scholarly journals Chronic subdural hematoma of the posterior fossa associated with cerebellar hemorrhage: report of rare disease with MRI findings

2004 ◽  
Vol 62 (1) ◽  
pp. 170-172 ◽  
Author(s):  
Leodante B. Costa Jr ◽  
Agustinho de Andrade ◽  
Gustavo Fonseca Valadão
Keyword(s):  
Rare Disease ◽  
Posterior Fossa ◽  
Subdural Hematoma ◽  
Anticoagulation Therapy ◽  
Chronic Subdural Hematoma ◽  
Mri Findings ◽  
Cerebellar Hemorrhage ◽  
Posterior Fossa Hematoma

Chronic subdural hematoma of the posterior fossa is an uncommon entity, and spontaneous lesions are very rarely described, occurring mostly during anticoagulation therapy. The association of the posterior fossa chronic subdural hematoma with spontaneous parenchymal hemorrhage without anticoagulation therapy was never related in the literature, to our knowledge. We describe a case of a 64 year-old woman who suffered a spontaneous cerebellar hemorrhage, treated conservatively, and presented 1 month later with a chronic subdural posterior fossa hematoma.

scholarly journals Chronic subdural hematoma of the posterior fossa treated by suboccipital craniotomy

2018 ◽  
Vol 9 (1) ◽  
pp. 20
Author(s):  
Tomonori Kobayashi ◽  
Yuichi Mochizuki ◽  
Akitsugu Kawashima ◽  
Takayuki Funatsu ◽  
Takakazu Kawamata
Keyword(s):  
Posterior Fossa ◽  
Subdural Hematoma ◽  
Chronic Subdural Hematoma ◽  
Suboccipital Craniotomy

scholarly journals Bilateral Chronic Subdural Hematoma in the Posterior Fossa Treated with a Burr Hole Irrigation: A Case Report and Review of the Literature

2019 ◽  
Vol 11 (1) ◽  
pp. 87-93
Author(s):  
Takuro Inoue ◽  
Hisao Hirai ◽  
Ayako Shima ◽  
Fumio Suzuki ◽  
Masayuki Matsuda
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Posterior Fossa ◽  
Subdural Hematoma ◽  
Chronic Subdural Hematoma ◽  
Burr Hole ◽  
Ventricular Drainage ◽  
Review Of The Literature ◽  
Bilateral Chronic Subdural Hematoma ◽  
Radiological Examinations

Chronic subdural hematoma (CSH) in the posterior fossa is extremely rare. The surgical strategy is still controversial. We report a case of bilateral CSH in the posterior fossa successfully treated with a single-burr hole surgery. A 74-year-old man under anticoagulation and antiplatelet therapy developed headache and nausea during observation for an asymptomatic supratentorial CSH. Radiological examinations revealed appearance of bilateral CSH in the posterior fossa associated with hydrocephalus. Upon rapid deterioration of the patient’s consciousness, an urgent treatment was required. A burr hole was made near the transverse-sigmoid junction on the left side to access the hematoma. No ventricular drainage was placed as his consciousness improved during the decompression of the hematoma. Postoperative computed tomography showed that bilateral CSH and hydrocephalus had been successfully treated. In bilateral CSH in the posterior fossa, there may be a connection between each side. CSH in the posterior fossa, when urgent, can be treated under local anesthesia with a unilateral burr hole irrigation.

scholarly journals Transient mutism and cerebellar ischemic stroke: case report

2013 ◽  
Vol 20 (3) ◽  
pp. 275-280
Author(s):  
Luis Rafael Moscote-Salazar ◽  
Hernando Alvis-Miranda ◽  
Angel Lee ◽  
Hector Farid Escorcia ◽  
Sandra Milena Castellar-Leones
Keyword(s):  
Ischemic Stroke ◽  
Case Report ◽  
Rare Disease ◽  
Posterior Fossa ◽  
Cerebellar Infarction ◽  
Posterior Fossa Surgery ◽  
Cerebellar Hemorrhage ◽  
Cerebrovascular Events ◽  
Autopsy Series ◽  
Cerebral Ischemic

