Prolonged Compression of the Brain Resulting From an Extradural Haemorrhage

Rowbotham, G. F.; Whalley, Norman

doi:10.1136/jnnp.15.1.64

Cited by 14 publications

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“…[6] Although no obvious severe head injury was observed in present case, we speculated that there was a minor head injury that we did not notice, which provided epidural space and led to a gradual accumulation of blood clots due to coagulopathy. Chronic epidural hematoma usually is encapsulated, as shown the previous reports, [1][2][3]8] although Pozzati et al [7] and Sparacio et al [9] reported no capsulation. In our case, apparent capsule of chronic epidural hematoma was noted.…”

Section: Discussionmentioning

confidence: 62%

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Chronic epidural hematoma with frontal skull-base destruction mimicking osteogenic tumor, associated with coagulopathy due to chronic hepatitis C

Nakazato

Tanaka²,

Oyama

et al. 2023

Surgical Neurology International

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Background: Intracranial epidural hematoma is generally evoked by acute coup-injury. Though rare, it has a chronic clinical course and can be a non-traumatic event. Case Description: The patient was A thirty-five-year-old man with a complaint of one-year history of hand tremor. He was suspected diagnosis of osteogenic tumor with differential diagnosis of epidural tumor, or abscess in the right frontal skull base bone, associated with chronic type C hepatitis because of his plain CT and MRI. Results: Results of examinations and surgery, the extradural mass was chronic epidural hematoma without skull fracture. We diagnosis he is the rare case of chronic epidural hematoma caused by coagulopathy due to chronic hepatitis C. Conclusion: We reported a rare case of chronic epidural hematoma caused by coagulopathy due to chronic hepatitis C. The repeated spontaneous hemorrhage in the epidural space formed the capsule and destruction of skull base bone, just mimicking skull base tumor.

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Section: Discussionmentioning

confidence: 62%

“…Chronic epidural hematoma usually is encapsulated, as shown the previous reports,[ 1 - 3 , 8 ] although Pozzati et al . [ 7 ] and Sparacio et al .…”

Section: Discussionmentioning

confidence: 63%

Chronic epidural hematoma with frontal skull-base destruction mimicking osteogenic tumor, associated with coagulopathy due to chronic hepatitis C

Nakazato

Tanaka²,

Oyama

et al. 2023

Surgical Neurology International

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“…Cases of chronic and subacute extradural haematoma are rare but reports have appeared sporadically in the literature over the years ‐ Jacobson (1886); Moody (1920); McKenzie (1938); Munto and Maltby (1941); Gurdjian and Webster (1942); Grant (1944); Turnbuh (1944); Olsen and Watson (1948); Guthkelch (1949); Anderson (1949); Bacon (1919); Jackson and Speakman (1950); Rowbotham and Whalley (1952); King and Chambers (1952); Chambers (1953); Avol (1954); Imer and Skultery (1954); Trowbridge, Porter and French (1954); Clarke and Jenkins (1955); Faber (1958); Clare and Bell (1961); Hawkes and Ogle (1962); Margulies (1963); Stevenson, Brown and Hoyt (1964).…”

Section: Discussionmentioning

confidence: 99%

“…Venous bleeding, however, does not necessarily lead to delayed symptoms, Munro and Maltby make no distinction in time between arterial and venous bleeding and Reichert and Morrissey's (1941) two proven cases of venous bleeding could not be regarded as delayed. It is difficult to imagine how venous bleeding could ever strip the dura from the skull and it would appear that the rale of progress of the condition would be dependent on the size of vessel torn and the degree of detachment of the dura by the injury, Rowbotham and Whalley (1952) considered membrane dialysis as a cause of expansion of the haematoma in their case, but this presupposes a spontaneous arrest of bleeding. Clarke and Jenkins (1955) thought that delay in their patient was explained by decompression by bleeding through the ear and found the bleeding to be definitely arterial.…”

Section: Discussionmentioning

confidence: 99%

Chronic Extradural Haematoma

Young

1972

Int J Clinical Practice

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Atypical head injuries illustrating general therapeutic principles

Sedzimir

1956

Journal of British Surgery

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THE three cases of head injury described in this communication are of great interest and of sufficient rarity to merit their publication. Apart from this, each of these patients was admitted to a general surgical service and might well have had to be treated without the benefit of a neurosurgical opinion. The post-operative management, including the use of chlorpromazine and induced hypothermia in the first case, the surgical procedure adopted in the second, and the diagnostic uncertainty of the third case are of the utmost instructive value to a general surgeon as well as to a neurosurgeon. The experience with the f i s t case brings forth the lesson that even the most severe head injury should not be abandoned and that ' conservative ' therapeutic measures and skilful nursing may at the end be rewarded. THE USE OF CHLORPROMAZINE AND INDUCED HYPOTHERMIA IN HEAD INJURIESThe popularization of induced hypothermia by the French workers Laborit and Huguenard (1954) has opened new fields for laboratory research and for its experimental application into clinical practice. Woringer, Schneider, Baurngartner, Thomalsky, and Scheidegger (1954) reported their experience with induced hypothermia in 19 cases of brain-stem injury selected for their gravity from 270 cases of head injury with unconsciousness. BRAIN-STEM INJURYT h e patient described below suffered from a severe primary brain-stem lesion. This case illustrates certain hitherto unreported observations on the use of chlorpromazine and cold sponging in the management of post-traumatic hyperthermia, and on their effect on decerebrate posture. T o a lesser extent it illustrates the full technique of induced therapeutic hypothermia.Case I.-A boy, aged 6 years, was knocked down by a motor cycle and admitted to The Liverpool Neurosurgical Unit on Sept. 3, 1954, within one hour of the accident.O N ExAMINATroN.-Subgaleal haematoma and superficial abrasions were visible over the forehead. Nuchal muscles were transected on the left side. In the depth of the wound there was a comminuted fracture of the occipital bone. He was unconscious. On the slightest stimulation all limbs assumed decerebrate posture but between these spasms spontaneous movements were observed. Plantar responses were bilaterally extensor. The pupils were medium in size and reacted to light. Optic fun& were normal. The pulse was rapid and thready. Blood transfusion was commenced and the patient was taken to the operating theatre.AT OPERATION (Ancesthetist, Dr. I. Francis).-Midline cerebellar incision was used meeting the traumatic wound about its centre. The contaminated skin and muscle were narrowly excised and the fracture was exposed. The comminuted fragments were nibbled away as far medially as the foramen magnum and laterally to the mastoid process. About 2 cm. of the sigmoid sinus were thus exposed and it was intact. The dura over the left cerebellar hemisphere was found to be punctured by the sharp edge of a bony fragment. The cerebellar cortex showed a small area of contusion. The dura was sutur...

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Prolonged Compression of the Brain Resulting From an Extradural Haemorrhage

Cited by 14 publications

References 0 publications

Chronic epidural hematoma with frontal skull-base destruction mimicking osteogenic tumor, associated with coagulopathy due to chronic hepatitis C

Chronic epidural hematoma with frontal skull-base destruction mimicking osteogenic tumor, associated with coagulopathy due to chronic hepatitis C

Chronic Extradural Haematoma

Atypical head injuries illustrating general therapeutic principles

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