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Bilateral Supratentorial Subdural Hematomas after Craniotomy for Posterior Fossa Tumor Removal.

作者信息

Solomou Aikaterini, Kraniotis Pantelis, Bonanos George, Constantoyannis Constantine

机构信息

Department of Radiology, MRI Unit, University Hospital of Patras, Greece.

Department of Neurosurgery, University Hospital of Patras, Greece.

出版信息

J Neurol Surg Rep. 2018 Apr;79(2):e23-e25. doi: 10.1055/s-0038-1642026. Epub 2018 Apr 26.

DOI:10.1055/s-0038-1642026
PMID:29707472
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5919772/
Abstract

A 69-year-old man was admitted to the emergency department with headache and dizziness. He was submitted to brain computed tomography (CT) which showed a tumor in the right cerebellar hemisphere, findings which were subsequently confirmed with magnetic resonance imaging (MRI). He underwent a paramedian suboccipital craniotomy for removal of the mass. Histology confirmed the presence of a hemangiopericytoma. The patient was discharged 5 days postoperatively with improvement in his symptoms. Fifteen days later, he presented with gait difficulties. Clinical examination revealed positive Mingazzini sign on his left side. He was submitted to brain MRI which revealed bilateral subdural hematomas on late subacute stage with mass effect and midline shift caused by the largest on the right. The patient underwent burr hole evacuation of the right subdural hematoma. The postoperative CT showed evacuation of the right chronic subdural hematoma. Two days postoperatively, the patient's symptoms improved.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b62/5919772/3e820b935861/10-1055-s-0038-1642026-i170026-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b62/5919772/f70d5ee63464/10-1055-s-0038-1642026-i170026-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b62/5919772/8906510bf3da/10-1055-s-0038-1642026-i170026-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b62/5919772/3e820b935861/10-1055-s-0038-1642026-i170026-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b62/5919772/f70d5ee63464/10-1055-s-0038-1642026-i170026-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b62/5919772/8906510bf3da/10-1055-s-0038-1642026-i170026-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b62/5919772/3e820b935861/10-1055-s-0038-1642026-i170026-3.jpg

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本文引用的文献

1
Unusual supratentorial complication following posterior fossa surgery.后颅窝手术后罕见的幕上并发症。
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2
Factor XIII deficiency as a potential cause of supratentorial haemorrhage after posterior fossa surgery.Factor XIII 缺乏症是后颅窝手术后幕上出血的潜在原因。
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[Supratentorial extradural hematomas following posterior fossa craniectomy (author's transl)].
No Shinkei Geka. 1976 Apr;4(4):401-3.