Sudden worsening after subdural haematoma surgery: will there be a corpus callosum injury?
Identifieur interne : 001D71 ( Main/Exploration ); précédent : 001D70; suivant : 001D72Sudden worsening after subdural haematoma surgery: will there be a corpus callosum injury?
Auteurs : Pier Paolo Panciani [Italie] ; Elena Roca [Italie] ; Giovanni Lodoli [Italie] ; Marco Maria Fontanella [Italie]Source :
- BMJ Case Reports [ 1757-790X ] ; 2014-05-26.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Corps calleux (anatomopathologie), Humains, Hématome subdural chronique (), Hématome subdural chronique (imagerie diagnostique), Imagerie par résonance magnétique, Imagerie par résonance magnétique de diffusion, Mâle, Oedème cérébral (diagnostic), Oedème cérébral (étiologie), Tomodensitométrie.
- MESH :
- anatomopathologie : Corps calleux.
- diagnostic : Oedème cérébral.
- imagerie diagnostique : Hématome subdural chronique.
- étiologie : Oedème cérébral.
- Adulte d'âge moyen, Humains, Hématome subdural chronique, Imagerie par résonance magnétique, Imagerie par résonance magnétique de diffusion, Mâle, Tomodensitométrie.
English descriptors
- KwdEn :
- Brain Edema (diagnosis), Brain Edema (etiology), Corpus Callosum (pathology), Diffusion Magnetic Resonance Imaging, Hematoma, Subdural, Chronic (complications), Hematoma, Subdural, Chronic (diagnostic imaging), Hematoma, Subdural, Chronic (surgery), Humans, Magnetic Resonance Imaging, Male, Middle Aged, Tomography, X-Ray Computed.
- MESH :
- complications : Hematoma, Subdural, Chronic.
- diagnosis : Brain Edema.
- diagnostic imaging : Hematoma, Subdural, Chronic.
- etiology : Brain Edema.
- pathology : Corpus Callosum.
- surgery : Hematoma, Subdural, Chronic.
- Teeft :
- Apparent diffusion values, Brain oedema, Brescia, Callosum, Chronic subdural haematoma, Complete resolution, Corpus callosum, Csdh, Csdh surgery, Diffusion Magnetic Resonance Imaging, Drowsiness, Electrolyte, Encephalopathy, Enterococcus faecalis, Further permission, Gure, Haematoma, Humans, Lesion, Magnetic Resonance Imaging, Male, Mers, Middle Aged, Midline shift, Mild encephalopathy, Myoclonic seizures, Neurol, Neurological, Oedema, Osmotic therapy, Oxidative stress, Panciani, Pathogenesis, Possible pathogenesis, Reversible splenial lesion, Signal prolongation, Single lesion, Splenial, Splenial lesion, Status epilepticus, Subdural, Tomography, X-Ray Computed, Vasogenic oedema, Viral infections, Water diffusion.
Abstract
We report a case of mild encephalopathy with a reversible splenial lesion (MERS) which occurred after chronic subdural haematoma (CSDH) surgery. The patient was admitted to our hospital for drowsiness and marked asthenia. The cerebral CT scan revealed a CSDH and surgery allowed to improve the symptoms, but after several days we observed a sudden worsening. The patient developed left-sided myoclonic seizures followed by left hemiplegia and worsening drowsiness. Electrolytes imbalance and inflammatory causes were excluded. The CT scan showed a right cerebral swelling and the subsequent MRI revealed a single lesion in the splenium of the corpus callosum, hyperintense on diffusion-weighted images. After osmotic therapy the patient improved and on day 10 of admission the MRI showed a complete resolution of the lesion. This is the first report that described an association between CSDH and MERS. Possible aetiopathogenetic mechanisms are discussed.
Url:
DOI: 10.1136/bcr-2013-203278
Affiliations:
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Le document en format XML
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d'âge moyen</term><term>Humains</term><term>Hématome subdural chronique</term><term>Imagerie par résonance magnétique</term><term>Imagerie par résonance magnétique de diffusion</term><term>Mâle</term><term>Tomodensitométrie</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract">We report a case of mild encephalopathy with a reversible splenial lesion (MERS) which occurred after chronic subdural haematoma (CSDH) surgery. The patient was admitted to our hospital for drowsiness and marked asthenia. The cerebral CT scan revealed a CSDH and surgery allowed to improve the symptoms, but after several days we observed a sudden worsening. The patient developed left-sided myoclonic seizures followed by left hemiplegia and worsening drowsiness. Electrolytes imbalance and inflammatory causes were excluded. The CT scan showed a right cerebral swelling and the subsequent MRI revealed a single lesion in the splenium of the corpus callosum, hyperintense on diffusion-weighted images. After osmotic therapy the patient improved and on day 10 of admission the MRI showed a complete resolution of the lesion. This is the first report that described an association between CSDH and MERS. Possible aetiopathogenetic mechanisms are discussed.</div></front></TEI><affiliations><list><country><li>Italie</li></country></list><tree><country name="Italie"><noRegion><name sortKey="Panciani, Pier Paolo" sort="Panciani, Pier Paolo" uniqKey="Panciani P" first="Pier Paolo" last="Panciani">Pier Paolo Panciani</name></noRegion><name sortKey="Fontanella, Marco Maria" sort="Fontanella, Marco Maria" uniqKey="Fontanella M" first="Marco Maria" last="Fontanella">Marco Maria Fontanella</name><name sortKey="Lodoli, Giovanni" sort="Lodoli, Giovanni" uniqKey="Lodoli G" first="Giovanni" last="Lodoli">Giovanni Lodoli</name><name sortKey="Roca, Elena" sort="Roca, Elena" uniqKey="Roca E" first="Elena" last="Roca">Elena Roca</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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