Intracerebral bleed Intracerebral hemorrhage Haemorrhagic stroke Intraparenchymal cerebral haemorrhage Intraparenchymal cerebral bleed Intraparenchymal cerebral hemorrhage Intracerebral haemorrhages Intraparenchymal cerebral hemorrhages Intraparenchymal cerebral bleeds Intraparenchymal cerebral haemorrhages Intracerebral hemorrhages Intracerebral bleeds Intra-cerebral haemorrhage. Hematoma location is another factor influencing both short and long-term outcome [ 4 ]. Subsequent systematic reviews, however, suggested potential positive effects of surgical evacuation in certain subgroups [ ]. An advantage of MRI over CT is its ability to detect microbleeds, indicative of underlying vascular disease and a risk factor for recurrent lobar ICH [ ]. Hemorragia intracerebral It is also somewhat difficult to reconcile with the clinical observation that hematoma expansion can occur hours after the initial bleeding [ ]. Pathophysiology Biology Hematoma expansion is often conceptualized as a single vessel that bursts and continues to bleed, analogous to a bathtub with a persistently running tap.
|Published (Last):||22 March 2006|
|PDF File Size:||2.37 Mb|
|ePub File Size:||8.86 Mb|
|Price:||Free* [*Free Regsitration Required]|
Yozshunos J Comp Assist Tomogr ;4: With any intracerebral hemorrhage the following points should be included in a report hemwtoma they have prognostic implications In one case an infratemporal subdural hematoma occurred because of a needle puncture of the inferior temporal vein, the clot was removed and the patient recovered. How to cite this article.
Report of two cases. The association of the posterior fossa chronic subdural hematoma with spontaneous parenchymal hemorrhage without anticoagulation therapy was never related in the literature, to our knowledge.
Log in Sign up. Eur J Radiol ; When analyzing extratrigeminal complications hemaatoma found that 5 patients developed a carotid-cavernous fistula and 18 oculomotor palsies. Spontaneous bilateral chronic subdural hematoma of the posterior fossa. Spaziante el al, 24 reported the occurrence of subarachnoid hemorrhage filling the basal and sylvian cisterns in a 62 year old man who underwent PCTG; normal pressure hydrocephalus developed as a consequence, and the patient eventually died following various complications; the surgical procedure was apparently correct as the needle did not penetrate beyond the foramen ovale and the inflated balloon did not move out of the Meckel,s cave; in addition, the functional result was excellent indicating an appropriate compression of the gasserian ganglion, and both normal coagulation studies and cerebral angiography excluded an alternative cause for SAH in this patient; since he did not show arterial pressure rises during the procedure, the authors attributed subarachnoid hemorrhage to piercing of the dura at the intracranial entry point with subsequent hemorrhagic extension into the CSF spaces.
Routine preoperative analyses, coagulation studies included, were normal. Intracerebral haemorrhage Radiology Reference Article The finding of these lesions in patients without a history of trauma is even rarer, with only 15 cases reported, including those related to anticoagulant therapy 1, We describe the case of a patient who developed a fatal intratemporal and subdural hemorrhage following PCTG and discuss the possible causes of technical failure with the aim of preventing such a dreadful complication.
WB Saunders Co, Philadelphia, jematoma pp: Gerber and Mullan 7 reported two extracranial pterygoid arteriovenous fistulas in the region of the foramen ovale fed by the maxillary artery in one instance; the fistula caused tinnitus which resolved spontaneously in one case and required transarterial embolization in other.
This risk is higher in patients with a primitive foramen lacerum medius, which consists of fusion of the foramen ovale with the foramen lacerum 21,23in fact, the bone wall separating the carotid artery from the trigeminal nerve may be paper-thin, or even absent Acute subdural and intratemporal hematoma as a complication of percutaneous compression of the gasserian ganglion for trigeminal neuralgia.
Types of intracerebral hemorrhage include see related articles for full list: J Neurosurg ; Excluding the patient reponed here, and some complaining from postoperative transient headache and showing discrete meningeal sings suggestive of mild subsrachnoid hemorrhage, we have not had intracranial hemorrhagic intrapxrenquimatoso in more than percutaneous retrogas-serian trigeminal procedures about two thirds RF lesions and one third PCTG.
Hematoma subdural Fatal complication of percutaneous microcompression of the gasserian ganglion. Percutaneous balloon compression of the gasserian ganglion in trigeminal neuralgia. Received 4 Julyreceived in final form 27 August Accepted 1 October To our knowledge, this is the first report of a spontaneous chronic posterior fossa subdural hematoma related to intraparenquimatoos intraparenchymal cerebellar hemorrhage, without history of trauma, posterior fossa vascular pathology or anticoagulation.
Focal intracranial hemorrhages occurred in 19 patients. Hematoma intraparenquimatoso Consequently, he has recommended performing careful preoperative coagulation studies as most patients suffering trigeminal neuralgia are old and many are on aspirin and other drugs, carbamazepine among them, which intraparensuimatoso able to increase bleeding risk. Apart from intratrigeminal side effects such as transient hemifacial sensory loss, dysesthesia and masticatory weakness, extratrigeminal complications including oculomotor nerve palsies, extracranial arteriovenous fistula or carotid cavernous fistula have been occasionally described.
The patient was taken to the operating room. Percutaneous compression trigeminal ganglion. Concerning PCTG, which requires a comparatively large needle than RF lesioning or glycerol injection, it is critical not penetrate beyond the foramen ovale. The rarity of these lesions precludes treatment intraparenuimatoso, but probably the treatment should not differ hematoja that of chronic supratentorial hematomas, with correction of the coagulation profile if necessary and surgical drainage.
Carotid-cavernous fistula following percutaneous retrogasserian procedures. Following surgery he presented the characteristic hemifacial hypoesthesia and was pain free until 6 months before admission when he was readmitted for a new PCTG because recurrent neuralgia unresponsive to medical therapy.
CV Mosby, ; pp: Fifteen days later, she presented to our outpatient clinic with complaints of continuous headache, somnolence and urinary incontinence. TOP Related Articles.