Generalized Chorea Associated with Bilateral Chronic Subdural Hematoma

2004 ◽  
Vol 51 (4) ◽  
pp. 227-230 ◽  
Author(s):  
Yueh-Feng Sung ◽  
Hsin-I. Ma ◽  
Yaw-Don Hsu
Keyword(s):  
Subdural Hematoma ◽  
Chronic Subdural Hematoma ◽  
Bilateral Chronic Subdural Hematoma

scholarly journals Bilateral Chronic Subdural Hematoma in the Posterior Fossa Treated with a Burr Hole Irrigation: A Case Report and Review of the Literature

2019 ◽  
Vol 11 (1) ◽  
pp. 87-93
Author(s):  
Takuro Inoue ◽  
Hisao Hirai ◽  
Ayako Shima ◽  
Fumio Suzuki ◽  
Masayuki Matsuda
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Posterior Fossa ◽  
Subdural Hematoma ◽  
Chronic Subdural Hematoma ◽  
Burr Hole ◽  
Ventricular Drainage ◽  
Review Of The Literature ◽  
Bilateral Chronic Subdural Hematoma ◽  
Radiological Examinations

Chronic subdural hematoma (CSH) in the posterior fossa is extremely rare. The surgical strategy is still controversial. We report a case of bilateral CSH in the posterior fossa successfully treated with a single-burr hole surgery. A 74-year-old man under anticoagulation and antiplatelet therapy developed headache and nausea during observation for an asymptomatic supratentorial CSH. Radiological examinations revealed appearance of bilateral CSH in the posterior fossa associated with hydrocephalus. Upon rapid deterioration of the patient’s consciousness, an urgent treatment was required. A burr hole was made near the transverse-sigmoid junction on the left side to access the hematoma. No ventricular drainage was placed as his consciousness improved during the decompression of the hematoma. Postoperative computed tomography showed that bilateral CSH and hydrocephalus had been successfully treated. In bilateral CSH in the posterior fossa, there may be a connection between each side. CSH in the posterior fossa, when urgent, can be treated under local anesthesia with a unilateral burr hole irrigation.

scholarly journals Unilateral Oculomotor Nerve Palsy as an Initial Presentation of Bilateral Chronic Subdural Hematoma: Case Report

2013 ◽  
Vol 53 (9) ◽  
pp. 616-619 ◽  
Author(s):  
Ryosuke MATSUDA ◽  
Yasuo HIRONAKA ◽  
Hisashi KAWAI ◽  
Young-Su PARK ◽  
Toshiaki TAOKA ◽  
...  
Keyword(s):  
Case Report ◽  
Subdural Hematoma ◽  
Nerve Palsy ◽  
Chronic Subdural Hematoma ◽  
Oculomotor Nerve ◽  
Initial Presentation ◽  
Oculomotor Nerve Palsy ◽  
Bilateral Chronic Subdural Hematoma

scholarly journals The question is whether hemiparesis is more common in unilateral than bilateral chronic subdural hematoma

2014 ◽  
Vol 67 (9-10) ◽  
pp. 277-281 ◽  
Author(s):  
Mirela Jukovic ◽  
Kosta Petrovic ◽  
Viktor Till
Keyword(s):  
Subdural Hematoma ◽  
Clinical Symptoms ◽  
Great Influence ◽  
Chronic Subdural Hematoma ◽  
Functional Condition ◽  
Neurological Symptoms ◽  
Special Focus ◽  
Subdural Hematomas ◽  
Time Required ◽  
Bilateral Chronic Subdural Hematoma

Introduction. Chronic subdural hematoma is an intracranial hemorrhagic lesion that illustrates various expressions in clinical and radiological practice. The aim of this study was to emphasize the correlation between the brain site of chronic subdural hematoma and clinical symptoms/signs of disease. Furthermore, the study denotes the significance of hemiparesis occurrence in the patients with unilateral chronic subdural hematomas more than in those with bilateral ones, associated with time required to diagnose hematoma. Material and Methods: A three-year study included 72 patients with chronic subdural hematoma. According to their clinical and neurological symptoms on hospital admission, all patients underwent non-contrast brain computed tomography scan, which confirmed the diagnosis. The radiological parameters, inlcuding the site of chronic subdural hematoma, a hematoma width and midline shift were recorded to give precise data about the correlation with neurological symptoms. A special focus was put on the lag time between the onset of symptoms and signs to diagnosis of chronic subdural hematoma. Results. The study proved that the patients with unilateral chronic subdural hematoma had more frequent occurrence of hemiparesis than the patients with bilateral chronic subdural hematoma. It took the left-sided chronic subdural hematomas less time (about 200 hours earlier) than the rightsided ones to present its symptoms although the average hematoma diameter value was almost the same. Conclusion. The site and the form of intracranial lesion-chronic subdural hematoma could have a great influence on neurological and functional condition in a patient. Although the length of time required for making diagnosis as well as clinical symptoms greatly differ and the latter are not always so clear, physicians should maintain a high level of suspicion for this disease and thus contribute to prompt diagnosis and better clinical outcome of patients.

scholarly journals Proposal of treatment strategies for bilateral chronic subdural hematoma based on laterality of treated hematoma

2018 ◽  
Vol 13 (4) ◽  
pp. 1134 ◽  
Author(s):  
Satoru Takahashi ◽  
Takahiro Yamauchi ◽  
Toshihiro Yamamura ◽  
Takahiro Ogishima ◽  
Toshinari Arai
Keyword(s):  
Subdural Hematoma ◽  
Treatment Strategies ◽  
Chronic Subdural Hematoma ◽  
Bilateral Chronic Subdural Hematoma
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