spontaneous subdural hematoma associated to duret hemorrhage
Clicks: 146
ID: 255906
2015
Subdural hematoma (SH) is a neurosurgical emergency, usually caused by head trauma. Non-traumatic causes include aneurysm or arterial–venous malformation rupture, coagulopathy and others. We report the case of a 66 year-old man who developed apparently unprovoked signs of increased intracranial pressure. Brain computed tomography scan showed an acute spontaneous SH, surgically treated. Throughout surgery, a ruptured cortical artery with intensive bleeding appeared and was cauterized. After surgery, patient remained comatose and a new CT demonstrated Duret hemorrhage at the brainstem. Acute spontaneous SH of arterial origin is rare and highly lethal, in which a good prognosis relies on early diagnosis and treatment.
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| Authors | ;William Alves Martins, MD;Alice Becker Teixeira, MD;Thomas More Frigeri, MD;Eliseu Paglioli, MD, PhD |
| Journal | advances in materials science and engineering |
| Year | 2015 |
| DOI | 10.1016/j.inat.2014.11.003 |
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