Retroclival and spinal subdural hematoma after traumatic brain injury - A case report and literature review.

Autor:	Solorio-Pineda S; Department of Neurosurgery, Centro Médico 'Lic. Adolfo López Mateos', ISEM. Av Nicolás San Juan S/N, Colonia ex-Hacienda la Magdalena, Toluca, Estado de México, México., Nieves-Valerdi AA; Department of Neurosurgery, Centro Médico 'Lic. Adolfo López Mateos', ISEM. Av Nicolás San Juan S/N, Colonia ex-Hacienda la Magdalena, Toluca, Estado de México, México., Franco-Jiménez JA; Department of Neurosurgery, Centro Médico 'Lic. Adolfo López Mateos', ISEM. Av Nicolás San Juan S/N, Colonia ex-Hacienda la Magdalena, Toluca, Estado de México, México., Gutiérrez-Aceves GA; Department of Neurosurgery, Centro Médico 'Lic. Adolfo López Mateos', ISEM. Av Nicolás San Juan S/N, Colonia ex-Hacienda la Magdalena, Toluca, Estado de México, México.; Radioneurosurgery Unit, Neurological Center, Department of Neurosurgery, National Institute of Neurology and Neurosurgery 'Dr. Manuel Velasco Suarez', Av. Insurgentes Sur No. 3877, La Fama, México.; American British Cowray Medical Center, Carlos Graef Fernández No. 154, Col. Santa Fe, Cuajimalpa, México City, México., Buenrostro-Torres LM; Department of Neurosurgery, Centro Médico 'Lic. Adolfo López Mateos', ISEM. Av Nicolás San Juan S/N, Colonia ex-Hacienda la Magdalena, Toluca, Estado de México, México., Ruíz-Flores MI; Department of Neurosurgery, Centro Médico 'Lic. Adolfo López Mateos', ISEM. Av Nicolás San Juan S/N, Colonia ex-Hacienda la Magdalena, Toluca, Estado de México, México.
Jazyk:	angličtina
Zdroj:	Surgical neurology international [Surg Neurol Int] 2019 May 10; Vol. 10, pp. 86. Date of Electronic Publication: 2019 May 10 (Print Publication: 2019).
DOI:	10.25259/SNI-11-2019
Abstrakt:	Background: Retroclival hematomas are rare and occur mostly in the pediatric population. They are variously attributed to trauma, apoplexy, and vascular lesions. With motor vehicle accidents (MVAs), the mechanism of traumatic injury is forced flexion and extension. There may also be associated cervical spinal and/or clivus fractures warranting fusion. Case Description: A 35-year-old male sustained a traumatic brain injury after a fall of 5 m at work. His Glasgow coma scale (GCS) on admission was 13 (M6V3O4). He had no cranial nerve deficits. The brain computed tomography (CT) showed a retroclival subdural hematoma that extended to the C2 level. Conclusions: Most retroclival hematomas are attributed to MVAs, and cranial CT and magnetic resonance studies typically demonstrate a combination of posterior fossa hemorrhage with retroclival hematomas (intra or extradural). Patients with retroclival hematomas but high GCS scores on admission usually have better prognoses following traumatic brain injuries attributed to MVA. Notable however is the frequent association with additional cervical and/or craniocervical injuries (e.g. such as odontoid fracture) that may warrant surgery/fusión. Competing Interests: There are no conflicts of interest.
Databáze:	MEDLINE
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