Recovery from Duret hemorrhage: a rare complication after craniotomy--case report.
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.
Fujimoto
Y
Y
Department of Neurosurgery of Hospital das Clínicas, University of São Paulo, Brazil.
Aguiar
P H
PH
Freitas
A B
AB
de Andrade
A F
AF
Marino Júnior
R
R
D000328:Adult; D002543:Cerebral Hemorrhage / Q000000981:diagnostic imaging* / Q000601:surgery; D002559:Cerebrospinal Fluid Rhinorrhea / Q000601:surgery*; D003128:Coma / Q000000981:diagnostic imaging / Q000601:surgery; D005260:Female; D006407:Hematoma, Epidural, Cranial / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008636:Mesencephalon / Q000000981:diagnostic imaging / Q000601:surgery; D011149:Pons / Q000000981:diagnostic imaging / Q000601:surgery; D011183:Postoperative Complications / Q000000981:diagnostic imaging* / Q000601:surgery; D014057:Tomography, X-Ray Computed