1/37. Chronic spinal subdural haematoma associated with intracranial subdural haematoma: CT and MRI.Chronic spinal subdural haematoma is a uncommon. We describe the CT and MRI appearances of chronic spinal and intracranial subdural haematomas following minor trauma. The aetiology, pathogenesis and differential diagnosis are discussed.- - - - - - - - - - ranking = 1keywords = haematoma (Clic here for more details about this article) |
2/37. Extradural haematoma--a preventable cause of death.Traumatic extradural haematoma (EDH) complicates 1-4% of all head injuries and is a major factor contributing to morbidity and mortality. Clinical awareness and early diagnosis are the keys to successful management. With the advent of computerised tomographic (CT) scanning a trend towards 'zero mortality' has been reported. We report four adolescent cases presenting with mild head injury (Glascow coma Score 13-15) who subsequently died as a result of EDH. We suggest that excessive delay both in recognising the condition and the subsequent referral and transfer are factors contributing to the mortality of these patients.- - - - - - - - - - ranking = 0.5keywords = haematoma (Clic here for more details about this article) |
3/37. Bilateral frontal extradural haematomas caused by rupture of the superior sagittal sinus: case report.A 26-year-old male sustained simultaneous massive bilateral frontal extradural haematomas following a head injury as a result of a large tear of the superior sagittal sinus, without fracturing of the skull vault.- - - - - - - - - - ranking = 0.5keywords = haematoma (Clic here for more details about this article) |
4/37. Rapid spontaneous resolution of an acute extradural haematoma: case report.A case of acute extradural haematoma with spontaneous resolution within 6 h of the head injury is presented. The literature is reviewed.- - - - - - - - - - ranking = 0.5keywords = haematoma (Clic here for more details about this article) |
5/37. The organized subdural blood clot in forensic case work - a case report.The medico-legal assessment of a subdural haematoma (recent or organized) usually requires some information regarding its cause. Quite often, especially in the absence of a known history of trauma, minor head injuries, which are no longer verifiable, are simply assumed to be the most likely causes. Considering the fact that a subdural haematoma could also be non-traumatic, e.g. in haemorrhagic disorders, cardiac conditions with persistent passive hyperaemia, true inflammatory and degenerative processes of the dura, etc., the medico-legal implication of a possible head injury would require the exclusion of such non-traumatic conditions capable of causing subdural bleeding. In this respect, the case of a 92-year-old man, who suffered from cerebral sclerosis with occasional episodes of confusion and agitation, is briefly discussed. He was reported to have fallen from his bed, was hospitalized and died 2 days later. A head injury was suspected. At autopsy, no skull fractures and no obvious bruises were discovered. Fresh bilateral temporal subdural haematomas were found. These appeared consistent with a suspected head injury sustained as a result of a fall. Fairly large partly organized adherent subdural clots in the parieto-occipital region completely remote from and unconnected with the fresh bitemporal haematomas were also found. Based on the gross pathology and the histology, an attempt is made to assess the possible cause of the organized clots. Some of the findings indicated a possible non-traumatic origin, a consideration which is likely to affect the forensic implications.- - - - - - - - - - ranking = 0.4keywords = haematoma (Clic here for more details about this article) |
6/37. Contre-coup extradural haematoma : a short report.An extradural haematoma contralateral to impact site is reported. review of literature reveals that such phenomenon is extremely rare.- - - - - - - - - - ranking = 0.5keywords = haematoma (Clic here for more details about this article) |
7/37. An unusual case of subdural haematoma presenting to the accident and emergency department.A case of subdural haematoma associated with an intracranial arachnoid cyst is reported. The pathogenesis, clinical presentation and treatment options of intracranial arachnoid cysts is discussed.- - - - - - - - - - ranking = 0.5keywords = haematoma (Clic here for more details about this article) |
8/37. Delayed upper airway obstruction following a retropharyngeal haematoma after minor head trauma.The development of a retropharyngeal haematoma may occur rarely after major head, face or cervical spine injuries, and it is even less frequent following minor trauma. As these patients are commonly not intubated, a life-threatening upper airway obstruction may occur. We report the case of a man who experienced a late retropharyngeal haematoma with delayed, progressive upper airway obstruction after a minor frontal wound. After an emergency intubation a nuclear magnetic resonance highlighted the magnitude of the bleeding into the retropharynx accounting for the slow onset of the symptoms. Predisposing factors such as antithrombotic therapies and vascular lesions may enhance the risk of occurrence even after minor trauma. Hypotheses on how to identify this potentially fatal complication earlier are reported.- - - - - - - - - - ranking = 0.6keywords = haematoma (Clic here for more details about this article) |
9/37. Subdural haematoma and non-accidental head injury in children.patients AND methods: In this retrospective study, 36 children referred to paediatric neurology and neurosurgery during April 1995-June 1998 with a diagnosis of subdural haematoma (SDH) were studied. Nine were accidental secondary to witnessed trauma and 4 were iatrogenic. Non-accidental head injury (NAHI) was suspected in the remaining 23 children. RESULTS: After a full clinical, radiological and social assessment, NAHI was diagnosed in 14, lateral sinus thrombosis in 1, 2 were accepted as accidental and 6 remained unexplained. In the NAHI group (n=14), 12 were between 4 and 16 weeks of age, 12 (85%) had retinal haemorrhages and skeletal surveys showed evidence of additional injury in 8. Computerised tomography (CT) brain scans showed bilateral SDH in 11, and 6 had inter-hemispheric bleeding along with loss of grey-white differentiation. Eleven had magnetic resonance imaging (MRI), which yielded additional information in 7. Seven required intensive care, and 2 died. Twelve had surgical aspiration. In the group with no satisfactory explanation for SDH ( n=6); 5 had neonatal problems, all except 1 were older than 5 months of age and not as ill with bilateral, old SDH. All but 1 had skeletal surveys, which were normal, and eye examination showed no retinal haemorrhages. A social services enquiry was non-contributory. CONCLUSIONS: SDH is frequently traumatic whether accidental or non-accidental. SDH due to NAHI tends to present before 4 months of age with an inconsistent history; the patients are more seriously ill and have other findings, such as fractures and retinal haemorrhages. A small subgroup of patients was identified who had isolated, old SDH and in whom full investigation remained inconclusive. A consistent, comprehensive approach needs to be maintained in all cases with the essential backup of detailed neuro-imaging including MRI.- - - - - - - - - - ranking = 0.5keywords = haematoma (Clic here for more details about this article) |
10/37. Presentation of a choroid plexus papilloma mimicking an extradural haematoma after a head injury.INTRODUCTION: choroid plexus papillomas are rare, benign tumours of childhood. They usually present with subacute symptoms of raised intracranial pressure (ICP) commonly due to overproduction of CSF. Less common presentations include focal neurological deficits and epilepsy. CASE REPORT: This is the first reported case of any intracranial tumour mimicking a traumatic extradural haematoma in presentation.- - - - - - - - - - ranking = 0.5keywords = haematoma (Clic here for more details about this article) |
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