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Delayed Acute Subdural Hematoma Associated With Percutaneous Coronary Intervention

BACKGROUND: Delayed acute subdural hematoma (DASH) is a subdural hematoma which is detected later. An initial computed tomography (CT) does not reveal any intracranial hemorrhage at all. Few patients of DASH after mild traumatic brain injury associated with percutaneous coronary intervention (PCI) h...

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Autores principales: Arai, Nobuhiko, Nakamura, Akiyoshi, Tabuse, Masanao, Miyazaki, Hiromichi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5023765/
https://www.ncbi.nlm.nih.gov/pubmed/27526240
http://dx.doi.org/10.1097/SCS.0000000000002825
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author Arai, Nobuhiko
Nakamura, Akiyoshi
Tabuse, Masanao
Miyazaki, Hiromichi
author_facet Arai, Nobuhiko
Nakamura, Akiyoshi
Tabuse, Masanao
Miyazaki, Hiromichi
author_sort Arai, Nobuhiko
collection PubMed
description BACKGROUND: Delayed acute subdural hematoma (DASH) is a subdural hematoma which is detected later. An initial computed tomography (CT) does not reveal any intracranial hemorrhage at all. Few patients of DASH after mild traumatic brain injury associated with percutaneous coronary intervention (PCI) have been published. PATIENT PRESENTATION: A 63-year-old woman presented with cardiac pulmonary arrest due to acute myocardial infarction and lethal arrhythmia. She had hit her head on the road. The initial CT did not reveal any hemorrhage in the intra-cranium. She fully recovered after PCI. However, 1 hour after PCI, she lost consciousness and immediate CT showed acute subdural hematoma and subarachnoid hemorrhage. The period from losing consciousness to brain herniation presenting as anisocoria was very short—only 30 minutes in our patient. Although emergent evacuation of hematoma and external decompression were performed, the patient died 1 day after the operation. CONCLUSION: The authors encountered a patient of DASH after PCI that resulted in death. Clinicians should be aware that subdural hemorrhage can occur after PCI if no hemorrhage is noted in the initial head CT, and the operation should be performed as soon as possible when the consciousness level decreases.
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spelling pubmed-50237652016-09-26 Delayed Acute Subdural Hematoma Associated With Percutaneous Coronary Intervention Arai, Nobuhiko Nakamura, Akiyoshi Tabuse, Masanao Miyazaki, Hiromichi J Craniofac Surg Brief Clinical Studies BACKGROUND: Delayed acute subdural hematoma (DASH) is a subdural hematoma which is detected later. An initial computed tomography (CT) does not reveal any intracranial hemorrhage at all. Few patients of DASH after mild traumatic brain injury associated with percutaneous coronary intervention (PCI) have been published. PATIENT PRESENTATION: A 63-year-old woman presented with cardiac pulmonary arrest due to acute myocardial infarction and lethal arrhythmia. She had hit her head on the road. The initial CT did not reveal any hemorrhage in the intra-cranium. She fully recovered after PCI. However, 1 hour after PCI, she lost consciousness and immediate CT showed acute subdural hematoma and subarachnoid hemorrhage. The period from losing consciousness to brain herniation presenting as anisocoria was very short—only 30 minutes in our patient. Although emergent evacuation of hematoma and external decompression were performed, the patient died 1 day after the operation. CONCLUSION: The authors encountered a patient of DASH after PCI that resulted in death. Clinicians should be aware that subdural hemorrhage can occur after PCI if no hemorrhage is noted in the initial head CT, and the operation should be performed as soon as possible when the consciousness level decreases. Lippincott Williams & Wilkins 2016-09 2016-09-22 /pmc/articles/PMC5023765/ /pubmed/27526240 http://dx.doi.org/10.1097/SCS.0000000000002825 Text en Copyright © 2016 by Mutaz B. Habal, MD http://creativecommons.org/licenses/by-nc-nd/4.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0, where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially. http://creativecommons.org/licenses/by-nc-nd/4.0
spellingShingle Brief Clinical Studies
Arai, Nobuhiko
Nakamura, Akiyoshi
Tabuse, Masanao
Miyazaki, Hiromichi
Delayed Acute Subdural Hematoma Associated With Percutaneous Coronary Intervention
title Delayed Acute Subdural Hematoma Associated With Percutaneous Coronary Intervention
title_full Delayed Acute Subdural Hematoma Associated With Percutaneous Coronary Intervention
title_fullStr Delayed Acute Subdural Hematoma Associated With Percutaneous Coronary Intervention
title_full_unstemmed Delayed Acute Subdural Hematoma Associated With Percutaneous Coronary Intervention
title_short Delayed Acute Subdural Hematoma Associated With Percutaneous Coronary Intervention
title_sort delayed acute subdural hematoma associated with percutaneous coronary intervention
topic Brief Clinical Studies
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5023765/
https://www.ncbi.nlm.nih.gov/pubmed/27526240
http://dx.doi.org/10.1097/SCS.0000000000002825
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