Rapid Redistribution of an Acute Traumatic Epidural Hematoma in a Patient with Invasive Skull Cancer
| Autor: | A Leum Lee, Chan-Gyu Kim, Soo Bin Im, Hyun-Nyung Lee, Sun-Chul Hwang |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Case Report Malignant peripheral nerve sheath tumor Malignant nerve sheath tumor Neurofibromatosis Skull fracture 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Hematoma Epidural hematoma medicine Subgaleal space business.industry medicine.disease Intracerebral hematoma body regions Skull medicine.anatomical_structure Surgery Radiology Resolution business 030217 neurology & neurosurgery |
| Zdroj: | Korean Journal of Neurotrauma |
| ISSN: | 2288-2243 2234-8999 |
| DOI: | 10.13004/kjnt.2018.14.2.138 |
| Popis: | The rapid spontaneous resolution of an acute epidural hematoma (EDH) has rarely been reported. A possible mechanism of spontaneous resolution is egress of the hematoma into the subgaleal space through a skull fracture. We report a case of rapid redistribution of an acute EDH in a 37-year-old man who had a malignant peripheral nerve sheath tumor of the skull and who slipped and fell when going to the bathroom. A huge EDH without a skull fracture developed in the left parieto-occipital area. The acute EDH was completely alleviated and a newly developed intracerebral hematoma was found on a brain computed tomography scan that was acquired the day after the trauma. Given these findings, a fractured skull and increased pressure in the intradural area may have been the mechanisms underlying the redistribution of the hematoma. |
| Databáze: | OpenAIRE |
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