining “intraoperative contralateral epidural hematoma,” stricter definitions of the terms “delayed epidural hematoma” (no hematoma present on the initial CT scan but one present on a later scan) and “bilateral epidural hematomas” (present on the initial scan) are proposed.

Development of a delayed acute epidural hematoma following contralateral epidural hematoma evacuation: case report and review of literature

2018 ◽  
Vol 119 (1) ◽  
pp. 15-20 ◽  
Author(s):  
Fabrizio Gregori ◽  
Giorgio Santoro ◽  
Cristina Mancarella ◽  
Manolo Piccirilli ◽  
Maurizio Domenicucci
Keyword(s):  
Case Report ◽  
Epidural Hematoma ◽  
Review Of Literature ◽  
Hematoma Evacuation ◽  
Acute Epidural Hematoma

Spontaneous resolution of an acute epidural hematoma with normal intracranial pressure: case report and literature review

2013 ◽  
Vol 29 (11) ◽  
pp. 2127-2130 ◽  
Author(s):  
Zachary Tataryn ◽  
Benjamin Botsford ◽  
Ron Riesenburger ◽  
James Kryzanski ◽  
Steven Hwang
Keyword(s):  
Case Report ◽  
Intracranial Pressure ◽  
Literature Review ◽  
Epidural Hematoma ◽  
Spontaneous Resolution ◽  
Acute Epidural Hematoma

Acute Epidural Hematoma Following Acute Subdural Hematoma Evacuation in a Child With Glanzmann Thrombasthenia

2016 ◽  
Vol 28 (4) ◽  
pp. 431-433 ◽  
Author(s):  
Guiomar Fernández-Castellano ◽  
María J. Mayorga-Buiza ◽  
Jessica Gallego-Solano ◽  
Reyes Vazquez-Rubio ◽  
Monica Rivero-Garvia
Keyword(s):  
Subdural Hematoma ◽  
Epidural Hematoma ◽  
Acute Subdural Hematoma ◽  
Glanzmann Thrombasthenia ◽  
Hematoma Evacuation ◽  
Acute Epidural Hematoma

scholarly journals Ossified Occipital Pseudomeningocele following Ventriculoperitoneal Shunt Malfunction

2019 ◽  
Vol 10 (03) ◽  
pp. 542-544
Author(s):  
Anusha S. Bhatt ◽  
Ajit M. Mishra ◽  
Radhika Mhatre ◽  
Bevinahalli N. Nandeesh
Keyword(s):  
Computed Tomography ◽  
Intracranial Pressure ◽  
Treatment Option ◽  
Ventriculoperitoneal Shunt ◽  
Aqueductal Stenosis ◽  
Shunt Malfunction ◽  
Rare Entity ◽  
Raised Intracranial Pressure ◽  
Rare Occurrence ◽  
Vp Shunt

AbstractOssification of pseudomeningocele is a rare occurrence and is one of the rare complications of ventriculoperitoneal (VP) shunt malfunction. We report a case of 12-year-old boy who came with features of raised intracranial pressure following shunt malfunction which was placed as a treatment to the aqueductal stenosis. Computed tomography showed ventriculomegaly and hypodense collection in the occiput with posterior rim of calcification. The findings were confirmed on histopathology. Although ossified pseudomeningocele is a rare entity following VP shunt placement, it should be suspected if patients present with aggravated symptoms, especially if there is shunt malfunction as the treatment option varies with the presence or absence of resultant symptoms and ossification.

scholarly journals Spontaneous Decompression of Extradural Hematoma Through Skull Fracture

2014 ◽  
Vol 3 (2) ◽  
pp. 79-81
Keyword(s):  
Epidural Hematoma ◽  
Relevant Literature ◽  
Skull Fracture ◽  
Neurological Status ◽  
Computed Tomography Scan ◽  
Extradural Hematoma ◽  
Surgical Evacuation ◽  
Acute Epidural Hematoma ◽  
Tomography Scan

ABSTRACT It has been increasingly recognized that there is a subgroup of patients, the extradural hematoma can disappear rapidly without surgical evacuation. In present, we report a case of 65-year-old gentleman whose follow-up computed tomography scan, showed reduction in the size of acute epidural hematoma and review the relevant literature. However, we need to remember if there is no improvement in the neurological status of the patient, a follow-up scan still is needed to assess the size of the hematoma. How to cite this article Agrawal A. Spontaneous Decompression of Extradural Hematoma Through Skull Fracture. Panam J Trauma Crit Care Emerg Surg 2014;3(2):79-81.

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