Retroclival and spinal subdural hematoma after traumatic brain injury - A case report and literature review
| العنوان: | Retroclival and spinal subdural hematoma after traumatic brain injury - A case report and literature review |
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| المؤلفون: | Saúl Solorio-Pineda, Milton Inocencio Ruiz-Flores, Adriana Ailed Nieves-Valerdi, Luis Manuel Buenrostro-Torres, José Alfonso Franco-Jiménez, Guillermo Axayacalt Gutiérrez-Aceves |
| المصدر: | Surgical Neurology International |
| بيانات النشر: | Scientific Scholar, 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | medicine.medical_specialty, Traumatic brain injury, Spinal Subdural Hematoma, Case Report, 03 medical and health sciences, 0302 clinical medicine, Hematoma, Clivus, medicine, medicine.diagnostic_test, business.industry, traumatic brain injury, Glasgow Coma Scale, Magnetic resonance imaging, Retroclival hematoma, medicine.disease, medicine.anatomical_structure, Traumatic injury, 030220 oncology & carcinogenesis, Surgery, Neurology (clinical), Radiology, business, 030217 neurology & neurosurgery, subdural hematoma, Pediatric population |
| الوصف: | Background: Retroclival hematomas are rare and occur mostly in the pediatric population. They are variously attributed to trauma, apoplexy, and vascular lesions. With motor vehicle accidents (MVAs), the mechanism of traumatic injury is forced flexion and extension. There may also be associated cervical spinal and/or clivus fractures warranting fusion. Case Description: A 35-year-old male sustained a traumatic brain injury after a fall of 5 m at work. His Glasgow coma scale (GCS) on admission was 13 (M6V3O4). He had no cranial nerve deficits. The brain computed tomography (CT) showed a retroclival subdural hematoma that extended to the C2 level. Conclusions: Most retroclival hematomas are attributed to MVAs, and cranial CT and magnetic resonance studies typically demonstrate a combination of posterior fossa hemorrhage with retroclival hematomas (intra or extradural). Patients with retroclival hematomas but high GCS scores on admission usually have better prognoses following traumatic brain injuries attributed to MVA. Notable however is the frequent association with additional cervical and/or craniocervical injuries (e.g. such as odontoid fracture) that may warrant surgery/fusión. |
| اللغة: | English |
| تدمد: | 2152-7806 2229-5097 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::1f0b43d49c15dc01afc939e77fae6e9d http://europepmc.org/articles/PMC6744770 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....1f0b43d49c15dc01afc939e77fae6e9d |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 21527806 22295097 |
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