Voltar
Artigo Acesso aberto Produção Nacional Revisado por pares
BIBTEX RIS

Spontaneous subdural hematoma associated to Duret hemorrhage

2014; Elsevier BV; Volume: 2; Issue: 1 Linguagem: Inglês

10.1016/j.inat.2014.11.003

ISSN

2214-7519

Autores

William Alves Martins, Alice Becker Teixeira, Thomas Frigeri, Eliseu Paglioli,

Tópico(s)

Cerebral Venous Sinus Thrombosis

Resumo

Subdural hematoma (SH) is a neurosurgical emergency, usually caused by head trauma. Non-traumatic causes include aneurysm or arterial–venous malformation rupture, coagulopathy and others. We report the case of a 66 year-old man who developed apparently unprovoked signs of increased intracranial pressure. Brain computed tomography scan showed an acute spontaneous SH, surgically treated. Throughout surgery, a ruptured cortical artery with intensive bleeding appeared and was cauterized. After surgery, patient remained comatose and a new CT demonstrated Duret hemorrhage at the brainstem. Acute spontaneous SH of arterial origin is rare and highly lethal, in which a good prognosis relies on early diagnosis and treatment.

Referência(s)