scholarly journals Intracranial Myeloid Sarcoma Metastasis Mimicking Acute Subdural Hematoma

2017 ◽  
Vol 2017 ◽  
pp. 1-6 ◽  
Author(s):  
Amandip S. Gill ◽  
Rabina Gill ◽  
Paul Kaloostian ◽  
Dina Elias ◽  
John S. Roufail ◽  
...  
Keyword(s):  
Subdural Hematoma ◽  
Case Reports ◽  
Pediatric Population ◽  
Adult Population ◽  
Mass Effect ◽  
Large Mass ◽  
Myeloid Sarcoma ◽  
Acute Subdural Hematoma ◽  
First Report ◽  
Imaging Characteristics

Myeloid sarcoma, a rare consequence of myeloproliferative disorders, is rarely seen in the central nervous system, most commonly in the pediatric population. Although there are a handful of case reports detailing initial presentation of CNS myeloid sarcoma in the adult population, we have been unable to find any reports of CNS myeloid sarcoma presenting as a large mass lesion in a herniating patient. Here, we present the case of a patient transferred to our facility for a very large subdural hematoma. Based on imaging characteristics, it was felt to be a spontaneous hematoma secondary to coagulopathy. No coagulopathy was found. Interestingly, he did have a history of acute myeloid leukemia (AML) diagnosed 2 months previously, and intraoperatively he was found to have a confluent white mass invading both the subdural and subarachnoid spaces. There was minimal associated hemorrhage and final pathology showed myeloid sarcoma. This is the first report we are aware of in which CNS myeloid sarcoma presented as a subdural metastasis and also the first report in which we are aware of this etiology causing a herniation syndrome secondary to mass effect.

scholarly journals Rapid Spontaneous Resolution of Acute Subdural Hematoma Occurs by Redistribution. Two Case Reports.

2001 ◽  
Vol 41 (3) ◽  
pp. 140-143 ◽  
Author(s):  
Noriyuki KATO ◽  
Takashi TSUNODA ◽  
Akira MATSUMURA ◽  
Kiyoyuki YANAKA ◽  
Tadao NOSE
Keyword(s):  
Subdural Hematoma ◽  
Case Reports ◽  
Spontaneous Resolution ◽  
Acute Subdural Hematoma

scholarly journals Pediatric Peritoneal Epithelial Malignant Mesothelioma Case Report

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Elizabeth Bellew ◽  
Samantha Lee ◽  
Hiren Patel ◽  
Carolyn Fein Levy ◽  
Rachelle Goldfisher ◽  
...  
Keyword(s):  
Case Report ◽  
Malignant Mesothelioma ◽  
Crucial Role ◽  
Clinical Course ◽  
Pediatric Population ◽  
Adult Population ◽  
Initial Evaluation ◽  
Peritoneal Mesothelioma ◽  
Imaging Characteristics

We present a 14-year-old boy with peritoneal epithelial malignant mesothelioma (PEMM). While pathology is required to make this diagnosis, radiology plays a crucial role throughout the clinical course of this disease. The key imaging characteristics of peritoneal mesothelioma have been previously well-described in the adult population, but there are rare reports in the pediatric population. This pediatric report highlights the multidimensional use of imaging in this disease, from the initial evaluation to therapeutic supplementation and subsequent follow-up.

scholarly journals Clinical Predictors of outcome in Isolated Traumatic Acute Subdural Hematoma

2018 ◽  
Vol 15 (3) ◽  
pp. 8-13
Author(s):  
Maya Bhattachan ◽  
Ali Niyaf ◽  
Ram K. Shrestha ◽  
Amit Pradhananga ◽  
Gopal Sedain ◽  
...  
Keyword(s):  
Subdural Hematoma ◽  
Adult Population ◽  
Radiological Finding ◽  
Acute Subdural Hematoma ◽  
Study Patient ◽  
High Morbidity ◽  
Midline Shift ◽  
Clinical Predictors ◽  
Hematoma Volume ◽  
Factors Affecting

Head injury is the major cause of death in young adult population worldwide with associated high morbidity. The objective of this study is to find out the outcome and factors affecting the outcome in isolated traumatic acute subdural hematoma. All patients with isolated acute subdural hematoma presenting within 24 hours of trauma and admitted over a period of 1 year were included in this study. Patient was classified according to Glasgow Coma Scale(GCS) after resuscitation in the emergency department. The outcome of the patient was recorded according to the Glasgow Outcome Scale at the time of discharge and at 3 months after the trauma in follow-up. Statistical analysis was performed to find the correlation between GCS, papillary changes and radiological finding in the form of midline shift and hematoma volume to dichotomized outcome. Out of 38 patients enrolled in the study, 33 patients had favorable outcome. Surgery was performed in 12 patients out of whom 4 patients had unfavorable outcome. GCS score, papillary changes, midline shift and hematoma volume were found to have significant association with the outcome in isolated traumatic acute subdural hematoma. Clinical parameters and radiological parameters can gauge the outcome in isolated traumatic brain injury.

scholarly journals Acute Subdural Hematoma in Patients Who Underwent Aneurysm Clipping. Four Case Reports.

