Türk Beyin Damar Hast Derg. 2006; 12(1): 29-31

ACUTE INTERHEMISPHERIC SUBDURAL HEMATOMA

Kemal HAMAMCIOÐLU¹, Erdal EROÐLU¹, Semai BEK¹, Zeki ODABAÞI¹

Acute interhemispheric subdural hematomas are an uncommon complication of head trauma. The aetiology is consist of intracranial aneurismal ruptures, coagulopathies, anticoagulant therapies, alcohol abuse, “shaken baby syndrome” other than trauma, the most common cause of the interhemispheric subdural hematomas. Patients present with contrlateral hemiparesis, changing levels of consciousness, focal or generalized seizures, language disorders, gait ataxia and oculomotor dysfunction. Both conservative and surgical management have been equally advocated. However, in the presence of a worsening neurological condition prompt surgical evacuation of hematoma is mandatory.

Keywords: interhemispheric, subdural, hematoma

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AKUT ÝNTERHEMISFERIK SUBDURAL HEMATOM

Kemal HAMAMCIOÐLU¹, Erdal EROÐLU¹, Semai BEK¹, Zeki ODABAÞI¹
Gülhane Askeri Týp Akademisi Nöroloji Anabilim Dalý, Ankara

Akut interhemisferik subdural hematomlar kafa travmalarýnýn nadir komplikasyonlarýndan biridir. Etyolojik nedenler arasýnda, en sýk görülen kafa travmalarýndan baþka intrakranyal anervrizma yýrtýlmasý, koagülopatiler, antikoagülan tedavi, alkol baðýmlýlýðý, “bebek sarsma sendromu” sayýlabilir. Hastalar karþý tarafta hemiparezi, bilinç seviyesinde deðiþiklik, fokal veya jeneralize nöbetler, lisan bozukluklarý, ataksik yürüyüþ, okülomotor fonksiyon bozukluðu ile baþvururlar. Tedavide hem konservatif, hem de cerrahi yaklaþým eþit olarak önerilmektedir. Ancak nörolojik bulgularda kötüleþme varsa hematomun cerrahi olarak boþaltýlmasý gerekir.

Anahtar Kelimeler: interhemisferik, subdural, hematom.

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