1/6. Spontaneous subdural haematoma in anabolic steroids dependent weight lifters: reports of two cases and review of literature.Spontaneous subdural haematoma is very rare in young patients. The complications of anabolic steroid intake in weight lifters are numerous, yet subdural haematomas have not been reported. We report on two cases of spontaneous subdural haematomas in young weight lifters. Both patients underwent surgical evacuation and made a full recovery. A review of the literature on the complications associated with valsalva manoeuvres is also presented including hemodynamic and intracranial changes. We propose that patients on chronic anabolic steroids may have vascular changes that predispose them to bleeding during a Valsalva manoeuvre (VM).- - - - - - - - - - ranking = 1keywords = haematoma (Clic here for more details about this article) |
2/6. Intracranial subdural hematoma after spinal anesthesia.Intracranial subdural hematoma is an exceptionally rare but life-threatening complication of spinal anesthesia. We report a case of intracranial subdural hematoma following spinal anesthesia for cesarean section in a 27-year-old woman. She developed a diffuse headache after surgery with a blood pressure of 220/140 mm Hg which was followed by generalized seizure activity. Her blood pressure remained high after medication with diazepam, nifedipine and magnesium sulfate. She remained unconscious with a glasgow coma scale of 5. The cranial tomography revealed a subdural hematoma with diffuse cerebral edema and cerebral tentorial herniation. When a patient complains of postdural puncture headache and then has seizure activity, one should consider alternative diagnoses, including that of a subdural hematoma, and carry out a careful examination, including magnetic resonance imaging or computerized tomography scan.- - - - - - - - - - ranking = 0.0015320090915253keywords = cerebral (Clic here for more details about this article) |
3/6. Spontaneous development of bilateral subdural hematomas in an infant with benign infantile hydrocephalus: color Doppler assessment of vessels traversing extra-axial spaces.We present an infant with macrocrania, who initially demonstrated prominent extra-axial fluid collections on sonography of the brain, compatible with benign infantile hydrocephalus (BIH). Because of increasing macrocrania, a follow-up sonogram of the brain was performed; it revealed progressive enlargement of the extra-axial spaces, which now had echogenic debris. color Doppler US showed bridging veins traversing these extra-axial spaces, so it was initially thought that these spaces were subarachnoid in nature (positive cortical vein sign). However, an arachnoid membrane was identified superior to the cortex, and there was compression of true cortical vessels beneath this dural membrane. An MRI of the brain showed the extra-axial spaces to represent bilateral subdural hematomas. The pathogenesis of spontaneous development of the subdural hematomas, in the setting of BIH, is discussed. We also emphasize that visualizing traversing bridging veins through extra-axial spaces does not necessarily imply that these spaces are subarachnoid in origin.- - - - - - - - - - ranking = 2.9428768504128E-5keywords = brain (Clic here for more details about this article) |
4/6. Subdural haemorrhage following endoscopic third ventriculostomy. A rare complication.Subdural collections or hematomas are frequently observed after shunt placement [7-9, 13], but rarely after ETV [6]. A review of literature revealed 7 cases [1, 5, 6, 10, 12], of which only 1 was symptomatic [5]. We will discuss the causes, management, and methods of prevention of this complication and we will present a case of symptomatic subdural haematoma, following endoscopic third ventriculostomy for illustration.- - - - - - - - - - ranking = 0.16788252389276keywords = haematoma, haemorrhage (Clic here for more details about this article) |
5/6. The "Moya" you look, the "Moya" you find.A middle-aged woman was admitted to hospital after a motor vehicle accident. A large acute intracranial haematoma was initially thought to be traumatic in origin, but its unusual position and the lack of external features of head trauma prompted investigation for other causes of intracerebral haemorrhage. Moyamoya intracranial vascular abnormalities were diagnosed. We discuss the presentation of non-traumatic intracranial haemorrhage in the setting of presumed trauma, and the unusual conditions of moyamoya syndrome and moyamoya disease.- - - - - - - - - - ranking = 0.20200311520091keywords = haematoma, intracerebral haemorrhage, haemorrhage, intracerebral, cerebral (Clic here for more details about this article) |
6/6. Venous loop mimicking middle cerebral artery bifurcation aneurysm on computed tomographic angiography--case report.BACKGROUND: CT angiography has been widely used for the detection of cerebral aneurysm. However, there are still limitations despite improving CT angiographic techniques. We describe the unusual case of the detection of a false-positive aneurysm on CT angiography. CASE DESCRIPTION: A 64-year-old man presented with a 14-day history of severe headache and nuchal rigidity. brain CT demonstrated no subarachnoid hemorrhage, but cerebrospinal fluid appeared xanthochromic in 3 successive tubes after lumbar puncture. Subsequent CT angiography suggested an aneurysm at the bifurcation of the left MCA. However, at operation, prominent sylvian vein superimposed on the bifurcation of the left MCA, and there was no aneurysm. Follow-up monitoring with conventional angiography at 2 weeks showed no abnormal findings. The patient recovered uneventfully. CONCLUSION: The case demonstrates that although CT angiography has a reportedly high specificity and sensitivity for the detection of intracranial aneurysm, careful interpretation is required to diagnose intracranial aneurysms.- - - - - - - - - - ranking = 0.0038300227288133keywords = cerebral (Clic here for more details about this article) |