DOI QR코드

DOI QR Code

Traumatic Acute Subdural Hematoma Extending from the Posterior Cranial Fossa to the Cerebellopontine Angle

  • Gulsen, Salih (Department of Neurosurgery, Baskent University) ;
  • Sonmez, Erkin (Department of Neurosurgery, Baskent University) ;
  • Yilmaz, Cem (Department of Neurosurgery, Baskent University) ;
  • Altinors, Nur (Department of Neurosurgery, Baskent University)
  • Published : 2009.09.28

Abstract

Posterior cranial fossa subdural hematomas and extension of the subdural hematoma to the cerebellopontine angle is rarely seen and the concurrent development of acute peripheral facial palsy and the management strategy have not previously been reported in this pathology because of its rarity. We present this case to emphasize that minor head trauma may lead to a posterior cranial fossa hematoma extending to the cerebellopontine angle and cause peripheral facial palsy in patients using aspirin (acetylsalicylic acid). In addition, partial evacuation and waiting for the resorption of the hematoma may help to prevent damage to the 7th and 8th cranial nerves.

Keywords

References

  1. Ashkenazi E, Carmon M, Pasternak D, Israel Z, Beni L, Pomeranz S : Conservative treatment of a traumatic subdural hematoma of the posterior fossa in a child : case report. J Trauma 36 : 406-407, 1994 https://doi.org/10.1097/00005373-199403000-00023
  2. Borzone M, Rivano C, Altomonte M, Baldini M : Acute traumatic posterior fossa subdural haematomas. Acta Neurochir (Wien) 135 : 32-37, 1995 https://doi.org/10.1007/BF02307411
  3. d’Avella D, Servadei F, Scerrati M, Tomei G, Brambilla G, Massaro F, et al. : Traumatic acute subdural haematomas of the posterior fossa : clinicoradiological analysis of 24 patients. Acta Neurochir (Wien) 145 : 1037-1044; discussion 1044, 2003 https://doi.org/10.1007/s00701-003-0150-y
  4. Hecimovic I, Blagus G, Kristek B, Rukovanjski M, Vrankovic D : Successful treatment of traumatic acute posterior fossa subdural hematoma : report of two cases. Surg Neurol 51 : 247-251, 1999 https://doi.org/10.1016/S0090-3019(97)00473-4
  5. Isla A, Alvarez F, Manrique M, Castro A, Amaya C, Bl$\acute{a}$zquez MG : Posterior fossa subdural hematoma. J Neurosurg Sci 31 : 67-69,1987
  6. Karasawa H, Furuya H, Naito H, Sugiyama K, Ueno J, Kin H : Acute hydrocephalus in posterior fossa injury. J Neurosurg 86 : 629-632, 1997 https://doi.org/10.3171/jns.1997.86.4.0629
  7. Motohashi O, Komeyama M, Shimosegawa Y, Fujimori K, Sugai K, Onuma T : Single burr hole evacuation for traumatic acute subdural hematoma of the posterior fossa in the emergency room. J Neurotrauma 19 : 993-998, 2002 https://doi.org/10.1089/089771502320317140
  8. Raftopoulos C, Reuse C, Chaskis C, Brotchi J : Acute subdural hematoma of the posterior fossa. A case report and a review of the relevant literature. Clin Neurol Neurosurg 92 : 57-62, 1990 https://doi.org/10.1016/0303-8467(90)90008-S
  9. Servadei F, Staffa G, Vergoni G, Zappi D, Arista A : Post-traumatic acute subdural haematoma of the posterior fossa extending toward the cerebello-pontine region. Report of a case. J Neurosurg Sci 39 : 187-190, 1995
  10. Tsai FY, Teal JS, Itabashi HH, Huprich JE, Hieshima GB, Segall HD : Computed tomography of posterior fossa trauma. J Comput Assist Tomogr 4 : 291-305, 1980 https://doi.org/10.1097/00004728-198006000-00002
  11. Ulivieri S, Oliveri G, Filosomi G : Posterior fossa acute subdural hematoma following anticoagulant therapy. Case report. J Neurosurg Sci 51 : 85-87; discussion 87, 2007
  12. Wright RL : Traumatic hematomas of the posterior cranial fossa. J Neurosurg 25 : 402-409, 1966 https://doi.org/10.3171/jns.1966.25.4.0402

Cited by

  1. Treatment of traumatic acute posterior fossa subdural hematoma: report of four cases with systematic review and management algorithm vol.156, pp.1, 2009, https://doi.org/10.1007/s00701-013-1850-6
  2. Cervical Ligamentous Injury with Associated Hydrocephalus Secondary to Posterior Fossa Subdural Hemorrhage: A Case Report vol.75, pp.1, 2009, https://doi.org/10.1055/s-0034-1372473
  3. Acute traumatic posterior fossa subdural hematoma: A case report vol.26, pp.None, 2009, https://doi.org/10.1016/j.inat.2021.101313