Traumatic interhemispheric subdural haematomas.
According to reports in the literature traumatic interhemispheric subdural haematomas (I.S.H.) are supposed to present acutely or subacutely with contralateral monoparesis of a lower extremity or hemiparesis or in bilateral haematomas even with paraparesis, and to need early operative evacuation. In our series of 5 cases none of them followed this "classical" clinical picture, and three of them recovered without operation. We conclude that the indication for operative evacuation depends on the clinical course and that in patients with spontaneously improving symptomatology non-surgical management under close supervision may be the better solution. Also the C.T. finding of open convexity cisterns may be possible indication for conservative management.
Vaz
R
R
Department of Neurology and Neurosurgery, Hospital S. João, Oporto, Portugal.
Duarte
F
F
Oliveira
J
J
Cerejo
A
A
Cruz
C
C
D000293:Adolescent; D000328:Adult; D000368:Aged; D001930:Brain Injuries / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D002540:Cerebral Cortex / Q000293:injuries* / Q000473:pathology / Q000601:surgery; D003399:Craniotomy; D004292:Dominance, Cerebral / Q000502:physiology*; D005260:Female; D006408:Hematoma, Subdural / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009460:Neurologic Examination; D009483:Neuropsychological Tests; D014057:Tomography, X-Ray Computed