scholarly journals Beware of the Anticoagulated Elderly with Minor Head Injury

2005 ◽  
Vol 12 (2) ◽  
pp. 108-111
Author(s):  
CH Chung
Keyword(s):  
Head Injury ◽  
Subdural Haematoma ◽  
The Elderly ◽  
Minor Head Injury ◽  
Loss Of Consciousness ◽  
X Rays ◽  
Acute Subdural Haematoma ◽  
History Of ◽  
The Right ◽  
Burr Holes

A 69-year-old man first presented to the emergency department after a fall. He had no history of loss of consciousness or vomiting. He sustained a 3 cm long laceration over the right occipital region of the head. There was no fracture in the X-rays of the skull. He was on warfarin because of cardiac problem. He was discharged after suturing. He re-attended the next morning because of left sided weakness. Non-contrast brain computed tomogram showed acute subdural haematoma. Burr holes were performed subsequently. Special precautions should be undertaken in managing the elderly with minor head injury, with a lower threshold for computed tomography and coagulation profile studies.

scholarly journals Bilateral Subdural Haematoma and CPAP Use: A Possible Association

2020 ◽  
Author(s):  
Beatrice Khater ◽  
Vicky Kassouf ◽  
Georges Haddad ◽  
Roula Hourany
Keyword(s):  
Subdural Haematoma ◽  
Brain Mri ◽  
Sleep Apnoea ◽  
Neurological Deficits ◽  
Angiotensin Ii Receptor Blocker ◽  
Angiotensin Ii Receptor ◽  
Acute Subdural Haematoma ◽  
Obstructive Sleep ◽  
History Of ◽  
The Right

Obstructive sleep apnoea (OSA) is a common condition usually treated with continuous positive airway pressure (CPAP). No reports have linked it to an acute subdural haematoma. A 54-year-old white man who had hypertension well controlled with an angiotensin II receptor blocker, presented with a 2-week history of occipital headache with no other focal neurological symptoms. The headache began 12 days after he had started using CPAP for OSA. A brain MRI performed 2 weeks later showed bilateral subdural haematomas which were chronic on the left and sub-acute/acute on the right. Since the patient was clinically stable with no focal neurological deficits, he received prednisone for 3 weeks and was followed up with consecutive CT scans demonstrating gradual regression of the haematomas. This is the first report showing that subdural haematomas could be linked to CPAP use.

Subdural false twins: concomitant appearance of subdural haematoma and spontaneous subdural empyema

2021 ◽  
Vol 14 (6) ◽  
pp. e240110
Author(s):  
Rúben Santos Cardoso ◽  
Sofia Tavares ◽  
Inácio Reis ◽  
José Luís Alves
Keyword(s):  
Multidisciplinary Approach ◽  
Systemic Infection ◽  
Blood Analysis ◽  
Surgical Drainage ◽  
Subdural Collection ◽  
E Coli ◽  
History Of ◽  
The Right ◽  
Burr Holes ◽  
Dural Opening

A 55-year-old man was taken to the emergency department due to right arm weakness for the past 3 days and fever (39.5°C). There was no impaired consciousness, no history of trauma and meningeal signs were absent on physical examination. Blood analysis and inflammatory markers were not evocative of a systemic infection. A cranial CT scan was requested, revealing hypodense bilateral hemispheric subdural collections, suggestive of chronic subdural haematomas. He was submitted to surgical drainage by burr holes, which confirmed the chronic subdural collection on the left side. Unexpectedly, after dural opening on the right side, a subdural purulent collection was found, which was later confirmed as an empyema due to Escherichia coli infection. A second surgical drainage was performed by craniotomy due to recurrence of the right subdural collection. Spontaneously appearing subdural empyemas due to E. coli are extremely rare and their treatment is not always straightforward. The reported case is an example of an apparently straightforward and frequent pathology that turned out to be a challenging case, requiring a multidisciplinary approach.