Abstract The ischemic stroke is one of the most common conditions in our hospitals, representing 50% of revenues of neurology services. A variety of processes is cerebral ischemic myocardial cerebellum. Cerebellar infarction is not a rare disease, representing between 2 to 4% of all cerebrovascular events in clinical and autopsy series, and their ratio is 4-5 times higher than cerebellar hemorrhage. Although it is increasingly documented, it rarely Recognized stills like a phenomenon. Mutism occurs primarily in children and occasionally in adults as a well-recognized complication of posterior fossa surgery. Rarely been reported transient mutism associated with cerebellar infarction as isolated episode

scholarly journals Middle Meningeal Artery Embolization for Chronic Subdural Hematoma: A Multi-Center Experience of 154 Consecutive Embolizations

Neurosurgery ◽  
2020 ◽  
Author(s):  
Peter Kan ◽  
Georgios A Maragkos ◽  
Aditya Srivatsan ◽  
Visish Srinivasan ◽  
Jeremiah Johnson ◽  
...  
Keyword(s):  
Subdural Hematoma ◽  
Anticoagulation Therapy ◽  
Surgical Techniques ◽  
Chronic Subdural Hematoma ◽  
Middle Meningeal Artery ◽  
Primary Treatment ◽  
Thickness Reduction ◽  
Hematoma Expansion ◽  
Meningeal Artery

Abstract BACKGROUND Middle meningeal artery (MMA) embolization has emerged as a promising treatment for chronic subdural hematoma (cSDH). OBJECTIVE To determine the safety and efficacy of MMA embolization. METHODS Consecutive patients who underwent MMA embolization for cSDH (primary treatment or recurrence after conventional surgery) at 15 centers were included. Clinical details and follow-up were collected prospectively. Primary clinical and radiographic outcomes were the proportion of patients requiring additional surgical treatment within 90 d after index treatment and proportion with > 50% cSDH thickness reduction on follow-up computed tomography imaging within 90 d. National Institute of Health Stroke Scale and modified Rankin Scale were also clinical outcomes. RESULTS A total of 138 patients were included (mean age: 69.8, 29% female). A total of 15 patients underwent bilateral interventions for 154 total embolizations (66.7% primary treatment). At presentation, 30.4% and 23.9% of patients were on antiplatelet and anticoagulation therapy, respectively. Median admission cSDH thickness was 14 mm. A total of 46.1% of embolizations were performed under general anesthesia, and 97.4% of procedures were successfully completed. A total of 70.2% of embolizations used particles, and 25.3% used liquid embolics with no significant outcome difference between embolization materials (P > .05). On last follow-up (mean 94.9 d), median cSDH thickness was 4 mm (71% median thickness reduction). A total of 70.8% of patients had >50% improvement on imaging (31.9% improved clinically), and 9 patients (6.5%) required further cSDH treatment. There were 16 complications with 9 (6.5%) because of continued hematoma expansion. Mortality rate was 4.4%, mostly unrelated to the index procedure but because of underlying comorbidities. CONCLUSION MMA embolization may provide a safe and efficacious minimally invasive alternative to conventional surgical techniques.

scholarly journals An Indirect Computerized Tomography Sign of Chronic Subdural Hematoma demonstrated in the Posterior Fossa

1985 ◽  
Vol 25 (3) ◽  
pp. 187-194
Author(s):  
Takao MACHI ◽  
Ryutaro MAEYAMA ◽  
Tosuke TAKAKI ◽  
Shogo YOSHIURA ◽  
Itsuma KAMOI ◽  
...  
Keyword(s):  
Computerized Tomography ◽  
Posterior Fossa ◽  
Subdural Hematoma ◽  
Chronic Subdural Hematoma

Infantile chronic subdural hematoma of the posterior fossa diagnosed by computerized tomography

1977 ◽  
Vol 47 (6) ◽  
pp. 949-952 ◽  
Author(s):  
Barry N. French ◽  
Arthur B. Dublin
Keyword(s):  
White Matter ◽  
Brain Stem ◽  
Computerized Tomography ◽  
Posterior Fossa ◽  
Subdural Hematoma ◽  
Chronic Subdural Hematoma ◽  
Cerebral White Matter ◽  
Hounsfield Units ◽  
Content Type ◽  
The Brain

