Rapid Redistribution of an Acute Traumatic Epidural Hematoma in a Patient with Invasive Skull Cancer.
10.13004/kjnt.2018.14.2.138
- Author:
Hyunnyung LEE
1
;
Sun Chul HWANG
;
A Leum LEE
;
Chan Gyu KIM
;
Soo Bin IM
Author Information
1. Department of Neurosurgery, Soonchunhyang University Bucheon Hospital, Bucheon, Korea. sunchulh@schmc.ac.kr
- Publication Type:Case Report
- Keywords:
Epidural hematoma;
Malignant nerve sheath tumor;
Neurofibromatosis;
Resolution;
Skull fracture
- MeSH:
Adult;
Brain;
Hematoma*;
Humans;
Neurofibromatoses;
Peripheral Nerves;
Skull Fractures;
Skull*
- From:Korean Journal of Neurotrauma
2018;14(2):138-141
- CountryRepublic of Korea
- Language:English
-
Abstract:
The rapid spontaneous resolution of an acute epidural hematoma (EDH) has rarely been reported. A possible mechanism of spontaneous resolution is egress of the hematoma into the subgaleal space through a skull fracture. We report a case of rapid redistribution of an acute EDH in a 37-year-old man who had a malignant peripheral nerve sheath tumor of the skull and who slipped and fell when going to the bathroom. A huge EDH without a skull fracture developed in the left parieto-occipital area. The acute EDH was completely alleviated and a newly developed intracerebral hematoma was found on a brain computed tomography scan that was acquired the day after the trauma. Given these findings, a fractured skull and increased pressure in the intradural area may have been the mechanisms underlying the redistribution of the hematoma.
