Brain Abscess Complicating a Traumatic Intracerebral Hemorrhagic Contusion

A 63-year-old right-handed man was admitted to our hospital after sustaining a traumatic right-sided subdural hematoma, subarachnoid hemorrhage, and temporal lobe hemorrhagic contusion. He was managed non-operatively and discharged without any neurologic deficits. Two weeks later he presented with worsening headaches and altered sensorium. Imaging studies showed that the patient had developed a cerebral abscess at the site of his intracerebral hemorrhage. The abscess was surgically resected, and the patient was treated with antibiotics with complete resolution of symptoms. This case illustrates the importance of timely recognition of a rare complication of intracranial hemorrhage, and the utility of MR spectroscopy.

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A case of acute spinal subdural hematoma with subarachnoid hemorrhage: Rapid spontaneous remission, relapse, and complete resolution

Interdisciplinary Neurosurgery ◽

10.1016/j.inat.2017.01.009 ◽

2017 ◽

Vol 8 ◽

pp. 23-25 ◽

Cited By ~ 1

Author(s):

Michito Namekawa ◽

So-ichi Kondo

Keyword(s):

Subarachnoid Hemorrhage ◽

Subdural Hematoma ◽

Complete Resolution ◽

Spontaneous Remission ◽

Spinal Subdural Hematoma

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Complications after mesial temporal lobe surgery via inferiortemporal gyrus approach

Neurosurgical FOCUS ◽

10.3171/2013.3.focus1354 ◽

2013 ◽

Vol 34 (6) ◽

pp. E2 ◽

Cited By ~ 13

Author(s):

Fernando L. Vale ◽

Stephen Reintjes ◽

Hermes G. Garcia

Keyword(s):

Temporal Lobe Epilepsy ◽

Temporal Lobe ◽

Intracranial Hemorrhage ◽

Subdural Hematoma ◽

Senior Author ◽

Neurosurgical Procedures ◽

Inferior Temporal Gyrus ◽

Superficial Wound ◽

Temporal Lobe Resection ◽

Mesial Temporal Lobe

Object The purpose of this study was to identify the complications associated with the inferior temporal gyrus approach to anterior mesial temporal lobe resection for temporal lobe epilepsy. Methods This retrospective study examined complications experienced by 483 patients during the 3 months after surgery. All surgeries were performed during 1998–2012 by the senior author (F.L.V.). Results A total of 13 complications (2.7%) were reported. Complications were 8 delayed subdural hematomas (1.6%), 2 superficial wound infections (0.4%), 1 delayed intracranial hemorrhage (0.2%), 1 small lacunar stroke (0.2%), and 1 transient frontalis nerve palsy (0.2%). Three patients with subdural hematoma (0.6%) required readmission and surgical intervention. One patient (0.2%) with delayed intracranial hemorrhage required readmission to the neuroscience intensive care unit for observation. No deaths or severe neurological impairments were reported. Among the 8 patients with subdural hematoma, 7 were older than 40 years (87.5%); however, this finding was not statistically significant (p = 0.198). Conclusions The inferior temporal gyrus approach to mesial temporal lobe resection is a safe and effective method for treating temporal lobe epilepsy. Morbidity and mortality rates associated with this procedure are lower than those associated with other neurosurgical procedures. The finding that surgical complications seem to be more common among older patients emphasizes the need for early surgical referral of patients with medically refractory epilepsy.

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Middle fossa arachnoid cyst with temporal lobe agenesis accompanying isodense subdural hematoma: a case report

Journal of the Korean Radiological Society ◽

10.3348/jkrs.1987.23.6.936 ◽

1987 ◽

Vol 23 (6) ◽

pp. 936

Author(s):

K S Lee ◽

H S Choi ◽

M J Kim ◽

S O Yang ◽

C J Kim

Keyword(s):

Case Report ◽

Temporal Lobe ◽

Arachnoid Cyst ◽

Subdural Hematoma ◽

Middle Fossa

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Clinical-neurosonographic parallels of intracranial hemorrhagies in early childhood

Medical Visualization ◽

10.24835/1607-0763-2018-6-116-122 ◽

2019 ◽

Vol 22 (6) ◽

pp. 116-122

Author(s):

Sh. Sh. Shamansurov ◽

Sh. H. Saidazizova ◽

S. O. Nazarova

Keyword(s):

