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Use of a Wireless Video-EEG System to Monitor Epileptiform Discharges Following Lateral Fluid-Percussion Induced Traumatic Brain Injury

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Chronic subdural hematoma after eccentric exercise using a vibrating belt machine.

Hey-Ran Park¹, Kyeong-Seok Lee, Hack-Gun Bae

¹Department of Neurosurgery, Soonchunhyang University Cheonan Hospital, Cheonan, Korea.

Journal of Korean Neurosurgical Society

|November 27, 2013

Summary

A 75-year-old man developed bilateral chronic subdural hematoma (CSDH) after using a vibrating belt on his head. This case highlights that even minor head trauma, like vibration, can lead to CSDH.

Keywords:

Chronic subdural hematoma Craniocerebral trauma Injuries Vibration

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Area of Science:

Neurology
Neurosurgery

Background:

Chronic subdural hematoma (CSDH) is a collection of blood that forms between the dura mater and the arachnoid mater.
CSDH typically occurs in older adults and is often associated with mild head trauma.

Observation:

A 75-year-old male presented with headache and left-sided numbness.
He reported using a vibrating belt machine on his head for 20 days.
Imaging revealed bilateral CSDH, isodense on CT, and an incidental arachnoid cyst.

Findings:

The patient underwent successful surgical evacuation of the bilateral CSDH via burr-hole drainage under local anesthesia.
Postoperative imaging confirmed resolution of the hematoma and identified a left temporal pole arachnoid cyst.

Implications:

This case suggests that repetitive, low-impact head trauma from vibrating devices may be a potential, albeit unusual, cause of CSDH.
It underscores the importance of considering non-traumatic etiologies in CSDH, especially in elderly patients.
The presence of an arachnoid cyst may predispose individuals to CSDH following minor head trauma.