scholarly journals Subdural Hematoma: An Adverse Event of Electroconvulsive Therapy—Case Report and Literature Review

2012 ◽  
Vol 2012 ◽  
pp. 1-4
Author(s):  
Ranganath R. Kulkarni ◽  
Sateesh Melkundi
Keyword(s):  
Depressive Disorder ◽  
Electroconvulsive Therapy ◽  
Subdural Hematoma ◽  
Case Reports ◽  
English Literature ◽  
Rare Complication ◽  
Sporadic Case ◽  
Acute Subdural Hematoma ◽  
Presenting Symptoms ◽  
Magnetic Resonance Imaging Mri

Electroconvulsive therapy (ECT) is commonly used in the management of medication nonresponsive depressive disorder, with proven efficacy in psychiatric practice since many decades. A rare complication of intracranial bleed following this therapeutic procedure has been reported in sporadic case reports in the English literature. We report a case of such a complication in a 42-year-old male, a known case of nonorganic medication nonresponsive depressive disorder for the last two years who required ECT application. Presenting symptoms included altered mental state, urinary incontinence, and repeated episodes of vomiting; following ECT procedure with magnetic resonance imaging (MRI) of the brain suggestive of bilateral acute subdural hematoma. Despite the view that it may be used in neurological conditions without raised intracranial tension, it will be worthwhile to be vigilant during post-ECT recovery for any emergent complications.

scholarly journals Clinical application of magnetic resonance in acute traumatic brain injury

2008 ◽  
Vol 66 (1) ◽  
pp. 53-58 ◽  
Author(s):  
Dionei F. Morais ◽  
Antonio R. Spotti ◽  
Waldir A. Tognola ◽  
Felipe F.P. Gaia ◽  
Almir F. Andrade
Keyword(s):  
Traumatic Brain Injury ◽  
Subarachnoid Hemorrhage ◽  
Brain Injury ◽  
Magnetic Resonance ◽  
Subdural Hematoma ◽  
Diffuse Axonal Injury ◽  
Correlation Method ◽  
Acute Subdural Hematoma ◽  
Acute Traumatic Brain Injury ◽  
Magnetic Resonance Imaging Mri

PURPOSE: To evaluate the clinical applications of magnetic resonance imaging (MRI) in patients with acute traumatic brain injury (TBI): to identify the type, quantity, severity; and improvement clinical-radiological correlation. METHOD: Assessment of 55 patients who were imaged using CT and MRI, 34 (61.8%) males and 21 (38.2%) females, with acute (0 to 5 days) and closed TBI. RESULTS: Statistical significant differences (McNemar test): ocurred fractures were detected by CT in 29.1% and by MRI in 3.6% of the patients; subdural hematoma by CT in 10.9% and MRI in 36.4 %; diffuse axonal injury (DAI) by CT in 1.8% and MRI in 50.9%; cortical contusions by CT in 9.1% and MRI in 41.8%; subarachnoid hemorrhage by CT in 18.2% and MRI in 41.8%. CONCLUSION: MRI was superior to the CT in the identification of DAI, subarachnoid hemorrhage, cortical contusions, and acute subdural hematoma; however it was inferior in diagnosing fractures. The detection of DAI was associated with the severity of acute TBI.

scholarly journals Rapid Spontaneous Resolution of Acute Subdural Hematoma Occurs by Redistribution. Two Case Reports.

2001 ◽  
Vol 41 (3) ◽  
pp. 140-143 ◽  
Author(s):  
Noriyuki KATO ◽  
Takashi TSUNODA ◽  
Akira MATSUMURA ◽  
Kiyoyuki YANAKA ◽  
Tadao NOSE
Keyword(s):  
Subdural Hematoma ◽  
Case Reports ◽  
Spontaneous Resolution ◽  
Acute Subdural Hematoma

scholarly journals Acute Subdural Hematoma After Lumboperitoneal Shunt Placement in Patients With Normal Pressure Hydrocephalus-Four Case Reports-

2003 ◽  
Vol 43 (4) ◽  
pp. 197-200 ◽  
Author(s):  
Takanori KAMIRYO ◽  
Jun-ichiro HAMADA ◽  
Isao FUWA ◽  
Yukitaka USHIO
Keyword(s):  
Normal Pressure Hydrocephalus ◽  
Subdural Hematoma ◽  
Case Reports ◽  
Normal Pressure ◽  
Acute Subdural Hematoma ◽  
Shunt Placement ◽  
Lumboperitoneal Shunt

scholarly journals Subdural Hematoma Following Spinal Cord Stimulator Implant

2008 ◽  
Vol 1;11 (1;1) ◽  
pp. 97-101
Author(s):  
Srinivas Chiravuri
Keyword(s):  
Spinal Cord ◽  
Subdural Hematoma ◽  
Dural Puncture ◽  
Rare Complication ◽  
Delayed Diagnosis ◽  
Secondary Process ◽  
Spinal Cord Stimulator ◽  
Diagnostic Challenge ◽  
Treatment Change ◽  
Presenting Symptoms

