Precedence of Parenchymal Enhancement on CT Angiography to a Fatal Duret Hemorrhage
Journal of Korean Neurosurgical Society
;
: 380-382, 2013.
Artigo
em Inglês
| WPRIM
| ID: wpr-90154
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.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Varfarina
/
Angiografia
/
Aspirina
/
Drenagem
/
Hematoma Subdural Crônico
/
Cérebro
/
Glicosaminoglicanos
/
Hematoma Subdural
/
Hemorragia
Limite:
Humanos
Idioma:
Inglês
Revista:
Journal of Korean Neurosurgical Society
Ano de publicação:
2013
Tipo de documento:
Artigo
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