Acute Spontaneous Subdural Hematoma in Posterior Fossa: Great Outcome.

Autor: Finger G; Neurosurgery Department of Cristo Redentor Hospital, Porto Alegre, Brazil; Graduate Program in Medicine: Surgical Sciences, Federal University of Rio Grande do Sul, Porto Alegre, Brazil. Electronic address: guilhermefingermd@gmail.com., Martins OG; Medical School of Federal University of Pelotas, Pelotas, Brazil., Basso LS; Neurosurgery Department of Cristo Redentor Hospital, Porto Alegre, Brazil., Ludwig do Nascimento T; Neurosurgery Department of Cristo Redentor Hospital, Porto Alegre, Brazil; Graduate Program in Medicine: Surgical Sciences, Federal University of Rio Grande do Sul, Porto Alegre, Brazil., Schiavo FL; Neurosurgery Department of Cristo Redentor Hospital, Porto Alegre, Brazil., Cezimbra Dos Santos S; Neurosurgery Department of Cristo Redentor Hospital, Porto Alegre, Brazil., Stefani MA; Graduate Program in Medicine: Surgical Sciences, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.
Jazyk: angličtina
Zdroj: World neurosurgery [World Neurosurg] 2018 Nov; Vol. 119, pp. 146-150. Date of Electronic Publication: 2018 Aug 02.
DOI: 10.1016/j.wneu.2018.07.220
Abstrakt: Background: Acute subdural hematomas are frequently seen in brain trauma-injured patients. However, spontaneous subdural hematomas are uncommon, especially those localized in the posterior fossa, where fewer than 10 case reports have been described in the medical literature.
Case Description: We describe a patient who suddenly had a headache and progressed rapidly to coma and signs of brainstem compression. She was diagnosed with posterior fossa subdural hematoma after image examinations that were endorsed by surgical findings. A posterior fossa craniectomy was performed and was associated with blood drainage.
Conclusions: The patient had a great outcome, with no neurologic deficits at hospital discharge and the 1-year follow-up.
(Copyright © 2018 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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