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Acute interhemispheric subdural haematoma. A case report.
R Rispoli1, R Mastrostefano, N Koumpouros
1Neurosurgery Department, SS. Filippo e Nicola Hospital; Avezzano, Italy - rossella.rispoli@libero.it.
The Neuroradiology Journal
|November 12, 2013
Summary
Acute interhemispheric subdural hematoma (AISH), a rare head injury complication, typically presents with leg weakness. Treatment depends on clinical status, ranging from observation to surgery for neurological decline.
Area of Science:
- Neurosurgery
- Neurology
- Trauma Care
Background:
- Acute interhemispheric subdural hematoma (AISH) is a rare but significant complication following head injury.
- Fewer than 100 cases have been reported since 1940, highlighting its rarity.
- Classical presentation includes contralateral leg weakness (monoparesis) or hemiparesis predominantly affecting the leg.
Purpose of the Study:
- To report a case of traumatic AISH.
- To discuss the clinical presentation and management of AISH.
- To emphasize the importance of recognizing AISH in patients with specific neurological deficits.
Main Methods:
- Case report of a 31-year-old patient with traumatic AISH.
- Review of clinical presentation, diagnostic findings, and treatment course.
- Discussion of management options including conservative observation and surgical intervention.
Main Results:
- The patient presented with contralateral leg monoparesis, a characteristic symptom of AISH.
- The case highlights the diagnostic challenge and clinical variability of AISH.
- Treatment decision was based on the patient's clinical condition and neurological status.
Conclusions:
- AISH, though rare, should be considered in the differential diagnosis of head injury patients with leg weakness.
- Management strategies for AISH must be individualized based on clinical progression.
- Prompt recognition and appropriate management are crucial for favorable outcomes in AISH cases.
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