Chronic subdural hematoma

Complete Recovery ◽

History Of ◽

Third Cranial Nerve Palsy ◽

The Right ◽

Chronic subdural hematoma (CSH) is a common neurosurgical pathology that is recognized as a consequence of minor head injuries that are usually diagnosed in senile patients, although it can occur in young patients without a history of trauma. The objective of this work is the presentation of a patient with a bilateral CSH, with unusual characteristics. Clinical case: a 46-year-old female patient with no history of head trauma or other concomitant pathology is presented, who consulted for a 15-day-old headache. Physical examination confirmed mydriasis, Hutchinson’s pupil, bilateral papilledema and exophoria of the right eye, third cranial nerve palsy, and trunk ataxia. She was cataloged with Glasgow 13. Early anti-cerebral edema treatment was performed and the manifestations largely disappeared. A computed tomography scan diagnosed a bilateral fronto temporal subdural hematoma with displacement of the midline structures to the left. She underwent emergency surgery and was discharged completely recovered three days later. Conclusion: HSC can present with different clinical forms, simulating expansive tumor processes, cerebrovascular attacks, dementias or neurological entities of another nature. The case management by clinicians and neurosurgeons was quick and effective, which explains that the patient had an early and complete recovery. In these cases, medical action is decisive in the success of the treatment.

Spontaneous Postpartum Subacute Subdural Hematoma: A Case Report of Probable Compilation of Eclampsia

Nepal Journal of Neuroscience ◽

10.3126/njn.v13i2.20490 ◽

2016 ◽

Vol 13 (2) ◽

pp. 109-111

Author(s):

Sachidanand Gautam ◽

Shyam C Meena ◽

Bhawana Gautam

Keyword(s):

Computed Tomography ◽

Case Report ◽

Subdural Hematoma ◽

Normal Delivery ◽

Postoperative Course ◽

Motor Aphasia ◽

History Of ◽

The author presents a patient who developed a subacute subdural hematoma approximately 2 weeks after normal delivery with history of postnatal convulsion and lateralizing neurological symptoms. On day 12, she started to feel a nonpostural and severe throbbing headache with motor aphasia and right hemiparesis power grade 4, she was referred to our department. Left subacute subdural hematoma was confirmed by a computed tomography scan. Physical examination revealed only mild right hemiparesis. Left burr hole trepanation was performed and this was followed by uneventful postoperative course, and it completely recovered after 4 weeks. Chronic subdural hematoma should be considered when postpartum patients who have history of ecclampsia with mild to severe, persistent, and non-postural headache.Nepal Journal of Neuroscience. Vol. 13, No. 2, 2016, Page: 109-111

Benign cemento-ossifying fibroma: a rare case report

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20180731 ◽

2018 ◽

Vol 4 (2) ◽

pp. 585

Author(s):

Gurbax Singh ◽

Jasmine Kaur ◽

Jai Lal Davessar ◽

Latika Kansal ◽

Ajay Singh

Keyword(s):

Sphenoid Sinus ◽

Rare Case ◽

Surgical Excision ◽

Ossifying Fibroma ◽

Rare Case Report ◽

History Of ◽

The Right ◽

Slow Growing ◽

<p>Cemento-ossifying fibroma (COF) is a benign fibro-osseous lesion commonly seen in the head and neck regions. It is considered as a benign, locally aggressive neoplasm that requires surgical excision. COF has traditionally been considered to be slow growing. We report a case of 11 year-old girl who presented to the ENT Department of our hospital with 7 months history of nasal obstruction, proptosis and headache. Computed Tomography scan images showed a mass in the right nasal cavity. This case is notable because involvement of the sphenoid sinus is rare. </p>

Warning with chronic subdural hematomas in the elderly

Journal of Neurology & Stroke ◽

10.15406/jnsk.2021.11.00467 ◽

2021 ◽

Vol 11 (4) ◽

pp. 114-117

Author(s):

Dinh Thi Phuong Hoai ◽

Nguyen Thi My Dung ◽

Hoang Manh Cuong ◽

Huynh Thi Kieu Oanh ◽

Ngo Thuy Tram ◽

...

