Although the formation of traumatic subdural higroma is not fully understood, it has beeen reported as a clinical event which develops as a result of cerebral. Lesiones focales • Intraaxiales (asientan en hemisferios cerebrales, cerebelo y (origen venoso) — Hematoma epidural (origen arterial) — Higroma subdural. Se concluye que la presencia de higromas hiperdensos en la TAC, en pacientes hydrocephalus: radiologic spectrum and differentiation from cerebral atrophy.

Author: Tora Tubei
Country: Pakistan
Language: English (Spanish)
Genre: Video
Published (Last): 6 July 2011
Pages: 254
PDF File Size: 5.73 Mb
ePub File Size: 10.19 Mb
ISBN: 475-3-39601-511-3
Downloads: 94951
Price: Free* [*Free Regsitration Required]
Uploader: Kaktilar

Received Feb 13; Accepted May Spontaneous spinal cerebrospinal fluid leaks as the cause of subdural hematomas in elderly patients on anticoagulation. He presented a transient decreased conscience state and later reported headache Glasgow Coma Scale score Case 6 Case 6.

Routine admission laboratory studies were within normal limits. There was no preceding history of trauma, infection, or dehydration. On admission, the CT scan showed left parietal hemorrhagic contusion that required surgery.

Post-Traumatic Subdural Higroma: A Case Report

A year-old woman with polycythemia vera experienced a global, nonpositional headache for one day. This case series and literature review demonstrates that CVST can also present with spontaneous SDH with or without associated venous infarctions.

Bleeding stops as the SDH accumulates and tamponades the site of venous bleeding. When anticoagulation is recommended following intracranial procedures, we avoid bridging therapy heparin, heparinoids and start warfarin unless there are other compelling features such as pulmonary embolus with hemodynamic compromise.

Am J Pathol ; In these five higroomas, final clinical and CT scan data were benign, with complete spontaneous resolution.


Received 29 Mayreceived in final form 14 August Just as advanced subdural higroma which have cerebrale a pressure effect may lead to neurological sequelae, they can cause life-threatening clinical events [ 1 ].

Patient underwent cerebral angiography on postoperative day 7 after SDH evacuation [ Figure 4 ]. Therefore, medico-legal evaluation reports to be made about an individual must be prepared taking into consideration the late complications of trauma.

On the 27 th day he was submitted to simple burr hole aspiration and irrigation of the left frontoparietal bigromas. Please help improve this article by adding citations to reliable sources.

On emergent evaluation she exhibited decorticate posturing. When a pressure effect is created, a surgical decompression procedure must be applied as it is a life-threatening feature [ 3 ]. This article has multiple issues.

Higroma cerebral infectado, by on Prezi

Published online Jun Acute hygromas are typically a result of head trauma—they are a relatively common posttraumatic lesion—but can also develop following neurosurgical procedures, and have also been associated with a variety of conditions, including dehydration in the elderly, lymphoma and connective tissue diseases. On subsequent imaging with MRI, MR angiography, and MR higromae, a filling defect was visible in the distal left transverse sinus and no flow was observed in the distal left sigmoid sinus or internal jugular vein.

Synonyms or Alternate Spellings: In the evaluation, it was stated that the patient had a pain in his foot, was only able to eat a half portion of food, had complaints of forgetfulness, fatigue and dizziness, and was only able to walk for 10 minutes, but did not experience fainting or seizures, was not on any permanent medication and had no complaints of micturation or defecation.


They are commonly seen in elderly people after minor trauma but can also be seen in children after an infection.

Great caution is used when choosing to look for the CFS leak due to them generally being difficult to spot. These findings are associated with an increase in cranial pressure. In these cases the symptoms such as mild fever, headache, drowsiness and confusion can be seen, which are relieved by draining this subdural fluid. By using this site, you agree to the Terms of Use and Privacy Policy.

Cerebral venous thrombosis presenting as subarachnoid hemorrhage: No other vascular abnormalities or potential bleeding sources were identified.

All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License. Br J Neurosurg ;8: It has been reported that traumatic subdural higroma will occur days after trauma and that a resolution is sought days later. Unsourced material may be challenged and removed. Case 3 Case 3. CT head demonstrated a left isodense subdural hematoma a.

This was more commonly seen in older patients 4,9,14,19where some degree of cerebral atrophy could provide the space for hematoma expansion. It is well known that intracranial hypotension can cause SDH due to sagging brain structures and venous engorgement.