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Interhemispheric subdural haematomas
A C Iplikçioğlu1, M A Bayar, F Kökes
1Department of Neurosurgery, Ankara Hospital, Turkey.
British Journal of Neurosurgery
|January 1, 1994
Summary
Interhemispheric subdural haematomas (ISDHs) are often caused by trauma. CT scans diagnose ISDHs, with conservative treatment favored for stable patients.
Area of Science:
- Neurology
- Neurosurgery
- Radiology
Background:
- Interhemispheric subdural haematomas (ISDHs) are rare collections of blood in the subdural space along the falx cerebri.
- Understanding the etiology, diagnostic modalities, and management of ISDHs is crucial for patient outcomes.
Purpose of the Study:
- To describe the clinical characteristics, diagnostic findings, and treatment outcomes of eight patients with interhemispheric subdural haematomas (ISDHs).
Main Methods:
- Retrospective case series.
- Diagnosis confirmed using computed tomography (CT) scans.
- Clinical data and treatment strategies were reviewed.
Main Results:
- Trauma was the most frequent cause of ISDHs in this cohort.
- Two patients presented with hydrocephalus, one with associated agenesis of the corpus callosum.
- CT imaging was essential for diagnosis, with one case showing findings suggestive of subdural empyema.
- Conservative management was the preferred approach for neurologically stable individuals.
- One patient experienced haematoma migration to the cerebral convexity following liquefaction.
Conclusions:
- Interhemispheric subdural haematomas (ISDHs) are predominantly associated with trauma.
- Computed tomography (CT) is the primary diagnostic tool for ISDHs.
- Conservative management is often effective for stable patients, though complications like empyema or migration can occur.