Spontan Subdural Hematomu Olan Genç Hasta, Olgu Sunumu

Acil servise nörolojik şikayetlerle başvurunun oldukça sık sebeplerinden biri baş ağrısıdır. Subdural hematom genellikle yaşlılarda görülür. Gençlerde subdural hematom nadirdir ve genellikle travma sebebiyle oluşur. Gençlerde spontan subdural hematoma ise çok nadiren rastlanır. Bu olguda acil servise baş ağrısı şikayeti ile başvuran 35 yaşında erkek hastayı sunduk. Hastanın travma öyküsü yoktu. Cerrahi sonrası hasta tam düzelme ile taburcu edildi. 

A young patient with spontaneous subdural hematoma: Case Report

Headache is one of the very common cause of admission to the emergency department with neurological complaints. Subdural hematoma is usually seen in the elderly. Subdural hematoma is rare in young people and usually caused by trauma. Spontaneous subdural hematoma is very rarely seen in young people. In this case, we presented 35 years old male patient without a history of trauma with spontaneous subdural hematoma who admitted to emergency department with a headache

___

  • Maxeiner H. Detection of ruptured cerebral bridging veins at autopsy. Forensic Sci Int. 1997; 19;89(1-2):103-10.
  • Koç RK, Paşaoğlu A, Kurtsoy A, Oktem IS, Kavuncu I. Acute spontaneous subdural hematoma of arterial origin: A report of five cases. Surg Neurol 1997;47:9-11
  • Chhiber SS, Singh JP. Acute spontaneous subdural hematoma of arterial origin: a report of four cases and review of literature. Neurol India. 2010;58(4):654-8. doi: 10.4103/0028-3886.68698.
  • Borger V, Vatter H, Oszvald Á, Marquardt G, Seifert V, Güresir E. Chronic subdural haematoma in elderly patients: a retrospective analysis of 322 patients between the ages of 65-94 years. Acta Neurochir (Wien). 2012;154(9):1549-54. doi: 10.1007/s00701-012-1434-x. Epub 2012 Jul 8.
  • Stroobandt G, Fransen P, Thauvoy C, Menard E. Pathogenetic factors in chronic subdural haematoma and causes of recurrence after drainage. Acta Neurochir (Wien). 1995;137(1-2):6-14.
  • Yang AI, Balser DS, Mikheev A et al. Cerebral atrophy is associated with development of chronic subdural haematoma. Brain Inj. 2012;26(13-14):1731-6. doi: 10.3109/02699052.2012.698364. Epub 2012 Jul 3.
  • Koerbel A, Ernemann U, Freudenstein D. Acute subdural haematoma without subarachnoid haemorrhage caused by rupture of an internal carotid artery bifurcation aneurysm: case report and review of literature. Br J Radiol. 2005;78(931):646-50.
  • McKissock W, Richardson A, Bloom WH. Subdural hematoma a reiew of 389 cases. Lancet 1960; 1: 1365-1369.
  • De Carvalho D, Almenawer S, Lozej M, Noble H, Murty NK. Spontaneous chronic subdural hematoma in a 22-year-old healthy woman. World Neurosurg. 2013;80(5):654.e9-11. doi: 10.1016/j.wneu.2012.11.065. Epub 2012 Nov 24.
  • Akdur G, Akdur O, Sezenler E, Kavalcı C. Genç erişkinde tekrarlayan baş ağrısının nadir bir nedeni; Subdural hematom. Cer San D (J Surg Arts), 2014;7(1):41-42.
  • Arpino L, Gravina M, Basile D, Franco A. Spontaneous chronic subdural hematoma in a young adult.
  • J Neurosurg Sci. 2009;53(2):55-7.
  • Coombs JB, Coombs BL, Chin EJ. Acute spontaneous subdural hematoma in a middle-aged adult: case report and review of the literature. J Emerg Med. 2014;47(3):e63-8. doi: 10.1016/j.jemermed.2014.04.026. Epub 2014 Jun 7.
  • Gray’s Anatomy, Fortieth Edition, Editor Susan Standring, Churchill Livingstone Elsevier, 2008, pp 425-434.
  • Yamazaki Y, Tachibana S, Kitahara Y, Ohwada T. Promotive factors of chronic subdural hematoma in relation to age. No Shinkei Geka. 1996;24(1):47-51.
  • Yamashima T, Friede RL. Why do bridging veins rupture into the virtual subdural space? J Neurol Neurosurg Psychiatry. 1984;47(2):121-7.