Cargando…

Delayed Detection of Hydrocephalus following Mildly Traumatic Subarachnoid Hemorrhage in Corticobasal Degeneration: A Case Report

A 65-year-old woman presented with slowly progressive aphasia with gait disturbance associated with parkinsonism. She experienced a fall that resulted in a brain trauma. Brain imaging revealed a small amount of subarachnoid hemorrhage (SAH) with intraventricular bleeding. Despite conservative therap...

Descripción completa

Detalles Bibliográficos
Autores principales: Mochizuki, Yusuke, Kodaira, Minori, Kondo, Yasufumi, Yamada, Mitsunori, Kuroiwa, Masafumi, Kaneko, Tomoki, Sato, Midori, Sekijima, Yoshiki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: S. Karger AG 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9209985/
https://www.ncbi.nlm.nih.gov/pubmed/35815105
http://dx.doi.org/10.1159/000524794
_version_ 1784730063591178240
author Mochizuki, Yusuke
Kodaira, Minori
Kondo, Yasufumi
Yamada, Mitsunori
Kuroiwa, Masafumi
Kaneko, Tomoki
Sato, Midori
Sekijima, Yoshiki
author_facet Mochizuki, Yusuke
Kodaira, Minori
Kondo, Yasufumi
Yamada, Mitsunori
Kuroiwa, Masafumi
Kaneko, Tomoki
Sato, Midori
Sekijima, Yoshiki
author_sort Mochizuki, Yusuke
collection PubMed
description A 65-year-old woman presented with slowly progressive aphasia with gait disturbance associated with parkinsonism. She experienced a fall that resulted in a brain trauma. Brain imaging revealed a small amount of subarachnoid hemorrhage (SAH) with intraventricular bleeding. Despite conservative therapy, gait disturbance and hyporesponsiveness gradually deteriorated following that brain trauma. One month later, she was transferred to our hospital, and magnetic resonance imaging revealed prominent communicating hydrocephalus. A ventriculoperitoneal shunt and brain biopsy were performed. Neurosurgical intervention did not improve the patient's neurological condition. Clinical-pathological analysis confirmed the diagnosis of corticobasal degeneration (CBD) as an underlying disease relating to parkinsonism and aphasia. In patients with parkinsonism with high risks of falling, attention should be paid to neurological deterioration due to traumatic SAH-related hydrocephalus. Particularly, in patients with aphasia such as in those with CBD, delayed detection of posttraumatic complications might cause poor responsiveness to surgical intervention.
format Online
Article
Text
id pubmed-9209985
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher S. Karger AG
record_format MEDLINE/PubMed
spelling pubmed-92099852022-07-08 Delayed Detection of Hydrocephalus following Mildly Traumatic Subarachnoid Hemorrhage in Corticobasal Degeneration: A Case Report Mochizuki, Yusuke Kodaira, Minori Kondo, Yasufumi Yamada, Mitsunori Kuroiwa, Masafumi Kaneko, Tomoki Sato, Midori Sekijima, Yoshiki Case Rep Neurol Single Case − General Neurology A 65-year-old woman presented with slowly progressive aphasia with gait disturbance associated with parkinsonism. She experienced a fall that resulted in a brain trauma. Brain imaging revealed a small amount of subarachnoid hemorrhage (SAH) with intraventricular bleeding. Despite conservative therapy, gait disturbance and hyporesponsiveness gradually deteriorated following that brain trauma. One month later, she was transferred to our hospital, and magnetic resonance imaging revealed prominent communicating hydrocephalus. A ventriculoperitoneal shunt and brain biopsy were performed. Neurosurgical intervention did not improve the patient's neurological condition. Clinical-pathological analysis confirmed the diagnosis of corticobasal degeneration (CBD) as an underlying disease relating to parkinsonism and aphasia. In patients with parkinsonism with high risks of falling, attention should be paid to neurological deterioration due to traumatic SAH-related hydrocephalus. Particularly, in patients with aphasia such as in those with CBD, delayed detection of posttraumatic complications might cause poor responsiveness to surgical intervention. S. Karger AG 2022-05-30 /pmc/articles/PMC9209985/ /pubmed/35815105 http://dx.doi.org/10.1159/000524794 Text en Copyright © 2022 by S. Karger AG, Basel https://creativecommons.org/licenses/by-nc/4.0/This article is licensed under the Creative Commons Attribution-NonCommercial-4.0 International License (CC BY-NC) (http://www.karger.com/Services/OpenAccessLicense). Usage and distribution for commercial purposes requires written permission.
spellingShingle Single Case − General Neurology
Mochizuki, Yusuke
Kodaira, Minori
Kondo, Yasufumi
Yamada, Mitsunori
Kuroiwa, Masafumi
Kaneko, Tomoki
Sato, Midori
Sekijima, Yoshiki
Delayed Detection of Hydrocephalus following Mildly Traumatic Subarachnoid Hemorrhage in Corticobasal Degeneration: A Case Report
title Delayed Detection of Hydrocephalus following Mildly Traumatic Subarachnoid Hemorrhage in Corticobasal Degeneration: A Case Report
title_full Delayed Detection of Hydrocephalus following Mildly Traumatic Subarachnoid Hemorrhage in Corticobasal Degeneration: A Case Report
title_fullStr Delayed Detection of Hydrocephalus following Mildly Traumatic Subarachnoid Hemorrhage in Corticobasal Degeneration: A Case Report
title_full_unstemmed Delayed Detection of Hydrocephalus following Mildly Traumatic Subarachnoid Hemorrhage in Corticobasal Degeneration: A Case Report
title_short Delayed Detection of Hydrocephalus following Mildly Traumatic Subarachnoid Hemorrhage in Corticobasal Degeneration: A Case Report
title_sort delayed detection of hydrocephalus following mildly traumatic subarachnoid hemorrhage in corticobasal degeneration: a case report
topic Single Case − General Neurology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9209985/
https://www.ncbi.nlm.nih.gov/pubmed/35815105
http://dx.doi.org/10.1159/000524794
work_keys_str_mv AT mochizukiyusuke delayeddetectionofhydrocephalusfollowingmildlytraumaticsubarachnoidhemorrhageincorticobasaldegenerationacasereport
AT kodairaminori delayeddetectionofhydrocephalusfollowingmildlytraumaticsubarachnoidhemorrhageincorticobasaldegenerationacasereport
AT kondoyasufumi delayeddetectionofhydrocephalusfollowingmildlytraumaticsubarachnoidhemorrhageincorticobasaldegenerationacasereport
AT yamadamitsunori delayeddetectionofhydrocephalusfollowingmildlytraumaticsubarachnoidhemorrhageincorticobasaldegenerationacasereport
AT kuroiwamasafumi delayeddetectionofhydrocephalusfollowingmildlytraumaticsubarachnoidhemorrhageincorticobasaldegenerationacasereport
AT kanekotomoki delayeddetectionofhydrocephalusfollowingmildlytraumaticsubarachnoidhemorrhageincorticobasaldegenerationacasereport
AT satomidori delayeddetectionofhydrocephalusfollowingmildlytraumaticsubarachnoidhemorrhageincorticobasaldegenerationacasereport
AT sekijimayoshiki delayeddetectionofhydrocephalusfollowingmildlytraumaticsubarachnoidhemorrhageincorticobasaldegenerationacasereport