ATİPİK ŞİKAYETLERLE PREZENTE OLAN AKUT TRAVMATİK İNTERHEMİSFERİK SUBDURAL HEMATOM Acute Interhemispheric Subdural Hematoma Presenting with Atypical Complaints

Year 2018, Volume: 8 Issue: 2, 100 - 103, 29.06.2018

Hakan Ak Levent Albayrak , İskender Samet Daltaban İbrahim Çaltekin

Abstract

ÖZET

Akut interhemisferik subdural hematom akut subdural hematomun nadir görülen bir tipi olup

genellikle kafa travmasından sonra ortaya çıkmaktadır. Bu hematomda görülen klinik belirti ve

bulgular arasında baş ağrısı, bulantı kusma, nöbet, demans, görme bozukluğu, monoparezi, ve

hemiparezi bildirilmiştir. Bu yazıda anksiyete ve terleme hissi gibi atipik şikayetlerle başvuran 54

yaşındaki bir erkek hastada saptanan interhemisferik subdural hematom olgusunu sunulmaktadır.

Hasta klinik gözlem ile takip edilmiş olup 10 gün sonra hematomun tamamıyla rezorbe olduğu

görülmüştür. Sonuç olarak, interhemisferik subdural hematomda vital bulguların ve nörolojik

durumun stabil seyretmesi durumunda sadece izlem yeterli olabilmektedir.

Anahtar Sözcükler: Kafa travması; İnterhemisferik subdural hematom; Terleme

ABSTRACT

Acute interhemispheric subdural hematoma is a rare type of acute subdural hematoma and

it usually develops after head trauma. Headache, nausea, vomiting, seizures, dementia, visual

impairment, monoparesis and hemiparesis have been reported among clinical signs and

symptoms for this hematoma. In this report, we present a case of interhemispheric subdural

hematoma in a 54-year-old male patient with atypical complaints as anxiety and sweating.

The patient was followed by clinical observation and the hematoma was completely resorbed

after 10 days. In conclusion, if the vital signs and neurological status of the patient are stable in

interhemispheric subdural hematoma, only follow-up is sufficient.

Keywords: Head trauma; İnterhemispheric subdural hematoma; Sweating

Keywords

ATİPİK ŞİKAYETLERLE PREZENTE OLAN AKUT TRAVMATİK İNTERHEMİSFERİK SUBDURAL HEMATOM Acute Interhemispheric Subdural Hematoma Presenting with Atypical Complaints

References

• 1. Matsuyama T, Shimomura T, Okumura Y, Sasaki T: Rapid resolution of symptomatic acute subdural hematoma: case report. Surg Neurol.1997; 48: 193-6. 2. Gökduman CA, İplikcioğlu AC, Coşar M, Bek S, Aslan M, Güleroğlu A. Rapidly resoltion of interhemisferic acute subdural hematoma: Case report & literatüre review. Turkish Neurosurgery. 2005; 15(3):150-65. 3. Yıldırım H, Öztürk T, Esen M. Akut Subdural Hematomun Spontan Rezolüsyon ve Redüstirbüsyonu: BT ve MR Bulguları Fırat Tıp Dergisi 2011;16(3): 137-40. 4. Tsui EYK, Ma KF, Cheung YK, Chan JH, Yuen MK. Rapid spontaneous resolution and redistribution of acute subdural hematoma in a patient with chronic alcoholism. Eur J Radiol. 2000; 36: 53-7. 5. Lee M, Kim MS, Yoon SW. Interhemispheric subdural hematoma presenting with falx syndrome after trauma. J Kor Neurotraumatol Soc. 2010;6:158-61. 6. Bartels RH, Verhagen WI, Prick MJ, Dalman JE. Interhemispheric subdural hematoma in adults:case reports and a review of the literature. Neurosurgery. 1995; 36:1210-4. 7. Lamas L, Ramos-Zúñiga R, Sandoval L. Acute interhemispheric subdural hematoma:two case reports and analysis of the literature. Minim Invasive Neurosurg. 2002; 45:55-58. 8. Psaltis A, Lath R, McDonald M. Acute interhemispheric subdural haematoma. J Clin Neurosci. 2004; 11:546-8. 9. Romano VA, Toffol GJ. Confirmation of traumatic interhemispheric subdural hematoma by magnetic resonance imaging. J Emerg Med. 1994; 12:369-73. 10. Delfini R, Santoro A, Innocenzi G, Ciappetta P, Salvati M, Zamponi C. Interhemispheric subdural hematoma (ISH). Case report. J Neurosurg Sci. 1991;35:217-20.