Successful surgical treatment of a hemophiliac infant with nontraumatic acute subdural hematoma

Balak, Naci; Sılav, Gökalp; Kiliç, Yılmaz; Timur, Çetin; Elmacı, İlhan

doi:10.1016/j.surneu.2006.11.053

Cited by 16 publications

(11 citation statements)

References 14 publications

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“…Minor head trauma is usually defined as occurring in a patient who is oriented and alert, corresponding to a Glasgow Coma Scale (GCS) of 15 15,27) . Minor TBI may be a structural lesion and result in life-threatening dangers, especially in patients with specific risk factors such as coagulapathies 2,6) . Early recognition of the changes related to minor TBI may reduce the unfavorable outcomes.…”

Section: Introductionmentioning

confidence: 99%

Does Serum Osmolarity Change as a Result of the Reflex Neuroprotective Mechanism of Cerebral Osmo-Regulation after Minor Head Trauma?

Balak

Işıksaçan

Türkoğlu

2009

J Korean Neurosurg Soc

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Objective : It is well known that changes in cerebral hemodynamics occur after traumatic brain injury (TBI). Osmo-regulation in the brain is important for maintaining a constant milieu in the central nervous system. Nevertheless, to our knowledge, early osmolarity changes after minor head injury have not been studied until now. Methods : In this study, serum osmolarity was measured in 99 patients with minor head trauma. As a control group, blood samples were drawn from 99 patients who had a minor trauma in an extremity. Serum osmolarity was estimated using a fully automatic biochemical autoanalyzer within the first 3 hours after the trauma. Results : The mean serum osmolarity levels were 286.08±10.17 mOsm/L in the study group and 290.94±5.65 mOsm/L in the control group (p<0.001). However, after age adjustment between the study and control groups, this statistical significance was found to be valid only for patients over 30 years of age. Conclusion : It was noted that serum osmolarity levels decrease in the first 3 hours following minor head trauma in patients over 30 years of age. Further studies into this area could provide guidance for the management/treatment of elderly patients

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Section: Introductionmentioning

confidence: 99%

Does Serum Osmolarity Change as a Result of the Reflex Neuroprotective Mechanism of Cerebral Osmo-Regulation after Minor Head Trauma?

Balak

Işıksaçan

Türkoğlu

2009

J Korean Neurosurg Soc

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“…In review of the literature there were total of 178 cases. The main causes involve aneurysmal rupture,[367891011121314151617181920212223242526272829303132333435363738394041424344] rupture of perisylvian cortical arteries[4546474849505152535455] and tumors and neoplastic diseases. [565758596061626364656667] Some other rare causes include moyamoya disease,[6869] arachnoid cyst,[70] dural cavernous angioma,[71] dural arteriovenous fistula,[72] myelodysplastic/myeloproliferative disorder[73] and polycythemia vera.…”

Section: Discussion and Review Of Literaturementioning

confidence: 99%

“…The other common cause for spontaneous ASDH was bleeding from perisylvian branches of middle cerebral artery[4546474849505152535455] (29 cases about 16.2% of all cases). In this group of patients treatment with anticoagulant drugs as fondaparinux[46] and coagulopathy,[47] cocaine use,[49] hemophilia,[50] systemic hypertension[5152] were predisposing factors.…”

Section: Discussion and Review Of Literaturementioning

confidence: 99%

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Acute Subdural Hematoma and Subarachnoid Hemorrhage Caused by Ruptured Cortical Artery Aneurysm: Case Report and Review of Literature

et al. 2017

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The present report describes an acute subdural hematoma (ASDH) associated with subarachnoid hemorrhage (SAH), due to ruptured cortical aneurysm. To our knowledge, extremely rare cases of this sort have been reported so far. A 23-year-old male patient without previous trauma presented with severe headache and rapidly decreasing level of consciousness to decerebrate status. Computed tomography (CT) scan has demonstrated an ASDH together with SAH. Hematoma has immediately been evacuated without any evaluation by angiography. After evacuation of the thick subdural clot, a 10-mm aneurysm was revealed on a precentral artery of frontal cortex, which was ligated. However, after 35 days the patient discharged with left side hemiparesis and dysphasia, and just after several months of admission he got symptom free. Ruptured cortical aneurysm should be considered as one of the causes of spontaneous ASDH. Vascular anomaly investigations are suggested for these cases, thus CT angiography or digital subtraction angiography has to be considered if clinical condition allows.

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“…In our case this was secondary to massive intracranial bleeding. Subdural haemorrhages of this severity in newborns are often associated with pathology such as an underlying coagulopathy 9 10…”

Section: Discussionmentioning

confidence: 99%

Subdural haemorrhage and severe coagulopathy resulting in transtentorial uncal herniation in a neonate undergoing therapeutic hypothermia

2014

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SUMMARYTherapeutic hypothermia has been shown to be efficacious for improving long-term neurodevelopmental outcomes following perinatal asphyxia. Thus, cooling protocols have been adopted at most tertiary neonatal centres. We present a case of a term neonate who underwent therapeutic whole-body cooling for hypoxic ischaemic encephalopathy following a difficult forceps delivery. She abruptly deteriorated, exhibiting signs of transtentorial uncal herniation and severe disseminated intravascular coagulopathy. CT of the head confirmed a life-threatening subdural haematoma and a concealed skull fracture. Hypothermia has been shown to impair haemostasis in vivo and thus may potentially exacerbate occult haemorrhages in a clinical setting. Newborns that require instrument-assisted delivery are a particularly high-risk group for occult head injuries and should undergo careful clinical assessment for fractures and intracranial haemorrhage prior to initiation of therapeutic hypothermia. BACKGROUND

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Successful surgical treatment of a hemophiliac infant with nontraumatic acute subdural hematoma

Cited by 16 publications

References 14 publications

Does Serum Osmolarity Change as a Result of the Reflex Neuroprotective Mechanism of Cerebral Osmo-Regulation after Minor Head Trauma?

Does Serum Osmolarity Change as a Result of the Reflex Neuroprotective Mechanism of Cerebral Osmo-Regulation after Minor Head Trauma?

Acute Subdural Hematoma and Subarachnoid Hemorrhage Caused by Ruptured Cortical Artery Aneurysm: Case Report and Review of Literature

Subdural haemorrhage and severe coagulopathy resulting in transtentorial uncal herniation in a neonate undergoing therapeutic hypothermia

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