Open AccessInterhemispheric Subdural Hematoma in Adults
Author(s) -
Ronald H. M. A. Bartels,
W. I. M. Verhagen,
M. J. J. Prick,
Johanna E. Dalman
Publication year - 1995
Publication title -
neurosurgery/neurosurgery online
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 1.485
H-Index - 34
eISSN - 1081-1281
pISSN - 0148-396X
DOI - 10.1227/00006123-199506000-00026
Subject(s) - medicine , craniotomy , hematoma , surgery , subdural haematoma , mass effect , subdural hematomas , hemiparesis , level of consciousness , conservative treatment , anesthesia , lesion
The interhemispheric subdural hematoma is a relatively uncommon type of subdural hematoma, especially seen in patients with blood clotting disturbances. When its mass becomes sufficiently large, specific neurological abnormalities such as hemiparesis and signs of the falx syndrome are seen. Treatment can consist of conservative observation or craniotomy and is dictated by the clinical course. Conservative management is the treatment of choice for patients without disturbances of consciousness and for patients with stable clinical conditions. Surgical treatment is necessary in patients with progressive deterioration. Three case reports are presented, as well as a review of 64 cases described in the literature. The salient aspects of this clinical entity are discussed.