Headache following interventional procedures is a diagnostic challenge due to the multitude of possible etiologies involved. Presentation can be simple (PDPH alone) or complex (exacerbation of pre-existing chronic headache along with PDPH) or headache associated with a new onset intracranial process. Subdural hematoma is a rare complication of cranio-spinal trauma. Cranial subdural hematoma may present in an acute, sub-acute, or chronic fashion. Diagnosis of a subdural hematoma in the wake of a PDPH is difficult, requiring a high level of suspicion. Delayed diagnosis of subdural hematoma is usually related to failure to consider it in the differential diagnosis. Thorough history, assessment of the evolution of symptoms, and imaging studies may identify the possible cause and help direct treatment. Change in the character of initial presenting symptoms may be a sign of resolution of the headache or the onset of a secondary process. We report a case of acute intracranial subdural hematoma secondary to unintentional dural puncture during placement of a permanent spinal cord stimulator lead for refractory angina. There is need for careful follow-up of patients with a known post-dural tear. Failure to identify uncommon adverse events in patients with complicated spinal cord stimulator implantation may lead to permanent injury. Key words: Subdural, post-dural puncture, headache, spinal cord stimulation

scholarly journals Traumatic Acute Subdural Hematoma Localized on the Superior Surface of the Tentorium Cerebelli —Two Case Reports—

1996 ◽  
Vol 36 (6) ◽  
pp. 377-379 ◽  
Author(s):  
Keigo MATSUMOTO ◽  
Takashi HOURI ◽  
Tarumi YAMAKI ◽  
Satoshi UEDA
Keyword(s):  
Subdural Hematoma ◽  
Case Reports ◽  
Acute Subdural Hematoma ◽  
Tentorium Cerebelli ◽  
Superior Surface

scholarly journals Acute Subdural Hematoma in Patients Who Underwent Aneurysm Clipping. Four Case Reports.

2001 ◽  
Vol 41 (8) ◽  
pp. 393-398 ◽  
Author(s):  
Shigeki IMAIZUMI ◽  
Kenji OWADA ◽  
Takehide ONUMA ◽  
Motonobu KAMEYAMA
Keyword(s):  
Subdural Hematoma ◽  
Case Reports ◽  
Acute Subdural Hematoma ◽  
Aneurysm Clipping

Risk Factors for Acute Subdural Hematoma From Intracranial Aneurysm Rupture

Neurosurgery ◽  
2012 ◽  
Vol 71 (2) ◽  
pp. 264-269 ◽  
Author(s):  
J. Matthijs Biesbroek ◽  
Gabriel J.E. Rinkel ◽  
Ale Algra ◽  
Jan Willem Berkelbach van der Sprenkel
Keyword(s):  
Risk Factors ◽  
Intracranial Aneurysm ◽  
Subdural Hematoma ◽  
Aneurysmal Subarachnoid Hemorrhage ◽  
Rare Complication ◽  
Aneurysm Rupture ◽  
Posterior Communicating Artery ◽  
Acute Subdural Hematoma ◽  
Vertebral Aneurysm ◽  
Risk Ratios

Abstract BACKGROUND: An acute subdural hematoma (aSDH) is a rare complication of aneurysmal subarachnoid hemorrhage (SAH) and is associated with poor clinical condition on admission and poor outcome. Risk factors for the development of an aSDH from aneurysmal rupture are unknown and may help our understanding of how an aSDH develops. OBJECTIVE: To identify risk factors for the development of an aSDH from intracranial aneurysm rupture. METHODS: Patients were selected from our prospectively collected single-center SAH database. From all 1757 patients fulfilling prespecified inclusion criteria, 63 had an aSDH. We assessed sex, age, smoking, hypertension, history of SAH, sentinel headache, location of the ruptured aneurysm, and intracerebral hemorrhage (ICH) as risk factors for an aSDH. Univariable and multivariable risk ratios with corresponding 95% confidence intervals (CIs) were calculated for characteristics with Poisson regression. RESULTS: Multivariable risk ratios were 1.021 (95% CI: 1.001-1.042) for each year increase in age, 2.3 (95% CI: 1.3-3.8) for posterior communicating artery aneurysms, 3.0 (95% CI: 1.5-6.0) for sentinel headache, and 5.2 (95% CI: 3.1-8.9) for ICH. None of the 95 patients (0%; 95% CI: 0%-3.8%) with a ruptured vertebrobasilar aneurysm had an aSDH, which was statistically significantly lower than at other sites (P = .02 for basilar aneurysm; P = .04 for vertebral aneurysm). None of the other studied characteristics had a statistically significant association with an aSDH. CONCLUSION: Increasing age, sentinel headache, ICH, and aneurysms at the posterior communicating artery are independent risk factors for an aSDH. Patients with a basilar or vertebral aneurysm have a low risk of an aSDH.

