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Acute Interhemispheric Subdural Hematomas: A Report of 3 Cases and Review of the Literature

Year 2014, Volume: 39 Issue: 1, 137 - 142, 22.07.2014
https://doi.org/10.17826/cutf.59008

Abstract

The development of acute supratentorial interhemispheric subdural hematomas is an uncommon yet a highly distinct event because of their unusual location, unknown natural history, and debated management. The majority develop in patients with head trauma, generalized bleeding tendency, or coagulopathy. We report on 3 patients who developed spontaneous acute inter-hemispheric subdural hematomas. They were 72, 66, and 65 years old, respectively. Two were males and the 3rd was a female. There was no head trauma, bleeding tendency, or coagulopathy. Two of them were hypertensive but none of them was diabetic, epileptic, or alcoholic. Two patients died, on day 1 and 2 respectively, and the 3rd patient was discharged by his next of kin after 3 hours of admission to our Acute and Emergency department. No neurosurgical intervention was carries out and all patients were treated conservatively. The hematoma was fronto-occipital and was located on the left side in 2 patients while in the 3rd patient it was a right-sided parieto-occipital one. Although the initial investigations had pointed out to the spontaneous development of those hematomas in our patients, a further search for an underlying etiology was supposed to be done, but the early death of 2 patients and the premature discharge of the 3rd patient had intersected with this work-up. The rapid deterioration and death of 2 patients might have been prevented if an early evacuation was done.

References

  • Aring CD, Evans JP. Aberrant location of subdural hematoma. Arch Neurol Psychiatry 1940;44:129630
  • Glista GG, Reichman OH, Brumlik J, Fine M. Interhemispheric subdural hematoma. Surg Neurol 1978;10:119-22.
  • Fruin AH, Juhl GL, Taylon C. Interhemispheric subdural hematoma. Case report. J Neurosurg 1984;60:1300-2.
  • Takeda N, Kurihara E, Matsuoka H, Kose S, Tamaki N, Matsumoto S. [Three cases of acute interhemispheric subdural hematoma]. No Shinkei Geka 1988;16:87-92.
  • Houtteville JP, Toumi K, Theron J, Derlon JM, Benazza A, Hubert P. Interhemispheric subdural haematomas: seven cases and review of the literature. Br J Neurosurg. 1988;2:357-67.
  • Iplikçioğlu AC, Bayar MA, Kökes F, Doğanay S, Gökçek C. Interhemispheric subdural haematomas. Br J Neurosurg. 1994;8:627-31.
  • Rapanà A, Lamaida E, Pizza V, Lepore P, Caputi F, Graziussi G. Inter-hemispheric scissure, a rare location for a traumatic subdural hematoma, case report and review of the literature. Clin Neurol Neurosurg. 1997;99:124-9.
  • Ishikawa E, Sugimoto K, Yanaka K, Ayuzawa S, Iguchi M, Moritake T, et al. Interhemispheric subdural hematoma caused by a ruptured internal carotid artery aneurysm: case report. Surg Neurol. 2000;54:82-6.
  • Senel A, Cokluk C, Onder A, Iyigün O, Incesu L. Acute interhemispheric subdural hematomas. Report of nine cases. J Neurosurg Sci. 2001;45(2):97-102.
  • Shankar A, Joseph M, Chandy M J. Interhemispheric subdural hematoma: An uncommon sequel of trauma . Neurol India. 2003;51:63-4.
  • Schilder JC, Weisfelt M. Ataxia associated with an interhemispheric subdural hematoma: a case report. Cases Journal. 2009;2:8876.
  • Kawoosa NN, Bhat AR, Rashid B. Interhemispheric Acute Subdural Hematomas. Iran Red Crescent Med J. 2011;13:289-90.
  • Sadrolhefazi A, Bloomfield SM. Interhemispheric and bilateral chronic subdural hematoma. Neurosurg Clin N Am. 2000;11:455-63.
  • Depreitere B, Van Lierde C, Sloten JV, Van Audekercke R, Van der Perre G, Plets C, et al. Mechanics of acute subdural hematomas resulting from bridging vein rupture. J Neurosurg. 2006;104:950-6.
  • Fein JM, Rovit RL. Interhemispheric subdural hematoma secondary hemorrhage from a callosomarginal artery aneurysm. Neuroradiology. 1970;1:183-6.
  • Bartels RH, Verhagen WI, Prick MJ, Dalman JE.Interhemispheric subdural hematoma in adults: case reports and a review of the literature. Neurosurgery. 1995;36:1210-4.
  • Yazışma Adresi / Address for Correspondence: Osama Shukir Muhammed Amin Sulaimaniya City Post-Office, PO BOX 196, Sulaimaniya City, IRAQ e-mail: dr.osama.amin@gmail.com geliş tarihi/received :28.08.2012 kabul tarihi/accepted:25.09.2012

Akut Intrahemisferik Subdural Hematomlar: Üç Vakanın Sunumu ve Literatürün Gözden Geçirilmesi

Year 2014, Volume: 39 Issue: 1, 137 - 142, 22.07.2014
https://doi.org/10.17826/cutf.59008

