The Role of Emergent Surgical Drainage in the Treatment of Subacute Subdural Hematomas Presenting with Transient Neurological Deficits: Case Report
نویسندگان
چکیده
Subakut subdural hematomlarda, geçici iskemik ataklar oldukça nadir görülür. Bu klinik fenomenin patofizyolojisinde hematomun lokal ödem oluşturucu etkisi ve serebral vasküler yapılardaki değişimler yer alır. Atrial fibrilasyon yada geçici iskemik ataklara neden olabilen karotis arterinin tromboembolik hastalıkları ayırıcı tanıda dikkate alınmalıdır. Tedavide ise; oluşan kitle etkisinden kurtulmak için cerrahi drenaj yapılmalıdır. Bu çalışmada; motor afazi ve hemiparezi ile presente olan bir subakut subdural hematom vakasında hematomun boşaltılmasındaki gecikmeden dolayı oluşan nörolojik semptomların kalıcılığı tartışılmaktadır.
منابع مشابه
Open Drainage in Chronic Subdural Hematomas: A Prospective Study of 189 Cases
Background & Importance: Chronic subdural hematoma (CSH) is one of the most frequent intracranial hemorrhages in adults. However, gold standard treatment of CSH is not yet defined. Since the 80’s, closed drainage is a standard among techniques using drains because the open type has been incriminated in high rates of postoperative infections. However, closed drainage requires mat...
متن کاملAcute, Nontraumatic Spontaneous Spinal Subdural Hematoma: A Case Report and Systematic Review of the Literature
Spontaneous spinal subdural hematoma (sSDH) is a rare condition outright. Moreover, cases that occur spontaneously in the absence of an identifiable etiology are considerably less common and remain poorly understood. Here, we present the case of a 43-year-old man with spontaneous sSDH presenting with acute onset low back pain and paraplegia. Urgent magnetic resonance imaging identified a dorsal...
متن کاملAn Unusual Case of a Large Hematorrachis Associated with Multi-Level Osteoporotic Vertebral Compression Fractures; a Case Report
Spinal epidural haemorrhage may present as back pain associated with radicular symptoms and can be a catastrophic clinical scenario with progression to paraplegia or even sudden death. Being a rare entity, it needs a high index ofclinical suspicion to diagnose it. Fractures have been documented as a cause of hematorrachis but such hematomas only extend to one or two vertebral segments. Large ep...
متن کاملRetrospective analysis of operative treatment of a series of 100 patients with subdural hematoma.
This retrospective study of medical records, surgical protocols, patient observation cards, and imaging files of 100 patients treated for subdural hematoma analyzed the type of hematoma, patient age and sex, operative technique, neurological status, cause of injury, duration of hospital stay, mortality rate, and the number of and reasons for reoperations to determine the effects on treatment ou...
متن کاملChronic subdural hematoma presenting as transient neurologic deficits.
Four patients with symptoms of transient neurological dysfunction were subsequently found to have chronic subdural hematomas (CSDH). The frequency of these episodes diminished significantly after evacuation of the hematoma. The effects of vascular compromise due to the CSDH and to cardiovascular events, more commonly implicated in transient ischemic attacks (TIAs) may be additive. The inclusion...
متن کامل