scholarly journals P1829 A middle aged man with pericardial cyst

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
A Kandil ◽  
R Nata ◽  
P Felix
Keyword(s):  
Heart Failure ◽  
Left Ventricular ◽  
Maximum Diameter ◽  
Heavy Smoker ◽  
X Rays ◽  
Shortness Of Breath ◽  
Pericardial Cyst ◽  
History Of ◽  
Pericardial Cysts ◽  
The Right

Abstract Introduction Pericardial cysts are rare benign congenital anomaly that are usually accidentally discovered as a mass obliterating the costophrenic angle. The reported incidence is one to 100,000 with males are equally affected as females. They are usually asymptomatic; however, they can cause chest pain, shortness of breath and dry cough. Case report We present a 62 years old gentleman who presented with increasing shortness of breath. He was a heavy smoker and was known to have COPD. He was also known to have chronic heart failure with an EF of 40% and had a previous history of pericardial cyst that was initially discovered when he was investigated for shortness of breath. The patient had a one-month history of feeling more dyspneic than usual. His chest auscultation revealed scattered rhonchi and no murmurs were heard on auscultation of the heart. His ECG showed no new abnormality and his chest x-ray showed abnormal right cardio mediastinal silhouette with large opaque area adjacent to the right heart border and the size of the opacity the same compared to his previous x rays. An Echocardiography was done and this showed moderate to severe impairment of left ventricular systolic function with an EF of 30-35%, mild to moderate mitral regurgitation and showed a cystic lesion anterior to the right ventricle. A CT chest was done for evaluation of the pericardial cyst and showed centrilobular emphysema and a mass in the rt lung abutting the right border of the heart with a maximum diameter of 8.7 cm. The patient was non-compliant to his medications and repeatedly missed his follow up appointments. He also continued to smoke despite progression of his COPD. The cause of his shortness of breath was likely due to progression of heart failure and COPD with the pericardial cyst probably has no or minimal rule. Conclusion Pericardial cysts are rarely symptomatic and usually has a benign course. We aimed at increasing awareness of this rare benign animally. Abstract P1829 Figure.

Rapid resolution of traumatic acute subdural haematoma in the elderly

2005 ◽  
Vol 19 (1) ◽  
pp. 58-61 ◽  
Author(s):  
Mitsuo Sato ◽  
Masayuki Nakano ◽  
Jinichi Sasanuma ◽  
Jun Asari ◽  
Kazuo Watanabe
Keyword(s):  
Subdural Haematoma ◽  
The Elderly ◽  
Acute Subdural Haematoma ◽  
Rapid Resolution

Minor head injury in the elderly at very low risk: a retrospective study of 6 years in an Emergency Department (ED)

2013 ◽  
Vol 31 (1) ◽  
pp. 37-41 ◽  
Author(s):  
Alessandro Riccardi ◽  
Flavio Frumento ◽  
Grazia Guiddo ◽  
Maria Beatrice Spinola ◽  
Luca Corti ◽  
...  
Keyword(s):  
Emergency Department ◽  
Retrospective Study ◽  
Head Injury ◽  
The Elderly ◽  
Low Risk ◽  
Minor Head Injury

Colloid cyst of velum interpositum: a rare finding

2012 ◽  
Vol 9 (2) ◽  
pp. 206-208 ◽  
Author(s):  
Tom C. Morris ◽  
Stephen Santoreneos
Keyword(s):  
Head Injury ◽  
Third Ventricle ◽  
Memory Deficits ◽  
Colloid Cyst ◽  
Minor Head Injury ◽  
Rare Finding ◽  
The Third ◽  
History Of ◽  
A Minor ◽  
Velum Interpositum

The authors present the case of a child with a colloid cyst of the velum interpositum. To the best of the authors' knowledge, this is the first reported case in the pediatric literature and only the second reported case to date. The patient was of an 11-year-old boy in whom this lesion was found after a minor head injury. He had a 6-month history of memory deficits. A lesion consistent with a colloid cyst was seen in the region of the velum interpositum, in the roof of the third ventricle. This lesion was excised successfully via a transcallosal interfornical approach. There were no new postoperative deficits and the child made a full recovery of time.

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