Document Detail

Acute spontaneous subdural hematoma of arterial origin: a report of four cases and review of literature.
MedLine Citation:
PMID:  20739817     Owner:  NLM     Status:  MEDLINE    
Acute spontaneous subdural hematoma of arterial origin, a neurosurgical emergency resulting from rupture of the perisylvian cortical artery, is a rare occurrence. We report four such patients who presented with progressive neurological deterioration. All the patients were operated and perisylvian cortical artery was identified as the source of bleeding in all the patients. Three of the patients had associated hypertension. We reviewed the clinical characteristics, etiology, and outcome of the reported cases in the literature. A high index of suspicion is necessary even in young patients in view of the phenomenon of re-rupture mimicking stroke. Early diagnosis and a wide craniotomy over the sylvian fissure to obtain hemostasis of bleeding points results in good outcome.
Sarbjit Singh Chhiber; J P Singh
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Neurology India     Volume:  58     ISSN:  0028-3886     ISO Abbreviation:  Neurol India     Publication Date:    2010 Jul-Aug
Date Detail:
Created Date:  2010-08-26     Completed Date:  2010-10-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0042005     Medline TA:  Neurol India     Country:  India    
Other Details:
Languages:  eng     Pagination:  654-8     Citation Subset:  IM    
Department of Neurosurgery, SKIMS, Soura, Srinagar, J&K - 190 017, India.
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MeSH Terms
Arteries / physiopathology*
Hematoma, Subdural, Acute / etiology*
Intracranial Arterial Diseases / complications*
Middle Aged
Tomography, X-Ray Computed

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