2001 ◽  
Vol 41 (8) ◽  
pp. 393-398 ◽  
Author(s):  
Shigeki IMAIZUMI ◽  
Kenji OWADA ◽  
Takehide ONUMA ◽  
Motonobu KAMEYAMA
Keyword(s):  
Subdural Hematoma ◽  
Case Reports ◽  
Acute Subdural Hematoma ◽  
Aneurysm Clipping

scholarly journals Appearance of isolated thrombocytopenia in a patient of acute subdural hematoma

2015 ◽  
Vol 22 (1) ◽  
pp. 101-103
Author(s):  
S. Satish Kumar ◽  
M. Srinivas ◽  
K. Raghu ◽  
P. Shashidhar ◽  
Amit Agrawal
Keyword(s):  
Critically Ill ◽  
Subdural Hematoma ◽  
Critically Ill Patients ◽  
Clinical Status ◽  
Fatal Outcome ◽  
Mass Effect ◽  
Sudden Onset ◽  
Acute Subdural Hematoma ◽  
Underlying Illness ◽  
History Of

Abstract Thrombocytopenia in critically ill patients probably reflects the severity of the underlying illness and these patients have a higher mortality due to the severity of overall clinical status. In present article we report a case of acute subdural hematoma who developed progressive thrombocytopenia resulting in fatal outcome. A 75 year gentleman presented with history of sudden onset headache and lapsed into altered sensorium. There was history of trivial fall before he developed headache. The patient was deeply comatose with pupils bilateral 2 mm and reacting to light. Computerized tomography (CT) scan brain showed large right fronto-temporo-parietal acute subdural hematoma with mass effect and midline shift. Post-operatively he was kept on elective ventilation. On following days the patient continues to develop thrombocytopenia (Day- 3 Platelet count 75,000, day-4 60,000, day-5 25,000). Thrombocytopenia is a common but a potentially life-threatening condition problem and has been considered to play a role in worsening the prognosis of critically ill patients in intensive care unit. Few studies statistically examine the strength of the association between risk factors and outcomes related to thrombocytopenia, additional research is recommended to identify putative molecular determinants.

scholarly journals Subdural Hematoma: An Adverse Event of Electroconvulsive Therapy—Case Report and Literature Review

2012 ◽  
Vol 2012 ◽  
pp. 1-4
Author(s):  
Ranganath R. Kulkarni ◽  
Sateesh Melkundi
Keyword(s):  
Depressive Disorder ◽  
Electroconvulsive Therapy ◽  
Subdural Hematoma ◽  
Case Reports ◽  
English Literature ◽  
Rare Complication ◽  
Sporadic Case ◽  
Acute Subdural Hematoma ◽  
Presenting Symptoms ◽  
Magnetic Resonance Imaging Mri

Electroconvulsive therapy (ECT) is commonly used in the management of medication nonresponsive depressive disorder, with proven efficacy in psychiatric practice since many decades. A rare complication of intracranial bleed following this therapeutic procedure has been reported in sporadic case reports in the English literature. We report a case of such a complication in a 42-year-old male, a known case of nonorganic medication nonresponsive depressive disorder for the last two years who required ECT application. Presenting symptoms included altered mental state, urinary incontinence, and repeated episodes of vomiting; following ECT procedure with magnetic resonance imaging (MRI) of the brain suggestive of bilateral acute subdural hematoma. Despite the view that it may be used in neurological conditions without raised intracranial tension, it will be worthwhile to be vigilant during post-ECT recovery for any emergent complications.

scholarly journals New onset ANCA-associated vasculitis in an adolescent during an acute COVID-19 infection: a case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Daniel D. Reiff ◽  
Chloe G. Meyer ◽  
Brittany Marlin ◽  
Melissa L. Mannion
Keyword(s):  
Case Reports ◽  
Pediatric Population ◽  
Adult Population ◽  
Pulmonary Nodules ◽  
Antineutrophil Cytoplasmic Antibodies ◽  
Pediatric Care ◽  
Adolescent Male ◽  
Care Providers ◽  
Healthy Adolescent ◽  
New Onset

Abstract Background SARS-CoV-2 has been found to be exquisitely adept at triggering autoimmunity and multiple new onset autoimmune diseases have been described as a post-infectious complication of COVID-19 infection in the adult population. Less has been described in the pediatric population, as infections are more likely to be asymptomatic and less severe. This case reports a previously healthy adolescent patient with new onset antineutrophil cytoplasmic autoantibody-associated vasculitis (AAV) diagnosed in the setting of acute COVID-19 infection. Case presentation A previously healthy adolescent male was diagnosed with COVID-19 pneumonia after presenting with infectious symptoms of fever, cough, congestion, and shortness of breath. After worsening of disease, he was found to have pulmonary nodules, atypical for COVID-19. Further imaging and laboratory workup showed elevated inflammatory markers, negative infectious testing, and positive antineutrophil cytoplasmic antibodies (ANCA) diagnostic for AAV. He was treated with pulse dose steroids followed by a prolonged taper and rituximab. Symptoms resolved and laboratory abnormalities improved over time. At six-month follow-up, lesions were much improved, laboratory markers were within normal limits, and patient remained asymptomatic off medications. Conclusions This case is one of the first in the pediatric population to describe new onset AAV presenting with an acute, symptomatic COVID-19 infection. There is increasing evidence for COVID-19 induced autoimmunity in the pediatric population and pediatric care providers should be on high alert for new onset autoimmune disease in children afflicted by COVID-19.

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