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1.
Arq. bras. neurocir ; 38(1): 60-63, 15/03/2019.
Artigo em Inglês | LILACS | ID: biblio-1362665

RESUMO

Concomitant traumatic spinal cord and intracranial subdural hematomas associated with a retroclival hematoma are very uncommon. Their pathophysiology is not totally elucidated, but one hypothesis is the migration of the hematoma from the head to the spine. In the present case report, the authors describe the case of a 51-year-old man presenting with headache, nauseas and back pain after a head trauma who presented with intracranial and spinal cord subdural hematomas. Drainage was performed but, 1 week later, a retroclival subdural hematoma was diagnosed. The present paper discusses the pathophysiology, the clinical presentation, as well as the complications of concomitant traumatic spinal cord and intracranial subdural hematomas associated with a retroclival hematoma, and reviews this condition.


Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Hematoma Subdural Intracraniano/cirurgia , Hematoma Subdural Intracraniano/complicações , Hematoma Subdural Intracraniano/fisiopatologia , Hematoma Epidural Espinal/cirurgia , Hematoma Subdural Espinal/complicações , Hematoma Subdural Espinal/fisiopatologia , Lesões Encefálicas Traumáticas
2.
J Med Case Rep ; 8: 153, 2014 May 16.
Artigo em Inglês | MEDLINE | ID: mdl-24886310

RESUMO

INTRODUCTION: Decompressive surgery for acute subdural hematoma leading to contralateral extradural hematoma is an uncommon event with only few cases previously reported in the English medical literature. CASE PRESENTATION: The present study describes the case of a 39-year-old White Brazilian man who had a motorcycle accident; he underwent decompressive craniectomy for the treatment of acute subdural hematoma and evolved contralateral extradural hematoma following surgery. CONCLUSION: The present case highlights the importance of close monitoring of the intracranial pressure of severe traumatic brain injury, even after decompressive procedures, because of the possible development of contralateral extradural hematoma.


Assuntos
Acidentes de Trânsito , Craniectomia Descompressiva/efeitos adversos , Hematoma Epidural Craniano/etiologia , Hematoma Subdural Agudo/cirurgia , Pressão Intracraniana , Adulto , Hematoma Epidural Craniano/diagnóstico por imagem , Hematoma Subdural Agudo/diagnóstico por imagem , Humanos , Masculino , Monitorização Fisiológica , Tomografia Computadorizada por Raios X
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