Parafalcine subdural hematoma is a rare subtype of intracranial hematoma. Brain hemorrhage, or hematomas, can occur in the brain or within the three layers that cover the brain. A subdural hematoma is trapped blood that develops between the inner layers and the tough outer covering called the dura. Typically, this is due to the tearing of the subdural or bridging veins. The patient in this report is an 85-year-old male who came to the emergency department following a fall on the second day with complaints of headache, neck pain, bilateral leg weakness, nausea, and vomiting. A computed tomography scan was performed in the emergency department, demonstrating an acute parafalcine subdural hematoma measuring 11 mm in thickness. This report will discuss the findings of interhemispheric hematomas and the rare parafalcine subtype and shed light on the diagnostic approach, medical and surgical treatment modalities, and prognosis.
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http://dx.doi.org/10.7759/cureus.60680 | DOI Listing |
BMJ Case Rep
January 2025
Department of Neurology, Keio University School of Medicine, Tokyo, Japan.
We report a female patient in her 70s with mild cognitive impairment due to Alzheimer's disease (AD) who developed a left temporal lobar haemorrhage after the third dose of lecanemab, accompanied by non-traumatic haemorrhage in a pre-existing subdural hygroma, and was diagnosed with amyloid-related imaging abnormalities with haemorrhage. The patient exhibited mild verbal paraphasia and word recall difficulty but had no other major neurological deficits. There was no additional intracranial abnormality during the course of hospitalisation.
View Article and Find Full Text PDFSurg Neurol Int
December 2024
Department of Anaesthesiology and Critical Care, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.
Background: Propofol is one of the most used intravenous anesthetic agents in traumatic brain injury (TBI) patients undergoing emergency neurosurgical procedures. Despite being efficacious, its administration is associated with dose-related adverse effects. The use of adjuvants along with propofol aids in limiting its consumption, thereby mitigating the side effects related to propofol usage.
View Article and Find Full Text PDFUlus Travma Acil Cerrahi Derg
January 2025
Department of Neurosurgery, Gulhane School of Medicine, University of Health Sciences, Ankara-Türkiye.
Background: Acute subdural hematoma (ASDH) is a critical and often fatal condition, particularly in elderly patients receiving anticoagulant therapy. With a growing global aging population, the incidence of traumatic brain injuries, including ASDH, is projected to rise, presenting significant challenges in clinical management. This study evaluates the outcomes of surgically treated ASDH in patients aged 65 years and older, comparing those who received anticoagulant therapy with those who did not.
View Article and Find Full Text PDFNeurosurgery
January 2025
Department of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden.
Background And Objectives: Chronic subdural hematoma (CSDH) is one of the most common neurosurgical conditions. However, current evidence on postoperative outcomes exhibits variability due to small sample sizes, nonstandardized outcome assessment, and variations in surgical techniques. The aim of this study was to overcome these limitations by assessing standardized outcome measures after surgical intervention for CSDH at a high-volume population-based center favoring a uniform burr-hole craniotomy (BHC) approach.
View Article and Find Full Text PDFJ Clin Med
December 2024
Department of Neurosurgery, Bezirkskrankenhaus Günzburg, University of Ulm, Lindenallee 2, 89312 Günzburg, Germany.
: Post-hemicraniectomy patients often need extended intensive care treatment. While computed tomography (CT) is considered the gold standard for regular imaging, its frequent use could be linked to adverse clinical outcomes. This study aimed to assess bedside transcranial ultrasound (TUS) to capture intracranial anatomical structures and pathologies.
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!