Keyword(s):

Left Hemisphere ◽

Subdural Hematoma ◽

Mass Effect ◽

The Elderly ◽

Brain Parenchyma ◽

History Of ◽

Apparent Reason ◽

The Right ◽

Contrast Ct

Chronic subdural hematoma (cSDH) is a disorder in which blood collects between the dura and arachnoid mater of meninges around the brain. It's more common among the elderly and usually triggered by a head injury. We report a case of a 78-year-old male patient who had previously been diagnosed with a left hemisphere subdural hematoma for no apparent reason with a history of hypertension. Two days before hospitalizing, he had a symptom of weakness in the right extremities. Non-contrast CT of head reveals a crescent-shaped, heterodense lesion over the lateral aspect of the left hemisphere measuring 11x5x1 cm with mass effect to the adjacent brain parenchyma. Burr hole drainage was performed for the patient. His symptoms improved after the surgery.

Transradial embolization of the left middle meningeal artery and accessory middle meningeal artery for treatment of subacute–chronic subdural hematoma

Journal of NeuroInterventional Surgery ◽

10.1136/neurintsurg-2019-015493 ◽

2020 ◽

Vol 12 (4) ◽

pp. 436-436 ◽

Cited By ~ 2

Author(s):

Gary B Rajah ◽

Michael K Tso ◽

Rimal Dossani ◽

Kunal Vakharia ◽

Adnan H Siddiqui

Keyword(s):

Subdural Hematoma ◽

Mass Effect ◽

Middle Meningeal Artery ◽

Vascular Lesion ◽

External Carotid ◽

Invasive Treatment ◽

History Of ◽

The Right ◽

Meningeal Artery

This 52-year-old man with no remarkable medical history, no anticoagulation use, and no history of trauma was noted to have a subacute–chronic left subdural hematoma during outpatient headache evaluation. No occult vascular lesion or cross-calvarial supply of the right middle meningeal artery (MMA) to the left side was identified on bilateral selective external carotid injections. Because the patient preferred non-surgical management, we performed a left MMA embolization with Onyx 18 (Medtronic), utilizing a Headway Duo microcatheter (MicroVention) via the transradial route. A 6 French Benchmark (Penumbra) was utilized for transradial support into the left external carotid. The patient was discharged home the same day. Repeat scans from 2 to 6 weeks revealed complete resolution of the subdural hematoma. The patient’s headaches resolved. Transradial MMA embolization for subacute–chronic subdural hematoma represents a minimally invasive treatment option for mass effect and hemorrhage-related symptoms. Tailored embolizations are necessary when >1 meningeal vessel supplies the subdural hematoma.

Spontaneous resolution of chronic subdural hematoma: Does only the size matter?

Surgical Neurology International ◽

10.25259/sni_58_2019 ◽

2019 ◽

Vol 10 ◽

pp. 194

Author(s):

Messias Gonçalves Pacheco Junior ◽

Bruno Lima Pessoa ◽

Jose Alberto Landeiro ◽

Pedro Henrique de Abreu Macedo ◽

Marco Antônio Araújo Leite

Keyword(s):

Surgical Intervention ◽

Spontaneous Resolution ◽

Ataxic Gait ◽

The Right ◽

Size Matter ◽

Head Computed Tomography ◽

Background: Chronic subdural hematomas (CSDHs) usually occur late in adults and older after mild head trauma. Surgical intervention is the first treatment option in CSDH with conservative management being adopted in few cases. Case Description: We report a case of a 71-year-old man who presented a spontaneous resolution of a large CSDH. He presented with a difficulty of speech and an ataxic gait. Head (computed tomography scan) showed a low-density lesion located in the right frontal-temporal-parietal region. Conclusion: In this report, we discuss the spontaneous resolution of a large CSDH in elderly patients, without surgical intervention. Gradually, several successful nonsurgical therapies for the treatment of these hematomas are reported, although further studies are essential to establish the role of these nonsurgical treatments of CSDHs.

Reninoma: Uma Causa Rara de Hipertensão Endócrina

Acta Médica Portuguesa ◽

10.20344/amp.11660 ◽

2020 ◽

Vol 33 (12) ◽

pp. 835

Author(s):

Bernardo Marques ◽

Joana Couto ◽

Manuel C. Lemos ◽

Fernando Rodrigues

Keyword(s):