✓ A 9-week-old infant manifested continuous vomiting for 1 week accompanied by a tense fontanel, “sun setting” of the eyes, frequent opisthotonos, and hypertonicity. The head circumference was at the 50th percentile. Computerized tomography (CT) revealed acute hydrocephalus and a posterior fossa subdural hematoma. The brain stem and cerebellum were of greater density (54 Hounsfield units) than normal cerebral white matter (42 Hounsfield units) whereas the subdural hematoma was the same density as normal cerebral white matter (“isodense”). The cerebellum and brain stem became enhanced by contrast (68 Hounsfield units), but no enhancement occurred in the cerebral white matter or subdural hematoma. A shunt followed by occipital craniectomy resolved both the hydrocephalus and subdural hematoma. Repeat CT scan 15 days postoperatively disclosed continuing higher density of the cerebellum and brain stem (60 Hounsfield units) relative to cerebral white matter. Increased density of the infantile cerebellum has been noted previously but not to the same extent as in this patient.

Spontaneous Posterior Fossa Subdural Hematoma as a Complication of Anticoagulation

Neurosurgery ◽  
1984 ◽  
Vol 15 (2) ◽  
pp. 241-242 ◽  
Author(s):  
Roy Kanter ◽  
Merrill Kanter ◽  
Wolff Kirsch ◽  
Gary Rosenberg
Keyword(s):  
Mitral Valve ◽  
Posterior Fossa ◽  
Subdural Hematoma ◽  
Mitral Valve Disease ◽  
Rare Complication ◽  
Anticoagulation Therapy ◽  
Valve Disease

Abstract We report a patient in whom a spontaneous subdural hematoma developed in the posterior fossa during anticoagulation therapy for mitral valve disease. This rare complication of anticoagulation has been reported in only three other patients.

Kernohan’s notch phenomenon in chronic subdural hematoma: MRI findings

2007 ◽  
Vol 14 (10) ◽  
pp. 989-992 ◽  
Author(s):  
Kyung-Sub Moon ◽  
Jung-Kil Lee ◽  
Sung-Pil Joo ◽  
Tae-Sun Kim ◽  
Shin Jung ◽  
...  
Keyword(s):  
Subdural Hematoma ◽  
Chronic Subdural Hematoma ◽  
Mri Findings

scholarly journals Burr hole drainage without irrigation for chronic subdural hematoma

2020 ◽  
Vol 11 ◽  
pp. 89
Author(s):  
Hiroshi Uda ◽  
Alhusain Nagm ◽  
Tsutomu Ichinose ◽  
Yohei Onishi ◽  
Masaki Yoshimura ◽  
...  
Keyword(s):  
Recurrence Rate ◽  
Subdural Hematoma ◽  
Chronic Subdural Hematoma ◽  
Burr Hole ◽  
Mri Findings ◽  
Risk Of Recurrence ◽  
Drainage Rate ◽  
Index Study ◽  
Magnetic Resonance Imaging Mri ◽  
Surgical Modality

Background: Chronic subdural hematoma (CSDH) is one of the most common neurosurgical conditions, with different strategies for treatment. Most recent trials favor the use of drainage to reduce the recurrence rate. However, few reports have discussed the efficacy of burr hole drainage without irrigation for treating CSDH. This study aimed to examine the efficacy of burr hole drainage without irrigation in a series of 385 symptomatic CSDH lesions. Methods: This retrospective study included a series of 385 symptomatic CSDH lesions in 309 patients, who underwent burr hole drainage without irrigation, between September 2009 and August 2017 at the Department of Neurosurgery, Yao Tokushukai General Hospital, Japan. The risk of recurrence was evaluated based on the patients’ age, sex, preoperative magnetic resonance imaging (MRI) findings, preoperative anticoagulants, hematoma drainage rate, and bilaterality. Results: Of the 385 lesions, 41 cases (16 with inadequate follow-up periods and 25 with contraindications for MRI) were excluded from the analysis. The overall recurrence rate in the index study was 4.9% (17/344 lesions). The effects of the preoperative hematoma volume and nonhyperintensity on T1-weighted imaging on the recurrence rate were significant. Conclusion: Our findings indicated that burr hole drainage without irrigation is a good surgical modality in patients with CSDH, and preoperative MRI findings can evaluate the risk of recurrence.

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