ABSTRACT
STUDY DESIGN: Case report. OBJECTIVES: To describe a case or traumatic retroclival hematoma with features not previously reported. SETTING: Single center. METHODS: Description of a case, in the context of relevant literature on the subject. RESULTS: Traumatic retroclival hematomas are a rare, typically pediatric, entity. Only four cases of epidural hematoma in adult patients have been reported. We describe an additional case, the first with a fatal course in the acute setting. It is also the first retroclival hematoma associated to an odontoid base fracture. CONCLUSION: Retroclival hematomas are a rare diagnosis, to be considered in pediatric patients with flexion-extension, high-energy injuries. Morphology is typically epidural. Brain stem and cranial nerve symptoms are typical. Treatment is usually conservative. Outcome is regarded as favorable, with partial recovery and neurologic sequelae. Adult cases are extremely rare. The case we describe adds new characteristics to the scarcity of cases.
Subject(s)
Heart Arrest/complications , Hematoma, Epidural, Cranial/complications , Spinal Fractures/complications , Aged , Heart Arrest/diagnostic imaging , Hematoma, Epidural, Cranial/diagnostic imaging , Humans , Male , Radiography , Spinal Fractures/diagnostic imaging , Tomography Scanners, X-Ray ComputedABSTRACT
Gliomatosis cerebri is defined as an infiltration, by an infiltrative glioma, of more than two cerebral lobes. Depending on response to treatment (chemotherapy and radiotherapy), clinical course may prolong over several months. Surgical excision has a very limited role in the management of this diagnosis. We present the case of a 48 year-old woman in whom a decompressive temporal lobectomy was performed in the context of a gliomatosis. Relief of intracranial hypertension allowed further treatment and a survival of 23 months. Relevant literature on the subject has been reviewed. There is the possibility of offering a decompressive lobectomy in selected cases of gliomatosis, allowing to undergo other treatment modalities.
Subject(s)
Brain Neoplasms/therapy , Intracranial Hypertension/physiopathology , Neoplasms, Neuroepithelial/therapy , Brain Neoplasms/complications , Brain Neoplasms/diagnosis , Female , Humans , Intracranial Hypertension/etiology , Middle Aged , Neoplasms, Neuroepithelial/complications , Neoplasms, Neuroepithelial/diagnosis , Treatment OutcomeABSTRACT
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