Acute Interhemispheric Subdural Hematomas: A Report of 3 Cases and Review of the Literature
The development of acute supratentorial interhemispheric subdural hematomas is an uncommon yet a highly distinct event because of their unusual location, unknown natural history, and debated management. The majority develop in patients with head trauma, generalized bleeding tendency, or coagulopath...
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| Format: | Article |
| Language: | English |
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Cukurova University
2014-02-01
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| Series: | Çukurova Üniversitesi Tıp Fakültesi Dergisi |
| Subjects: | |
| Online Access: | http://www.scopemed.org/fulltextpdf.php?mno=44373 |
| _version_ | 1797918548150976512 |
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| author | Osama Shukir Muhammed Amin |
| author_facet | Osama Shukir Muhammed Amin |
| author_sort | Osama Shukir Muhammed Amin |
| collection | DOAJ |
| description | The development of acute supratentorial interhemispheric subdural hematomas is an uncommon yet a highly distinct event because of their unusual location, unknown natural history, and debated management. The majority develop in patients with head trauma, generalized bleeding tendency, or coagulopathy. We report on 3 patients who developed spontaneous acute inter-hemispheric subdural hematomas. They were 72, 66, and 65 years old, respectively. Two were males and the 3rd was a female. There was no head trauma, bleeding tendency, or coagulopathy. Two of them were hypertensive but none of them was diabetic, epileptic, or alcoholic. Two patients died, on day 1 and 2 respectively, and the 3rd patient was discharged by his next of kin after 3 hours of admission to our Acute and Emergency department. No neurosurgical intervention was carries out and all patients were treated conservatively. The hematoma was fronto-occipital and was located on the left side in 2 patients while in the 3rd patient it was a right-sided parieto-occipital one. Although the initial investigations had pointed out to the spontaneous development of those hematomas in our patients, a further search for an underlying etiology was supposed to be done, but the early death of 2 patients and the premature discharge of the 3rd patient had intersected with this work-up. The rapid deterioration and death of 2 patients might have been prevented if an early evacuation was done. |
| first_indexed | 2024-04-10T13:31:14Z |
| format | Article |
| id | doaj.art-636cf740d78e4f0d91556335f8c1b804 |
| institution | Directory Open Access Journal |
| issn | 0250-5150 |
| language | English |
| last_indexed | 2024-04-10T13:31:14Z |
| publishDate | 2014-02-01 |
| publisher | Cukurova University |
| record_format | Article |
| series | Çukurova Üniversitesi Tıp Fakültesi Dergisi |
| spelling | doaj.art-636cf740d78e4f0d91556335f8c1b8042023-02-15T16:11:34ZengCukurova UniversityÇukurova Üniversitesi Tıp Fakültesi Dergisi0250-51502014-02-0139113714244373Acute Interhemispheric Subdural Hematomas: A Report of 3 Cases and Review of the LiteratureOsama Shukir Muhammed Amin0Dept. of Neurology, Sulaimaniya General Teaching Hospital, Sulaimaniya City, IraqThe development of acute supratentorial interhemispheric subdural hematomas is an uncommon yet a highly distinct event because of their unusual location, unknown natural history, and debated management. The majority develop in patients with head trauma, generalized bleeding tendency, or coagulopathy. We report on 3 patients who developed spontaneous acute inter-hemispheric subdural hematomas. They were 72, 66, and 65 years old, respectively. Two were males and the 3rd was a female. There was no head trauma, bleeding tendency, or coagulopathy. Two of them were hypertensive but none of them was diabetic, epileptic, or alcoholic. Two patients died, on day 1 and 2 respectively, and the 3rd patient was discharged by his next of kin after 3 hours of admission to our Acute and Emergency department. No neurosurgical intervention was carries out and all patients were treated conservatively. The hematoma was fronto-occipital and was located on the left side in 2 patients while in the 3rd patient it was a right-sided parieto-occipital one. Although the initial investigations had pointed out to the spontaneous development of those hematomas in our patients, a further search for an underlying etiology was supposed to be done, but the early death of 2 patients and the premature discharge of the 3rd patient had intersected with this work-up. The rapid deterioration and death of 2 patients might have been prevented if an early evacuation was done.http://www.scopemed.org/fulltextpdf.php?mno=44373interhemispheric; subdural hematoma; spontaneous; supratentorial |
| spellingShingle | Osama Shukir Muhammed Amin Acute Interhemispheric Subdural Hematomas: A Report of 3 Cases and Review of the Literature Çukurova Üniversitesi Tıp Fakültesi Dergisi interhemispheric; subdural hematoma; spontaneous; supratentorial |
| title | Acute Interhemispheric Subdural Hematomas: A Report of 3 Cases and Review of the Literature |
| title_full | Acute Interhemispheric Subdural Hematomas: A Report of 3 Cases and Review of the Literature |
| title_fullStr | Acute Interhemispheric Subdural Hematomas: A Report of 3 Cases and Review of the Literature |
| title_full_unstemmed | Acute Interhemispheric Subdural Hematomas: A Report of 3 Cases and Review of the Literature |
| title_short | Acute Interhemispheric Subdural Hematomas: A Report of 3 Cases and Review of the Literature |
| title_sort | acute interhemispheric subdural hematomas a report of 3 cases and review of the literature |
| topic | interhemispheric; subdural hematoma; spontaneous; supratentorial |
| url | http://www.scopemed.org/fulltextpdf.php?mno=44373 |
| work_keys_str_mv | AT osamashukirmuhammedamin acuteinterhemisphericsubduralhematomasareportof3casesandreviewoftheliterature |