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Interhemispheric subdural hematoma. Case report.

A H Fruin, G L Juhl, C Taylon

    Journal of Neurosurgery
    |June 1, 1984
    PubMed
    Summary

    Interhemispheric subdural hematoma (ISH) is a rare intracranial hemorrhage. This case highlights its classic leg-dominant hemiparesis presentation and discusses treatment options.

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    Area of Science:

    • Neurology
    • Neurosurgery
    • Radiology

    Background:

    • Interhemispheric subdural hematoma (ISH) is an uncommon type of intracranial hemorrhage.
    • It often results from occipital trauma due to the specific anatomy of bridging veins.

    Observation:

    • This case presents a patient with ISH, characterized by neurological deficits.
    • The classic presentation involves isolated leg paresis or hemiparesis disproportionately affecting the leg.

    Findings:

    • Chronic ISH is rare as these hematomas tend to spread over the cerebral convexity.
    • The anatomical vulnerability of bridging veins in the occipital region predisposes to ISH.

    Implications:

    • Conservative management can be effective for ISH.
    • Early surgical intervention is crucial if neurological deterioration occurs.