کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3063282 1187510 2007 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Contralateral acute subdural hematoma occurring after removal of calcified chronic subdural hematoma
موضوعات مرتبط
علوم زیستی و بیوفناوری علم عصب شناسی عصب شناسی
پیش نمایش صفحه اول مقاله
Contralateral acute subdural hematoma occurring after removal of calcified chronic subdural hematoma
چکیده انگلیسی

Supratentorial craniotomy for a nontraumatic lesion complicated by an acute subdural hematoma on the opposite side is rare. A 47-year-old woman presented with progressive headache and dizziness with no significant past history. Neuroimaging studies revealed a very large calcified chronic subdural hematoma over the entire right hemisphere with prominent mass effect. Despite a near total excision of the hematoma including the inner membranes by a large craniotomy with meticulous dissection, the brain parenchyma remained depressed. The dead space was therefore filled with saline and the operation was completed as usual. Repeat computed tomography scan for signs of left tentorial herniation demonstrated an acute contralateral subdural hematoma with severe shift of midline structures. We propose a prevention strategy for this event, which has not been previously described. We also discuss possible mechanisms involved in this unexpected complication.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Clinical Neuroscience - Volume 14, Issue 3, March 2007, Pages 283–286
نویسندگان
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