Chronic subdural hematoma with sudden clinical uncal herniation and coma: case report
Rev. chil. neurocir
; 29: 60-62, oct. 2007. ilus
Article
em En
| LILACS
| ID: lil-585702
Biblioteca responsável:
CL2.1
ABSTRACT
Context Chronic subdural hematomas are frequent diseases in neurosurgery units. Decreased level of consciousness is observed in 28 to 100 percent of cases, nevertheless in rare cases are seen comatous patients. We describe a case of a patient with clinical uncal herniation elapsed by a chronic subdural hematoma. Case report Patient with previous diagnosis of breast cancer, presented sudden occurrence of a headache followed by decreasing level of consiousness the day before reaching our service. The patient was taken than to another Hospital at 100 AM in Glasgow Coma Scale (GCS) 13, with isochonic pupils. At 700 AM the GCS went to 7 and the pupils became anisochonic L > R and than transferred to our Unit and immediatly submitted to a computed tomohraphy scanning of the head that showed a chronic subdural hematoma with midline shift. The patient promptly was taken to surgical room and treated with a single burr hole with drainage of hypertensive chronic subdural hematoma. The level of consiousness increased few hours after surgery, being in GCS 15 just 6 hours after, without motor deficits. Conclusion:
In spite of commonly progressive evolution chronic subdural hematomas can present with herniation, becoming itself a neurosurgical emergency.Palavras-chave
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Coleções:
01-internacional
Base de dados:
LILACS
Assunto principal:
Hemorragia Cerebral
/
Coma
/
Hipertensão Intracraniana
/
Hematoma Subdural Crônico
/
Encefalocele
Limite:
Aged
/
Female
/
Humans
Idioma:
En
Revista:
Rev. chil. neurocir
Assunto da revista:
NEUROCIRURGIA
Ano de publicação:
2007
Tipo de documento:
Article
País de afiliação:
Brasil
País de publicação:
Chile