Early Childhood ◽

Comparative Analysis ◽

Subarachnoid Hemorrhage ◽

Left Hemisphere ◽

Intracranial Hemorrhage ◽

Intraventricular Hemorrhage ◽

Detailed Examination ◽

Intracranial Hemorrhages ◽

Risk Of Hemorrhage ◽

Neurological State

Objective. Conduct a comparative analysis of clinical and neurosonographic indicators of intracranial hemorrhage in infants.Materials and methods. In the clinical part of the study, 68 patients took part in the acute / acute periods of intracranial hemorrhage, which we took for the study on the basis of the Tashkent City Children's Clinical Hospital No1. Gender ratios of which were 69.1% boys (47 children) and 30.9% girls (21 children), from birth to 2 months of life (average age at the time of hemorrhage is 36.28 ± 9.85 days). Diagnostic examination included neurosonography (NSG) of all children in the first 24 hours of the implementation of intracranial hemorrhages on admission to the clinic.Results. According to our study of 68 children with intracranial hemorrhage, it turned out that the average age of morbidity was 36.28 ± 9.85 days (p < 0.001) Neurosonographic indicators stated the presence of parenchymal hemorrhage (right and left hemisphere), SAH (subarachnoid hemorrhage), hemorrhage into the trunk, IVH (intraventricular hemorrhage) II, IVH III. According to neurosonography, parenchymal hemorrhage (right-16 or left hemisphere-21) was observed in 37 patients, SAH and IVH-II 21 (30.9%) patients, IVH III – in 17 (25%) patients, hemorrhage in 3 (4.4%) brain stem of patientsConclusion. Analysis of the implementation of hemorrhage showed that not always small gestational age is the risk of hemorrhage. Cases of less severe changes (27%) on NSG with a coarser clinical picture and vice versa (15%), necessitate (taking into account the severity of the neurological state), a more detailed examination, including visualization (CT, MRI).

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A CASE OF BRAIN ABSCESS IN A PATIENT WITH OSTEOPETROSIS; A RARE COMPLICATION

10.26226/morressier.5ad774d9d462b80296ca661a ◽

2018 ◽

Author(s):

Merve Iseri Nepesov

Keyword(s):

Brain Abscess ◽

Rare Complication

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Anti-epileptic Drug (AED) Use in Subarachnoid Hemorrhage (SAH) and Intracranial Hemorrhage (ICH)

Current Pharmaceutical Design ◽

10.2174/1381612823666171031095452 ◽

2018 ◽

Vol 23 (42) ◽

pp. 6446-6453

Author(s):

Rui Feng ◽

Justin Mascitelli ◽

Alexander G. Chartrain ◽

Konstantinos Margetis ◽

J. Mocco

Keyword(s):

Subarachnoid Hemorrhage ◽

Intracranial Hemorrhage ◽

Anti Epileptic Drug

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Are there mortality differences between men and women in all types of intracranial hemorrhages: subarachnoid, intraparenchymal and subdural? An analysis of the Spanish population

European Heart Journal ◽

10.1093/ehjci/ehaa946.2412 ◽

2020 ◽

Vol 41 (Supplement_2) ◽

Author(s):

J Fernandez De Bobadilla Osorio ◽

J.R Rey-Blas ◽

N Gonzalez-Aguado ◽

B Fuentes ◽

P Masedo ◽

...

Keyword(s):

Gender Differences ◽

Subarachnoid Hemorrhage ◽

Intracranial Hemorrhage ◽

Epidemiological Data ◽

Spanish Population ◽

Subdural Hemorrhage ◽

Men And Women ◽

Mediterranean Countries ◽

Gender And Age ◽

Relationship Of

Abstract Objectives There are 3 types of intracranial hemorrhage (ICH): 1) subarachnoid hemorrhage (SAH), CIE10:I60; 2) intraparenchymal hemorrhage (IPH), I61 and 3) subdural hemorrhage (SDH) I62. Epidemiological data on this field are scarce in Mediterranean countries. Our goal was to determine whether the relationship of ICH mortality with gender and age was different for the 3 types of HIC. Methods Data were retrospectively obtained from the Spanish National Institute of Statistics. Deaths/100.000 population of SAH, IPH and SDH were assessed for the entire Spanish population since 2008 to 2017 (n=46,527,039). Year 2017 was the last available for analysis. Incidence was analyzed for men and women and for age strata (<1 years of age, 2–10, 11–20, 21–30, 31–40, 41–50, 51–60, 61–70, 71–80; >80). Results In order to fit in the abstract space, only data of 2017 are presented, although years 2008 to 2017 were also analyzed and results were similar. Mortality/100,000 of IPH stayed very low under 40 years of age and then grew exponentially in both, men and women, and was significantly higher for men for all age strata. Mortality of SDH was much lower but behaved in a similar way: exponential growth since 40s and lower incidence in women. SAH behaved differently: it started to be significant since 20 years of age and there were no gender differences. Conclusion Mortality of intraparenchymal and subdural hemorrhage increases exponentially since 40 years of age and is lower in women. On the contrary, mortality of subarachnoid hemorrhage increases earlier and there are no gender differences. Death/100.000 intracranial hemorrhage Funding Acknowledgement Type of funding source: None

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