Neurological Case Study 1. She experienced loss of consciousness at the scene. She was taken to a local hospital where a CT scan revealed a Left Subdural hematoma. She has been transferred to your regional medical center, which has neurosurgeon on call. Psychosocial parameters also need to be addressed.
Acute-on-chronic subdural hematoma: a new entity for prophylactic anti-epileptic treatment?
Spontaneous spinal subdural hematoma: Case study
Click on image for details. Acute spontaneous subdural hematoma of arterial origin, a neurosurgical emergency resulting from rupture of the perisylvian cortical artery, is a rare occurrence. We report four such patients who presented with progressive neurological deterioration. All the patients were operated and perisylvian cortical artery was identified as the source of bleeding in all the patients. Three of the patients had associated hypertension. We reviewed the clinical characteristics, etiology, and outcome of the reported cases in the literature. A high index of suspicion is necessary even in young patients in view of the phenomenon of re-rupture mimicking stroke.
Rapid resolution of acute subdural hematoma in child with severe head injury: a case report
Metrics details. Chronic subdural hematomas CSDH initially present as focal neurological deficits with or without signs of increased intracranial pressure, for which admission to the general medical ward may occur if they present with poorly understood neurological deficits and no evident history of trauma. The symptoms may be long standing and mimic stroke upon presentation.
Subdural hematomas require immediate and aggressive treatment. The main surgical approach is to perform a craniotomy, which involves removing part of the skull, followed by drainage of the hematoma and reattachment of the skull fragment 2. Decompressive craniectomy also involves removing part of the skull to relieve intracranial pressure; however, the part of the skull that is removed is not generally replaced 2. Although craniotomies and craniectomies are frequently used for the treatment of acute subdural hematomas, a major limitation of their use is that these surgical techniques are associated with high mortality rates 3 , 4. Preoperative trepanation and drainage, in which a burr hole is created in the skull to reduce pressure, may improve surgical outcomes or, in some cases, reduce the need for follow-up surgical care 5.