Authors: Z. Novák; J. Chrastina; T. Křiva; M. Shaqbua Authors‘ workplace: Neurochirurgická klinika LF MU a FN u sv. Anny v Brně, přednosta kliniky: doc. MUDr. Z. Novák, CSc. Published in: Rozhl. Chir., 2007, roč. 86, č. 2, s. 63-67. Category: Monothematic special - Original
Interhemispheric subdural haematoma is considered to be rare finding even in the era of computer tomography. The aim of the paper is to present a group of 14 patients (5 males, 9 females), average age 57.9 years, operated on for interhemispheric subdural haematoma, in all but one patient of traumatic origin. Symptoms related to the compression of medial cortex of cerebral hemisphere described as typical were not fully exacerbated in all patients. Falx syndrome as the sole manifestation was described in two patients, in other patients the clinical symptoms were determined by associated injuries. CT was the investigation of choice in all patients. Surgical evacuation of haematoma by means of parasagital osteoplastic craniotomy or burr hole trephination was used in all patients. Clinical outcome was determined by clinical condition on admission and the presence of haemorrhagic contusions. Another adversive prognostic factors were anticoagulation treatment or the presence of coagulopathy. It is mandatory to stress the possibility of sudden clinical worsening of initially conservatively treated patients.
Key words: posttraumatic intracranial bleeding – interhemispheric subdural haematoma – falx syndrome
1. Ogsbury, J. S., Schneck, S. A., Lehman, R. A. Aspects of interhemispheric subdural haematoma, including the falx syndrome. J. Neurol. Neurosurg. Psychiatry, 1978, roč. 41, č. l, s. 72–75.
2. Fruin, A. H., Juhl, G. L., Taylon, C. Interhemispheric subdural haematoma. Case report. J. Neurosurg., 1984, roč. 60, č. 6, s. 1300–1302.
3. Borzone, M., Altomonte, M., Baldini, M., Rivano, C. Typical interhemispheric subdural haematomas and falx syndrome : four cases and a review of the literatuře. Zentralbl Neurochir,1995, roč. 56, č. 2, s. 51–60.
4. Lang, E. W., Hohenstein, C., Nabavi, A., Mehdorn, H. M. Interhemispheric subdural hematoma. Nervenarzt, 1998, roč. 69, č. 4, s. 342–351.
5. Bartels, R. H., Verhagen, W. I., Prick, M. J., Dalman, J. E. Interhemispheric subdural hematoma in adults: case reports and a review of the literature. Neurosurgery, 1995, roč. 36, č. 6, s. 1210–1214.
6. Vaz, R., Duarte, F., Oliveira, J., Cerejo, A., Cruz, C. Traumatic interhemispheric subdural hematomas. Acta Neurochir. (Wien), 1991, roč. 111, č. 3–4, s. 128–131.
7. Sari, A., Sert, B., Dine, H., Kuzeyli, K. Subacute spinal subdural hematoma associated with intraeranial subdural hematoma. Neuroradiol., 2006, roč. 33, č. 2, s. 67–69.
8. Sengul, G., Tuzum, Y., Kadioglu, H. H., Aydin, Y. H., Kanpolat, Y. Acute interhemispheric subdural hematoma due to hemodialysis: case report. Surg. Neurol., 2005, roč. 64, Suppl.
9. Furui, T., Iwata, K., Usui, K. Interhemispheric subdural hematoma complicated by intracerebral hematoma: case report. Acta Neurochir. (Wien), 1988, roč. 91 ,č. 3–4, s. 139–141.
10. Tijssen, C. C., Tavy, D. L., Hekster, R. E., Bots, G. T., Endtz, L. J. Aphasia with a left frontal interhemispheric hematoma. Neurology, 1984, roč. 34, č. 9, 1261–1264.
11. Katsuno, M., Murai, Y., Teramoto, A. Acute subdural hematoma without subarachnoidal hemorrhage foliowing rupture of a distal anterior cerebral artery aneurysm: a case report. No To Shinkei, 2003, roč. 55, č. 5, s. 435–438.
12. Drábek, P., Kuba, J., Wolný, E. Interhemiferální subdurální hematom. Klinický, angiografický a scintigrafický obraz. Czech. Neurol. Neurochir., 1984, roč. 47, č. 4, s. 267–272.
13. Numerow, L. M., Fong, T. C.,Wallace, C. J. Pseudodelta sign on computed tomography: an indicator of bilateral interhemispheric hemorrhage. Can. Assoc. Radiol. J., 1994; roč. 45, č. l, s. 23–27.
14. Datta, N. N., Rehman, S. U., Chan, K. Y., Chan, K. W., Poon, Ch. Y. F., Kwok, J. Ch. K. Adult interhemispheric subdural haematoma: a simple option for an uncommon problem. Annals of the College of Surgeons of Hong Kong, 2002, roč. 6, č. 3, s. 87–90.
15. Koumtchew, Y., Petrov, S., Gozmanov, G. A case of interhemispheric subdural hematoma. Folia Med. (Plovdiv), 1994, roč. 36, č. 1, s. 5–12.
16. Gartman, J. J. Jr.,Atstupenas, E. A., Vollmer, D. G., Powers, S. K. Traumatic laceration of pericallosal artery resulting in interhemispheric subdural hematoma: a case report. Emerg. Med., 1989, roč. 7, č. 6, s. 603–610.
17. Houtteville, J. P., Toumi, K., Theron, J., Derlon, J. M., Benazza, A., Hubert, P. Interhemispheric subdural hematoma. Seven cases and review of literature. Br. J. Neurosurg., 1988, roč. 2, č. 3, s. 357–367.
18. Pozzati, E., Twist, G., Vinci, A., Poppi, M. Traumatic interhemispheric subdural hematomas. J. Trauma, 1982, roč. 22, č. 3, s. 241–243.
Don‘t have an account? Create new account
Enter the email address that you registered with. We will send you instructions on how to set a new password.
