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A case of traumatic acute interhemispheric subdural hematoma due to injured dural branch of anterior cerebral artery
BACKGROUND: The precise causes of traumatic acute interhemispheric subdural hematoma (AISDH) are unclear in most cases, and there are few cases, where the sources of bleeding are directly confirmed intraoperatively. We report a rare case of traumatic AISDH, in which a damaged dural branch of anterio...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Scientific Scholar
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9479523/ https://www.ncbi.nlm.nih.gov/pubmed/36128160 http://dx.doi.org/10.25259/SNI_232_2022 |
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author | Nakajima, Hideki Tsuchiya, Takuro Shimizu, Shigetoshi Suzuki, Hidenori |
author_facet | Nakajima, Hideki Tsuchiya, Takuro Shimizu, Shigetoshi Suzuki, Hidenori |
author_sort | Nakajima, Hideki |
collection | PubMed |
description | BACKGROUND: The precise causes of traumatic acute interhemispheric subdural hematoma (AISDH) are unclear in most cases, and there are few cases, where the sources of bleeding are directly confirmed intraoperatively. We report a rare case of traumatic AISDH, in which a damaged dural branch of anterior cerebral artery (ACA) to the cerebral falx was identified as the cause of bleeding during hematoma removal. CASE DESCRIPTION: A 61-year-old man with a history of craniotomy for the left putaminal hemorrhage at the age of 50 fell from a bed, bruised his head, and lost consciousness. Computed tomography of the head showed AISDH of 2.5cm in thickness, which was removed through a parietal parasagittal craniotomy under the microscope. Intraoperatively, the bleeding source was revealed to be a damaged dural branch from ACA to the cerebral falx. There was no rebleeding during his stay in our hospital. CONCLUSION: In this case, intraoperative findings revealed that the cause of bleeding was a damage to the dural branch of ACA. A vascular study is mandatory to rule out a vascular malformation in similar cases. |
format | Online Article Text |
id | pubmed-9479523 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Scientific Scholar |
record_format | MEDLINE/PubMed |
spelling | pubmed-94795232022-09-19 A case of traumatic acute interhemispheric subdural hematoma due to injured dural branch of anterior cerebral artery Nakajima, Hideki Tsuchiya, Takuro Shimizu, Shigetoshi Suzuki, Hidenori Surg Neurol Int Case Report BACKGROUND: The precise causes of traumatic acute interhemispheric subdural hematoma (AISDH) are unclear in most cases, and there are few cases, where the sources of bleeding are directly confirmed intraoperatively. We report a rare case of traumatic AISDH, in which a damaged dural branch of anterior cerebral artery (ACA) to the cerebral falx was identified as the cause of bleeding during hematoma removal. CASE DESCRIPTION: A 61-year-old man with a history of craniotomy for the left putaminal hemorrhage at the age of 50 fell from a bed, bruised his head, and lost consciousness. Computed tomography of the head showed AISDH of 2.5cm in thickness, which was removed through a parietal parasagittal craniotomy under the microscope. Intraoperatively, the bleeding source was revealed to be a damaged dural branch from ACA to the cerebral falx. There was no rebleeding during his stay in our hospital. CONCLUSION: In this case, intraoperative findings revealed that the cause of bleeding was a damage to the dural branch of ACA. A vascular study is mandatory to rule out a vascular malformation in similar cases. Scientific Scholar 2022-08-12 /pmc/articles/PMC9479523/ /pubmed/36128160 http://dx.doi.org/10.25259/SNI_232_2022 Text en Copyright: © 2022 Surgical Neurology International https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Case Report Nakajima, Hideki Tsuchiya, Takuro Shimizu, Shigetoshi Suzuki, Hidenori A case of traumatic acute interhemispheric subdural hematoma due to injured dural branch of anterior cerebral artery |
title | A case of traumatic acute interhemispheric subdural hematoma due to injured dural branch of anterior cerebral artery |
title_full | A case of traumatic acute interhemispheric subdural hematoma due to injured dural branch of anterior cerebral artery |
title_fullStr | A case of traumatic acute interhemispheric subdural hematoma due to injured dural branch of anterior cerebral artery |
title_full_unstemmed | A case of traumatic acute interhemispheric subdural hematoma due to injured dural branch of anterior cerebral artery |
title_short | A case of traumatic acute interhemispheric subdural hematoma due to injured dural branch of anterior cerebral artery |
title_sort | case of traumatic acute interhemispheric subdural hematoma due to injured dural branch of anterior cerebral artery |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9479523/ https://www.ncbi.nlm.nih.gov/pubmed/36128160 http://dx.doi.org/10.25259/SNI_232_2022 |
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