Precedence of Parenchymal Enhancement on CT Angiography to a Fatal Duret Hemorrhage
Journal of Korean Neurosurgical Society
; : 380-382, 2013.
Article
in En
| WPRIM
| ID: wpr-90154
Responsible library:
WPRO
ABSTRACT
We report a case of fatal duret hemorrhage (DH) in a patient with acute tentorial subdural hematoma and bilateral chronic subdural hematoma along the cerebral hemispheres. Preoperative CT angiography (CTA) revealed prominent parenchymal enhancement in the ventral pontomesencephalic area. After burr-hole drainage, a large hemorrhage developed in this area. The parenchymal enhancement in the CTA may reflect the pontomensencephalic perforating vessel injury, and may be a sign of impending DH of acute transtentorial downward herniation. Previous use of aspirin and warfarin might have potentiated the process of DH and increase the extent of the bleed.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Warfarin
/
Angiography
/
Aspirin
/
Drainage
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Hematoma, Subdural, Chronic
/
Cerebrum
/
Glycosaminoglycans
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Hematoma, Subdural
/
Hemorrhage
Limits:
Humans
Language:
En
Journal:
Journal of Korean Neurosurgical Society
Year:
2013
Type:
Article