Chronic subdural haematoma secondary to headbanging
2014; Elsevier BV; Volume: 384; Issue: 9937 Linguagem: Inglês
10.1016/s0140-6736(14)60923-5
ISSN1474-547X
AutoresAriyan Pirayesh Islamian, Manolis Polemikos, Joachim K. Krauss,
Tópico(s)Intracerebral and Subarachnoid Hemorrhage Research
ResumoA 50-year-old man presented to our neurosurgical department in January, 2013, with a 2 week history of constant worsening headache affecting the whole head. He had no history of head trauma, but reported headbanging at a Motörhead concert 4 weeks previously. His medical history was unremarkable and he denied substance misuse. Neurological examination and laboratory studies, including coagulation screening, were normal. Cranial CT showed right-sided chronic subdural haematoma with pronounced midline shift (figure). He underwent burr hole evacuation of the haematoma and closed system subdural drainage for 6 days after surgery. 1 Weigel R Schmiedek P Krauss JK Outcome of contemporary surgery for chronic subdural haematoma: evidence based review. J Neurol Neurosurg Psychiatry. 2003; 74: 937-943 Crossref PubMed Scopus (360) Google Scholar His headache resolved and he was discharged home after 8 days. (A) Preoperative CT showing chronic subdural haematoma (maximum width 20 mm, arrows) with midline shift and a clot (asterisk) at the tip of the right temporal lobe. (B) Postoperative scan showing resolution of the subdural haematoma and an arachnoidal cyst (asterisk) at the tip of the temporal lobe.
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