Produção Nacional
Revisado por pares
Subdural haematoma in a patient with meningioma
2009; Thieme Medical Publishers (Germany); Volume: 67; Issue: 2a Linguagem: Inglês
10.1590/s0004-282x2009000200028
ISSN1678-4227
AutoresPaulo Valdeci Worm, Marcelo Paglioli Ferreira, Nelson Pires Ferreira, Fernanda Cechetti,
Tópico(s)Traumatic Brain Injury and Neurovascular Disturbances
ResumoCaSe A 64-year old male patient, smoker, had a loss of consciousness with mild headache during a spirometric exam. He was medicated with analgesics and remained with headache for 12 hours and was discharged from hospital. He persisted with chronic headache and developed a gradual confusional state and left hemiparesia. After the initial episode, five days after the spiro metric test, he returned to the hospital for a computed tomography (CT) of the head (Figs 1 and 2). The CT showed a right subdural haematoma with a fresh clot in the anterior skull base with bone thickness of the anterior fossa besides meningioma of the falx with adjacent edema. The patient had no prior history of trauma or alcoholism. He was using (AAS) 200 mg/day. Coagulation tests were normal. A right frontal osteoplastic craniotomy was performed draining the haematoma, and during the same surgical procedure the tumor was removed using microscopy. A dark, thick, red blood clot was drained. During the surgical drainage of the subdural haematoma two findings were ob served by the surgeon: 1) the homolateral side of the subdural haematoma presented with greater vascular density. 2) the clot surface on this side showed a variable aspect, suggesting ac
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