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Updated: Jan 24, 2026
09:01
Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation
Published on: October 15, 2021
8.5K
Enlarging acute tentorial subdural hematoma evacuated by surgery
Jiha Kim1,2
1Department of Neurosurgery, Kangwon National University School of Medicine, Chuncheon-Si, Gangwon-Do, South Korea.
International Medical Case Reports Journal
|May 23, 2019
Summary
Tentorial subdural hematomas (SDH) are usually benign. However, this case shows a rare instance of tentorial SDH enlargement requiring emergency surgery, highlighting the need for close patient observation.
Area of Science:
- Neurosurgery
- Neurology
- Trauma Care
Background:
- Tentorial subdural hematomas (SDH) are typically associated with minimal clinical significance.
- Unlike other SDH types, tentorial SDH rarely necessitates surgical intervention.
Observation:
- A 55-year-old male with head trauma presented with a small acute tentorial SDH on CT.
- Initial neurological status was stable, with no significant brain swelling or midline shift.
- The patient developed confusion and neurological deterioration over 24 hours due to SDH enlargement and midline shift.
Findings:
- A rare case of a tentorial SDH that gradually enlarged.
- Surgical evacuation via craniotomy was required due to rapid neurological decline.
- Complete recovery without new neurological deficits was achieved post-surgery.
Implications:
- This case underscores that tentorial SDH can enlarge and necessitate urgent surgical evacuation.
- Close monitoring of patients with tentorial SDH is crucial, regardless of initial presentation.
- Highlights the importance of timely intervention in managing potentially deteriorating intracranial hematomas.
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