Open AccessRecovery From Duret Hemorrhage: A Rare Complication After Craniotomy. Case Report.
Author(s) -
Yasunori Fujimoto,
Paulo Henrique Pires de Aguiar,
Alexandre Bruno Raul Freitas,
Almir Ferreira de Andrade,
Raul Marino
Publication year - 2000
Publication title -
neurologia medico-chirurgica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.788
H-Index - 51
eISSN - 1349-8029
pISSN - 0470-8105
DOI - 10.2176/nmc.40.508
Subject(s) - medicine , craniotomy , complication , surgery , pons , hematoma , decompression , glasgow coma scale , midbrain , anesthesia , anatomy , central nervous system , endocrinology
A 44-year-old female presented with Duret hemorrhage due to transtentorial herniation by extradural hematoma as a complication after craniotomy for treatment of spontaneous middle cranial fossa cerebrospinal fluid leakage through the oval window. Brain computed tomography revealed linear hemorrhage in the midbrain and the rostral pons. She awoke after 2 weeks in a coma, despite showing ocular bobbing and bilateral intranuclear ophthalmoplegia. She was discharged from the hospital with minimal neurological defects. Duret hemorrhage is usually fatal, but this case shows that early surgical decompression is the most important factor to avoid the worst sequelae.