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Delayed Acute Subdural Hematoma


Authors: R. Kaiser 1;  E. Zvěřina 1;  J. Pachl 2;  P. Haninec 1
Authors place of work: 3. LF UK a FN Královské Vinohrady, Praha Neurochirurgická klinika 1;  3. LF UK a FN Královské Vinohrady, Praha Klinika anesteziologie a resuscitace 2
Published in the journal: Cesk Slov Neurol N 2011; 74/107(4): 455-458
Category: Krátké sdělení

Summary

The development of acute subdural haematoma occurs typically soon after a head trauma and its presence shows on CT scan immediately after admission. Spontaneous haematomas are also described, especially those associated with coagulopathies, as well as delayed haema­tomas occurring with latency after a known head injury. A group of 116 patients who had suffered from acute subdural haemorrhage was analyzed retrospectively. Most of them (96.6%) were operated upon soon after admission. In four cases (3.4%), a deterioration of clinical status occurred after an interval of 1–4 days. Second CT scans revealed the development of delayed acute subdural haemorrhage and all of them were operated upon immedia­tely. The first CT was negative only in one case; subarachnoid haemorrhage or skull fracture was found in three cases. Two patients were given warfarin, one was thrombocytopenic and another had serious hepatic coagulopathy.

Key words:
delayed subdural hematoma – spontaneous subdural hematoma – acute subdural hematoma


Zdroje

1. Jones NR, Blumbergs PG, North JB. Acute subdural haematomas: etiology, patology and outcome. Aust NZJ Surg 1986; 56: 907–913.

2. Juráň V, Smrčka M, Svoboda K, Fadrus P, Šprláková A, Gál R. Indikace dekompresivní kraniektomie u traumat mozku. Cesk Slov Neurol N 2009; 72/105(5): 439–445.

3. Houdek M, Kala M, Heřman M. Interhemispheric subdural haematoma. Cesk Slov Neurol N 1996; 59/92(4): 338–340.

4. Westermaier T, Eriskat J, Kunze E, Günthner-Lengsfeld T, Vince GH, Roosen K. Clinical features, treatment, and prognosis of patients with acute subdural hematomas presenting in critical condition. Neurosurgery 2007; 61(3): 482–487.

5. Oikawa A, Aoki N, Sakai T. Arteriovenous malformation presenting as acute subdural haematoma. Neurol Res 1993; 15(5): 353–355.

6. Akioka N, Fukuda O, Takaba M, Kameda H, Saito T, Endo S. Clinical investigation of acute spontaneous subdural hematoma cases. J Stroke Cerebrovasc Dis 2007; 16(3): 109–113.

7. Bongioanni F, Ramadan A, Kostli A, Berney J. Acute subdural hematoma of arteriolar origin. Traumatic or spontaneous? Neurochirurgie 1991; 37(1): 26–31.

8. Crooks DA. Pathogenesis and biomechanics of traumatic intracranial haemorrhages. Virchows Arch A Pathol Anat Histopathol 1991; 418(6): 479–783.

9. Itshayek E, Rosenthal G, Fraifeld S, Perez-Sanchez X, Cohen JE, Spektor S. Delayed posttraumatic acute subdural hematoma in elderly patients on anticoagulation. Neurosurgery 2006; 58(5): 851–856.

10. Piepmeier JM, Wagner FC jr. Delayed post-traumatic extracerebral hematomas. J Trauma 1982; 22(6): 455–460.

11. Matsuda W, Sugimoto K, Sato N, Watanabe T, Fujimoto A, Matsumura A. Delayed onset of posttraumatic acute subdural hematoma after mild head injury with normal computed tomography: a case report and brief review. J Trauma 2008; 65(2): 461–463.

12. Iuvara-Bommeli A, de Tribolet N. Delayed intracranial hematomas following cranio-cerebral trauma. Schweiz Med Wochenschr 1991; 121 (18): 646–652.

13. Russel N, DeJong MD. Delayed traumatic intracerebral hemorrhage. Arch Neurol Psychiatry 1942; 48(2):257–266.

14. Ivascu FA, Howells GA, Junn FS, Bair HA, Bendick PJ, Janczyk RJ. Rapid warfarin reversal in anticoagulated patients with traumatic intracranial hemorrhage reduces hemorrhage progression and mortality. J Trauma 2005; 59(5): 1131–1139.

Štítky
Detská neurológia Neurochirurgia Neurológia

Článok vyšiel v časopise

Česká a slovenská neurologie a neurochirurgie


2011 Číslo 4
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