Severe delayed diffuse cerebral vasospasm and cerebral infarctions following spinal subdural hemorrhage.

Setzer, M; Weidauer, S; Zimmermann, M; Berkefeld, J; Seifert, V; Raabe, A

Setzer, M; Weidauer, S; Zimmermann, M; Berkefeld, J; Seifert, V; Raabe, A.

Afiliación

Setzer M; Department of Neurosurgery, Johann Wolfgang Goethe University, Frankfurt am Main, Germany. Matthias.Setzer@kgu.de

Acta Neurochir (Wien) ; 146(5): 517-20, 2004 May.

Article en En | MEDLINE | ID: mdl-15118890

RESUMEN

BACKGROUND: We report a rare case of severe delayed cerebral vasospasm with cerebral infarctions after spinal subdural hemorrhage. CASE REPORT: A 56-year-old woman presented with an acute onset of paraplegia. MR-imaging revealed an extensive intraspinal hemorrhage reaching from T1 to L1. The hematoma was evacuated via a T8-laminectomy. At the 7th postoperative day the patient developed visual disturbances. MR-scanning revealed extensive infarctions and cerebral angiography showed severe diffuse vasospasms. INTERPRETATION: This case demonstrates that cerebral vasospasm may be caused by a spinal subdural hemorrhage, supporting the hypothesis that cerebral vasospasm may be triggered by factors from a remote site and that a direct contact of blood clots with the vessel is not mandatory.

Asunto(s)

Infarto Cerebral/etiología; Hematoma Subdural/complicaciones; Vasoespasmo Intracraneal/etiología; Femenino; Hematoma Subdural/diagnóstico; Hematoma Subdural/cirugía; Humanos; Persona de Mediana Edad; Factores de Tiempo

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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infarto Cerebral / Vasoespasmo Intracraneal / Hematoma Subdural Tipo de estudio: Diagnostic_studies Límite: Female / Humans / Middle aged Idioma: En Revista: Acta Neurochir (Wien) Año: 2004 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Austria

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