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 |
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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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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.</description><identifier>ISSN: 1016-2291</identifier><identifier>EISSN: 1423-0305</identifier><identifier>DOI: 10.1159/000082299</identifier><identifier>PMID: 15687739</identifier><language>eng</language><publisher>Basel, Switzerland: S. 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Faik</creatorcontrib><creatorcontrib>Tiftikci, Murat T.</creatorcontrib><title>Coexistence of Rapidly Resolving Acute Subdural Hematoma and Delayed Traumatic Intracerebral Hemorrhage</title><title>Pediatric neurosurgery</title><addtitle>Pediatr Neurosurg</addtitle><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. 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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.</description><subject>Accidents, Traffic</subject><subject>Blood clots</subject><subject>Case Report</subject><subject>Female</subject><subject>Frontal Lobe - blood supply</subject><subject>Frontal Lobe - injuries</subject><subject>Hematoma, Subdural, Acute - etiology</subject><subject>Hematoma, Subdural, Acute - pathology</subject><subject>Hemorrhage</subject><subject>Humans</subject><subject>Infant</subject><subject>Intracranial Pressure</subject><subject>Occipital Lobe - blood supply</subject><subject>Occipital Lobe - injuries</subject><subject>Surgery</subject><subject>Temporal Lobe - blood supply</subject><subject>Temporal Lobe - injuries</subject><subject>Time Factors</subject><subject>Tomography, X-Ray Computed</subject><issn>1016-2291</issn><issn>1423-0305</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqF0UtLxDAQB_Agiuvr4FmQ4EHwUE2avnJc1tUVFhUf5zJNJ2u1bdakFffbG91FQQRzSMLw4z8MQ8g-Z6ecx_KM-ZOFoZRrZItHoQiYYPG6_zOeBL7OB2TbuWfGPJbRJhnwOMnSVMgtMhsZfK9ch61CajS9g3lV1gt6h87Ub1U7o0PVd0jv-6LsLdR0gg10pgEKbUnPsYYFlvTBQu_LlaJXbWdBocVihY21TzDDXbKhoXa4t3p3yOPF-GE0CaY3l1ej4TRQIsu6QGWF1IUCEbMsVaUClCoEBgnwRKXISglapphq7S_QUQLIhYqVYjGkUSbEDjle5s6tee3RdXlTOYV1DS2a3uVJGgrJ5P8w9CiRPPHw6Bd8Nr1t_RB5GEY8imP2iU6WSFnjnEWdz23VgF3knOWfO8q_d-Tt4SqwLxosf-RqKT8dX8DO0H6D2-vxV0I-L7VHB3-iZY8PG-Shjg</recordid><startdate>200409</startdate><enddate>200409</enddate><creator>Erol, Fatih S.</creator><creator>Kaplan, Metin</creator><creator>Topsakal, Cahide</creator><creator>Ozveren, M. 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Faik</au><au>Tiftikci, Murat T.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Coexistence of Rapidly Resolving Acute Subdural Hematoma and Delayed Traumatic Intracerebral Hemorrhage</atitle><jtitle>Pediatric neurosurgery</jtitle><addtitle>Pediatr Neurosurg</addtitle><date>2004-09</date><risdate>2004</risdate><volume>40</volume><issue>5</issue><spage>238</spage><epage>240</epage><pages>238-240</pages><issn>1016-2291</issn><eissn>1423-0305</eissn><abstract>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.</abstract><cop>Basel, Switzerland</cop><pub>S. Karger AG</pub><pmid>15687739</pmid><doi>10.1159/000082299</doi><tpages>3</tpages></addata></record> |
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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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