NATURAL EVOLUTION AND POSSIBLE COMPLICATIONS OF CHRONIC SUBDURAL HEMATOMA
Abstract:
Mr. P.A, a 81-year-old man with prior diagnosis of atrial flutter, being under oral
anticoagulation therapy (Apixaban), denying any head traumas, presented for 2,5 months vertigo and
falling episodes, with progressive worsening. The CT scan revealed bilateral, fronto-temporoparietal,
chronic subdural hematoma with acute hemorrhage. A bilateral parietal craniotomy was
performed with evacuation of both chronic hematoma. After removal of drain tubes, patient’s state
suddenly worsened, Emergency CT scan shown: frontal bilateral tension pneumocephalus and
bilateral subdural fronto-temporo-parietal collections with acute and subacute hematic area- known
complications of SDH;an emergent surgery followed, with bilateral, frontal, craniectomy. Further
clinical evolution of this patient was maintained positive.
full text article in English (.EN) |