scholarly journals Preoperative trepanation and drainage for acute subdural hematoma: Two case reports

2015 ◽  
Vol 10 (1) ◽  
pp. 225-230 ◽  
Author(s):  
TIANSHU LU ◽  
JINGYU GUAN ◽  
CHUNLI AN
Keyword(s):  
Subdural Hematoma ◽  
Case Reports ◽  
Acute Subdural Hematoma

scholarly journals Idiopathic Intrasyringal Hemorrhage: A Case Report and Review of the Literature

Neurosurgery ◽  
2019 ◽  
Vol 66 (Supplement_1) ◽  
Author(s):  
Shawn S Rai ◽  
Carlos R Goulart ◽  
Mark R Proctor ◽  
R Michael Scott ◽  
Katie Pricola Fehnel
Keyword(s):  
Case Reports ◽  
Sporadic Case ◽  
Sensory Level ◽  
Posterior Fossa Decompression ◽  
Blood Products ◽  
Lower Extremity Function ◽  
Intramedullary Tumors ◽  
Postoperative Mri ◽  
Acute Decompensation ◽  
Magnetic Resonance Imaging Mri

Abstract INTRODUCTION Intrasyringal hemorrhages, also known as Gower's hemorrhages, are exceedingly rare entities. There are sporadic case reports of intrasyringal hemorrhages arising from intramedullary tumors, trauma, anticoagulation, or syringomyelic cavities secondary to Chiari malformations. Management is typically tailored to the underlying pathology. Given the paucity of literature, the clinical course and management modalities remain poorly defined. METHODS We present the case of a 19-yr-old male with a complex pasat medical history significant for Pierre Robin sequence, cervicomeddulary dysfunction with posterior fossa decompression and occipital-cervical fusion, hydrocephalus with fourth ventricular outlet fenestration, ventriculoperitoneal shunt conversion to ventriculoatrial shunt, and complex syringomyelia with thoracic syringo-subarachnoid shunt. Our patient presented to us with 3 wk of acute decompensation with complete loss of lower extremity function and a mid-thoracic sensory level. An magnetic resonance imaging (MRI) demonstrated an extensive dilation of his known syrinx with associated accumulation of heterogeneous blood products within the cavity encapsulating the syringo-subarachnoid shunt. RESULTS We performed a prompt revision thoracic laminectomy to identify the patient's existing syringo-subarachnoid shunt. Once the shunt was identified we performed a myelotomy overlying the existing shunt, and immediately noted high pressure chronic hematoma exiting from the myelotomy site. We placed a new syringo-subrachnoid shunt and gently advanced the catheter superiorly while gently irrigating the syrinx cavity. We continued to irrigate the cavity until the blood products cleared and fluid resembling cerebrospinal fluid returned from the cavity. The postoperative MRI demonstrated overall decreased size of the syrinx with less intrasyringal hemorrhage. The patient had a slight improvement in his thoracic sensory level at short-term follow-up. CONCLUSION Intrasyringal hemorrhages are exceedingly rare pathologic entity which may cause significant dilation of an existing syrinx even in the presence of a syringo-subrachnoid shunt. Exam features are variable but may demonstrate an acute and drastic progression. Prompt surgical intervention may improve functional neurologic prognosis.

scholarly journals Intracranial Myeloid Sarcoma Metastasis Mimicking Acute Subdural Hematoma

2017 ◽  
Vol 2017 ◽  
pp. 1-6 ◽  
Author(s):  
Amandip S. Gill ◽  
Rabina Gill ◽  
Paul Kaloostian ◽  
Dina Elias ◽  
John S. Roufail ◽  
...  
Keyword(s):  
Subdural Hematoma ◽  
Case Reports ◽  
Pediatric Population ◽  
Adult Population ◽  
Mass Effect ◽  
Large Mass ◽  
Myeloid Sarcoma ◽  
Acute Subdural Hematoma ◽  
First Report ◽  
Imaging Characteristics

Myeloid sarcoma, a rare consequence of myeloproliferative disorders, is rarely seen in the central nervous system, most commonly in the pediatric population. Although there are a handful of case reports detailing initial presentation of CNS myeloid sarcoma in the adult population, we have been unable to find any reports of CNS myeloid sarcoma presenting as a large mass lesion in a herniating patient. Here, we present the case of a patient transferred to our facility for a very large subdural hematoma. Based on imaging characteristics, it was felt to be a spontaneous hematoma secondary to coagulopathy. No coagulopathy was found. Interestingly, he did have a history of acute myeloid leukemia (AML) diagnosed 2 months previously, and intraoperatively he was found to have a confluent white mass invading both the subdural and subarachnoid spaces. There was minimal associated hemorrhage and final pathology showed myeloid sarcoma. This is the first report we are aware of in which CNS myeloid sarcoma presented as a subdural metastasis and also the first report in which we are aware of this etiology causing a herniation syndrome secondary to mass effect.

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