Coexistence of Rapidly Resolving Acute Subdural Hematoma and Delayed Traumatic Intracerebral Hemorrhage

Rapid resolution of acute subdural hematoma is rare. Delayed traumatic intracerebral hematomas following medical or surgical treatment of increased intracranial pressure have also been reported. Coexistence of a quickly resolving acute subdural hematoma and a delayed traumatic intracerebral hemorrha...

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Veröffentlicht in:Pediatric neurosurgery 2004-09, Vol.40 (5), p.238-240
Hauptverfasser: Erol, Fatih S., Kaplan, Metin, Topsakal, Cahide, Ozveren, M. Faik, Tiftikci, Murat T.
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container_end_page 240
container_issue 5
container_start_page 238
container_title Pediatric neurosurgery
container_volume 40
creator Erol, Fatih S.
Kaplan, Metin
Topsakal, Cahide
Ozveren, M. Faik
Tiftikci, Murat T.
description Rapid resolution of acute subdural hematoma is rare. Delayed traumatic intracerebral hematomas following medical or surgical treatment of increased intracranial pressure have also been reported. Coexistence of a quickly resolving acute subdural hematoma and a delayed traumatic intracerebral hemorrhage has not been reported before. A 13-month-old boy was admitted to our emergency department after a car accident. On CT, a thin acute subdural hematoma on the right frontotemporal region and a small epidural hematoma on the left frontal region could be seen. On 24-hour follow-up CT, the right subdural hematoma was found to be less dense but larger than it had been before. At 36 h after hospitalization, CT showed that the right acute subdural hematoma had completely disappeared; however, a delayed traumatic intracerebral hematoma on the left occipital region was identified. We think that the mechanism involved in the development of a delayed intracerebral hematoma in our case was similar to the one causing delayed traumatic intracerebral hematoma after treatment for increased intracranial pressure.
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source MEDLINE; Karger Journals
subjects Accidents, Traffic
Blood clots
Case Report
Female
Frontal Lobe - blood supply
Frontal Lobe - injuries
Hematoma, Subdural, Acute - etiology
Hematoma, Subdural, Acute - pathology
Hemorrhage
Humans
Infant
Intracranial Pressure
Occipital Lobe - blood supply
Occipital Lobe - injuries
Surgery
Temporal Lobe - blood supply
Temporal Lobe - injuries
Time Factors
Tomography, X-Ray Computed
title Coexistence of Rapidly Resolving Acute Subdural Hematoma and Delayed Traumatic Intracerebral Hemorrhage
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