ABSTRACT
INTRODUCTION: Traumatic Brain Injury (TBI) is a major cause of death and disability in our society, we present the first case report of non-missile penetrating (NMP) cranial trauma with a machete in Mexico, and our objective by presenting this case is to prove the usefulness of recently proposed algorithms in the treatment of NMP PRESENTATION OF CASE: We present the case of a 47 year old woman who received a machete hit to the right side of her head during an assault., she arrived fully conscious to the emergency department (ED), computed tomography was performed and based on the findings of this study and in accordance to recently proposed algorithms for managing NMP cranial trauma a craniotomy was performed, at follow-up the patient presented wtih minor neurological disability in the form of left hemiparesis. DISCUSSION: Non-missile penetrating (NMP) lesions are defined as having an impact velocity of less than 100m/s, causing injury by laceration and maceration, An algorithm for treating NMP cranial trauma has been recently published in the Journal World Neurosurgery by De Holanda et al., in this case we followed the algorithm in order to provide best care available for our patient with good results. CONCLUSION: The use of current algorithms for managing NMP cranial trauma has proved to be very useful when applied on this particular case. GCS on admission is an important prognostic factor in NMP cranial trauma.
Subject(s)
Fractures, Compression , Spinal Fractures , Bone Cements , Case-Control Studies , Humans , Osteoporosis , Retrospective Studies , Treatment Outcome , VertebroplastyABSTRACT
BACKGROUND: Acute spontaneous spinal subdural hematoma associated with subacute cranial subdural hematoma is a rare entity. There is no precise age of presentation, and there is a slight female predominance. Origin is primary or secondary to hematologic factors or vascular and iatrogenic procedures. The main symptom is motor deficit in 57% of the cases. Surgical treatment is warranted only with neurological deficits. CLINICAL CASE: We present the case of a 44-year-old male with severe headache and diagnosis of subacute frontoparietotemporal subdural hematoma and signs of lumbar radiculopathy. Prognosis is proportional to the initial neurologic deficit. CONCLUSIONS: Patients with cranial subdural hematoma who develop neurological symptoms in the lower extremities should have magnetic resonance imaging study to rule out spinal subdural hematoma.
Subject(s)
Hematoma, Subdural, Acute/complications , Hematoma, Subdural, Intracranial/complications , Adult , Hematoma, Subdural, Acute/diagnosis , Hematoma, Subdural, Intracranial/diagnosis , Humans , MaleABSTRACT
BACKGROUND: Acute spontaneous spinal subdural hematoma associated with subacute cranial subdural hematoma is a rare entity. There is no precise age of presentation, and there is a slight female predominance. Origin is primary or secondary to hematologic factors or vascular and iatrogenic procedures. The main symptom is motor deficit in 57% of the cases. Surgical treatment is warranted only with neurological deficits. CLINICAL CASE: We present the case of a 44-year-old male with severe headache and diagnosis of subacute frontoparietotemporal subdural hematoma and signs of lumbar radiculopathy. Prognosis is proportional to the initial neurologic deficit. CONCLUSIONS: Patients with cranial subdural hematoma who develop neurological symptoms in the lower extremities should have magnetic resonance imaging study to rule out spinal subdural hematoma.
Subject(s)
Humans , Male , Adult , Hematoma, Subdural, Acute/complications , Hematoma, Subdural, Intracranial/complications , Hematoma, Subdural, Acute/diagnosis , Hematoma, Subdural, Intracranial/diagnosisABSTRACT
BACKGROUND: Aneurysmal bone cyst (ABC) is a benign expansible cystic lesion most often occuring during the second decade of life. It may occur in any bone in the body. The etiology and pathophysiology remain unclear. Treatment has been intralesional curettage. Spontaneous regression is not common. Other surgical options have been suggested. CLINICAL CASE: We describe the case of an 8-year-old asymptomatic patient with spontaneous regression of a frontal aneurysmal bone cyst in a 4-month period. CONCLUSIONS: In the diagnosed cases of ABC on the skull it is important to establish differential diagnosis with benign and malignant bone tumors like giant cell tumors. In order to obtain precise information on cases with spontaneous regression, serial radiological studies previous to surgery should be performed in asymptomatic patients.
