Development of Delayed Acute Subdural Hematoma after Mild Traumatic Brain Injury: A Case Report.
10.13004/kjnt.2018.14.1.24
- Author:
Soon O HONG
1
;
Dong Soo KANG
;
Min Ho KONG
;
Se Youn JANG
;
Jung Hee KIM
;
Kwan Young SONG
Author Information
1. Department of Neurosurgery, Seoul Medical Center, Seoul, Korea. kdsyjyw@hotmail.com
- Publication Type:Case Report
- Keywords:
Acute subdural hematoma;
Surgical decompression;
Traumatic brain injury
- MeSH:
Brain;
Brain Injuries*;
Craniocerebral Trauma;
Craniotomy;
Decompression, Surgical;
Emergency Service, Hospital;
Follow-Up Studies;
Headache;
Hematoma;
Hematoma, Subdural, Acute*;
Humans;
Male;
Middle Aged;
Neurologic Examination;
Neurologic Manifestations;
Neurosurgery;
Primary Health Care;
Seizures;
Skull Fractures
- From:Korean Journal of Neurotrauma
2018;14(1):24-27
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report a case involving the development of a delayed acute subdural hematoma (ASDH) after trauma, with the absence of any abnormal radiological and clinical findings at initial examination. A 54-year-old male visited the emergency department after a minor trauma. The patient only complained of mild headache after head injury. He presented no abnormal findings on neurological examination, and brain computed tomography (CT) did not show any intracranial lesion or skull fractures. However, he developed seizure with disorientation eight hours after trauma, and ASDH with midline shift was found during a follow-up CT. He recovered without neurological deficits after immediate primary care and admission to the neurosurgery department. On serial follow-up CT images, a gradually increasing mass effect of hematoma was detected, and removed by craniotomy. The patient recovered without neurologic deficits.
