Chronic Subdural Hematoma development in Accelerated phase of Chronic Myeloid Leukaemia presenting with seizure and rapid progression course with fatal outcome

Occurrence of chronic subdural hematoma (CSDH) in leukemia is rare, and most reported cases occurred in relation with acute myeloid leukaemia; however, occurrence is extremely rare in accelerated phase of chronic myelogenous leukaemia (CML). Seizure as presentation of SDH development in CML cases is...

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Main Authors: Amol Raheja, Guru Dutta Satyarthee, Ashok Kumar Mahapatra
Format: Article
Language:English
Published: London Academic Publishing 2015-06-01
Series:Romanian Neurosurgery
Subjects:
Online Access:https://www.journals.lapub.co.uk/index.php/roneurosurgery/article/view/827
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author Amol Raheja
Guru Dutta Satyarthee
Ashok Kumar Mahapatra
author_facet Amol Raheja
Guru Dutta Satyarthee
Ashok Kumar Mahapatra
author_sort Amol Raheja
collection DOAJ
description Occurrence of chronic subdural hematoma (CSDH) in leukemia is rare, and most reported cases occurred in relation with acute myeloid leukaemia; however, occurrence is extremely rare in accelerated phase of chronic myelogenous leukaemia (CML). Seizure as presentation of SDH development in CML cases is not reported in literature. Authors report an elderly male, who was diagnosed as CML, accelerated phase of developing SDH. Initially presented to local physician with seizure; urgent CT scan head was advised, but ignored and sensorium rapidly worsened over next day and reported to our emergency department in deeply comatose state, where imaging revealed chronic subdural hematoma with hypoxic brain injury with fatal outcome. Seizure, progressive worsening of headache, vomiting and papilloedema are harbinger of intracranial space occupying lesion and requires CT head in emergency medical department for exclusion, who are receiving treatment of haematological malignancy.
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spelling doaj.art-92c9045276ee4415a5b476a272efb1f72022-12-21T20:55:25ZengLondon Academic PublishingRomanian Neurosurgery1220-88412344-49592015-06-01292Chronic Subdural Hematoma development in Accelerated phase of Chronic Myeloid Leukaemia presenting with seizure and rapid progression course with fatal outcomeAmol RahejaGuru Dutta SatyartheeAshok Kumar MahapatraOccurrence of chronic subdural hematoma (CSDH) in leukemia is rare, and most reported cases occurred in relation with acute myeloid leukaemia; however, occurrence is extremely rare in accelerated phase of chronic myelogenous leukaemia (CML). Seizure as presentation of SDH development in CML cases is not reported in literature. Authors report an elderly male, who was diagnosed as CML, accelerated phase of developing SDH. Initially presented to local physician with seizure; urgent CT scan head was advised, but ignored and sensorium rapidly worsened over next day and reported to our emergency department in deeply comatose state, where imaging revealed chronic subdural hematoma with hypoxic brain injury with fatal outcome. Seizure, progressive worsening of headache, vomiting and papilloedema are harbinger of intracranial space occupying lesion and requires CT head in emergency medical department for exclusion, who are receiving treatment of haematological malignancy.https://www.journals.lapub.co.uk/index.php/roneurosurgery/article/view/827chronic myeloid leukaemiaaccelerated phasechronic subdural hematomamanagementseizure
spellingShingle Amol Raheja
Guru Dutta Satyarthee
Ashok Kumar Mahapatra
Chronic Subdural Hematoma development in Accelerated phase of Chronic Myeloid Leukaemia presenting with seizure and rapid progression course with fatal outcome
Romanian Neurosurgery
chronic myeloid leukaemia
accelerated phase
chronic subdural hematoma
management
seizure
title Chronic Subdural Hematoma development in Accelerated phase of Chronic Myeloid Leukaemia presenting with seizure and rapid progression course with fatal outcome
title_full Chronic Subdural Hematoma development in Accelerated phase of Chronic Myeloid Leukaemia presenting with seizure and rapid progression course with fatal outcome
title_fullStr Chronic Subdural Hematoma development in Accelerated phase of Chronic Myeloid Leukaemia presenting with seizure and rapid progression course with fatal outcome
title_full_unstemmed Chronic Subdural Hematoma development in Accelerated phase of Chronic Myeloid Leukaemia presenting with seizure and rapid progression course with fatal outcome
title_short Chronic Subdural Hematoma development in Accelerated phase of Chronic Myeloid Leukaemia presenting with seizure and rapid progression course with fatal outcome
title_sort chronic subdural hematoma development in accelerated phase of chronic myeloid leukaemia presenting with seizure and rapid progression course with fatal outcome
topic chronic myeloid leukaemia
accelerated phase
chronic subdural hematoma
management
seizure
url https://www.journals.lapub.co.uk/index.php/roneurosurgery/article/view/827
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AT guruduttasatyarthee chronicsubduralhematomadevelopmentinacceleratedphaseofchronicmyeloidleukaemiapresentingwithseizureandrapidprogressioncoursewithfataloutcome
AT ashokkumarmahapatra chronicsubduralhematomadevelopmentinacceleratedphaseofchronicmyeloidleukaemiapresentingwithseizureandrapidprogressioncoursewithfataloutcome