Abstract

Akut supratentoriyal intrahemisferik subdural hematomların gelişimi yaygın olmamalarına rağmen sıradışı lokasyonları, bilinmeyen hikayeleri ve tartışmalı yönetimi nedeniyle oldukça ayırtedicidir. Majör nedenleri kafa travmaları, kanama yatkınlığı veya koagülopatidir. Burada akut supratentoriyal intrahemisferik subdural hematom geçiren 3 hastayı rapor ettik. Hastalar sırasıyla 72, 66 ve 65 yaşlarındadır. İlk 2 hasta erkek, 3. hasta ise kadındır. Bu hastalarda kafa travması, kanama eğilimi veya koagülopati yoktu. İkinsi hipertansif ama diyabetik, epileptik veya alkolik değiller. İki hasta sırayla 1. ve 2. günlerde öldüler, üçüncü hasta akrabası tarafından akut ve acil bölümüne kabülünden 3 saat sonra taburcu edildi. Hiçbir hastaya nörocerrahi girişimi yapılmadı ve tüm hastalara konservatif tedavi protokolü uygulandı. İki hastada sol frontooksipital hematom tespit edilirken 3. hastada sağ parietooksipital hematom tespit edildi. Tüm hastalarımızda hematomun etiyolojisi ve gelişimi tartışmalı olmasına ve iyi araştırılamamasına rağmen ilk iki hastanın erken ölmesi ve 3. hastanın erken taburcu olması bu çalışma grubunun bütünlüğünü bozmuştur. Ayrıca bu iki hasta eğer daha erken takibe alınabilseydi belki de ölmeleri önlenebilirdir.

References

  • Aring CD, Evans JP. Aberrant location of subdural hematoma. Arch Neurol Psychiatry 1940;44:129630
  • Glista GG, Reichman OH, Brumlik J, Fine M. Interhemispheric subdural hematoma. Surg Neurol 1978;10:119-22.
  • Fruin AH, Juhl GL, Taylon C. Interhemispheric subdural hematoma. Case report. J Neurosurg 1984;60:1300-2.
  • Takeda N, Kurihara E, Matsuoka H, Kose S, Tamaki N, Matsumoto S. [Three cases of acute interhemispheric subdural hematoma]. No Shinkei Geka 1988;16:87-92.
  • Houtteville JP, Toumi K, Theron J, Derlon JM, Benazza A, Hubert P. Interhemispheric subdural haematomas: seven cases and review of the literature. Br J Neurosurg. 1988;2:357-67.
  • Iplikçioğlu AC, Bayar MA, Kökes F, Doğanay S, Gökçek C. Interhemispheric subdural haematomas. Br J Neurosurg. 1994;8:627-31.
  • Rapanà A, Lamaida E, Pizza V, Lepore P, Caputi F, Graziussi G. Inter-hemispheric scissure, a rare location for a traumatic subdural hematoma, case report and review of the literature. Clin Neurol Neurosurg. 1997;99:124-9.
  • Ishikawa E, Sugimoto K, Yanaka K, Ayuzawa S, Iguchi M, Moritake T, et al. Interhemispheric subdural hematoma caused by a ruptured internal carotid artery aneurysm: case report. Surg Neurol. 2000;54:82-6.
  • Senel A, Cokluk C, Onder A, Iyigün O, Incesu L. Acute interhemispheric subdural hematomas. Report of nine cases. J Neurosurg Sci. 2001;45(2):97-102.
  • Shankar A, Joseph M, Chandy M J. Interhemispheric subdural hematoma: An uncommon sequel of trauma . Neurol India. 2003;51:63-4.
  • Schilder JC, Weisfelt M. Ataxia associated with an interhemispheric subdural hematoma: a case report. Cases Journal. 2009;2:8876.
  • Kawoosa NN, Bhat AR, Rashid B. Interhemispheric Acute Subdural Hematomas. Iran Red Crescent Med J. 2011;13:289-90.
  • Sadrolhefazi A, Bloomfield SM. Interhemispheric and bilateral chronic subdural hematoma. Neurosurg Clin N Am. 2000;11:455-63.
  • Depreitere B, Van Lierde C, Sloten JV, Van Audekercke R, Van der Perre G, Plets C, et al. Mechanics of acute subdural hematomas resulting from bridging vein rupture. J Neurosurg. 2006;104:950-6.
  • Fein JM, Rovit RL. Interhemispheric subdural hematoma secondary hemorrhage from a callosomarginal artery aneurysm. Neuroradiology. 1970;1:183-6.
  • Bartels RH, Verhagen WI, Prick MJ, Dalman JE.Interhemispheric subdural hematoma in adults: case reports and a review of the literature. Neurosurgery. 1995;36:1210-4.
  • Yazışma Adresi / Address for Correspondence: Osama Shukir Muhammed Amin Sulaimaniya City Post-Office, PO BOX 196, Sulaimaniya City, IRAQ e-mail: dr.osama.amin@gmail.com geliş tarihi/received :28.08.2012 kabul tarihi/accepted:25.09.2012
There are 17 citations in total.

Details

Primary Language Turkish
Journal Section Research
Authors

Osama Shukir Muhammed Amin This is me

Publication Date July 22, 2014
Published in Issue Year 2014 Volume: 39 Issue: 1

Cite

MLA Amin, Osama Shukir Muhammed. “Akut Intrahemisferik Subdural Hematomlar: Üç Vakanın Sunumu Ve Literatürün Gözden Geçirilmesi”. Cukurova Medical Journal, vol. 39, no. 1, 2014, pp. 137-42, doi:10.17826/cutf.59008.