Blood Pressure ◽

Analytical Study ◽

Histological Analysis ◽

Secondary Hypertension ◽

Endocrine Hypertension ◽

History Of ◽

Secondary Hyperaldosteronism ◽

The Right ◽

Juxtaglomerular tumours are rare causes of secondary hypertension. They typically present with difficult-to-manage hypertension, hypokalemia, hyperreninemia and secondary hyperaldosteronism. The authors describe a clinical case of a 45 years old female patient, with personal history of difficult-to-manage hypertension and hypokalemia since age 35, medicated with four types of anti-hypertensive agents. An analytical study was performed, which revealed secondary hyperaldosteronism [aldosterone 44.3 ng/dL (4 – 28 ng/dL), renin > 1000 mIU/mL (4.4 – 46.2 mIU/mL)]. Abdominal computed tomography scan identified a heterogeneous nodule located in the middle third of the right kidney, with 3.7 cm. Partial nephrectomy was performed and histological analysis confirmed the diagnosis of reninoma. After surgery, the patient had normal levels of aldosterone (9.2 ng/dL) and renin (1.20 mIU/mL), as well as normal blood pressure. The authors want to highlight this potentially curable cause of endocrine hypertension. Surgical resection is the treatment of choice and leads to normalization of blood pressure.

A Rare Case of Ossified Chronic Subdural Hematoma Complicated with Tension Pneumocephalus

Journal of Neurological Surgery Reports ◽

10.1055/s-0039-1694738 ◽

2019 ◽

Vol 80 (04) ◽

pp. e44-e45

Author(s):

Mehmet Turgut ◽

Murat Ö. Yay

Keyword(s):

Subdural Hematoma ◽

Rare Case ◽

Epileptic Seizures ◽

Resonance Imaging ◽

Microsurgical Technique ◽

Tension Pneumocephalus ◽

The Past ◽

History Of ◽

The Right

AbstractA 59-year-old man presented with epileptic seizures interpreted as episodic syncope in the past 3 years and the patient had a history of head trauma about 4 years ago. Computed tomography revealed an ossified chronic subdural hematoma involving the right frontotemporoparietal region, which was totally resected using microsurgical technique. Postoperatively, weakness developed in right arm and magnetic resonance imaging revealed a bilateral tension pneumocephalus, which was immediately treated by a left frontal burr hole trepanation, and the patient was discharged uneventfully.

Kernohan's notch in chronic subdural hematoma: findings on magnetic resonance imaging

Journal of Neurosurgery ◽

10.3171/jns.1995.82.4.0645 ◽

1995 ◽

Vol 82 (4) ◽

pp. 645-646 ◽

Cited By ~ 16

Author(s):

Youichi Itoyama ◽

Shodo Fujioka ◽

Yukitaka Ushio

Keyword(s):

Magnetic Resonance Imaging ◽

Magnetic Resonance ◽

Mr Imaging ◽

Subdural Hematoma ◽

Resonance Imaging ◽

Content Type ◽

The Right ◽

Tomography Scan ◽

Supratentorial Mass

✓ A 69-year-old man presented with mild left-sided hemiparesis of 2 years' duration. A computerized tomography scan revealed a left-sided chronic subdural hematoma and a midline shift to the right. Magnetic resonance (MR) imaging obtained on admission to the hospital also disclosed a deformity of the right crus cerebri. After drainage and irrigation of the hematoma through a single burr hole, the left hemiparesis improved significantly. Magnetic resonance imaging performed 9 days after the operation revealed that the size of the subdural hematoma had diminished and the deformity of the crus cerebri had improved markedly. Kernohan's notch, caused by a supratentorial mass and producing ipsilateral hemiparesis or hemiplegia, is rarely demonstrated radiographically. This may be the first reported case in which Kernohan's notch in chronic subdural hematoma has been demonstrated on MR imaging.

Spontaneous chronic subdural hematoma in a young male patient: case report

Romanian Neurosurgery ◽

10.2478/romneu-2014-0030 ◽

2014 ◽

Vol 21 (2) ◽

pp. 239-244

Keyword(s):

Case Report ◽

Elderly Patients ◽

Surgical Management ◽

Male Patient ◽

Subdural Hematoma ◽

Young Patients ◽

Young Male ◽

Patient Case ◽

History Of

Abstract The chronic subdural hematoma is a common pathology in elderly patients. There is usually a history of head trauma. The diagnosis of chronic subdural hematomas in young patients is very rare and few cases have been reported in the literature. The authors present a case of a patient of 16 years old who presented headache of two months of evolution, which was conducted by tomography diagnosis of chronic subdural hematoma. The patient had no history of mild trauma. Surgical management was performed, showing a satisfactory evolution.