A woman, age 34, with a medical history of ADPKD presented with acute-onset headaches after a day of riding roller coasters at an amusement park. Feghali, J., Yang, W. & Huang, J. Patients with missing survival follow-up data (n=19) were excluded. The brain has three membrane layers or coverings (called meninges) that lie between the bony skull and your brain tissue. . "At 12 months, death had occurred in 30.2% of the patients in the craniotomy group and in 32.2% of those in the craniectomy group; a vegetative state occurred in 2.3% and 2.8%, respectively, and . Surgical management of traumatic acute subdural hematoma in adults: A review. 2014; doi:10.2176/nmc.cr.2014-0204. Figure 2: Axial T2-fluid attenuated inversion recovery (FLAIR) MRI at 3 weeks shows bilateral frontoparietal subdural hemorrhages. The acute-onset nature of her headaches, however, associated with a potential source of trauma, requires ruling out of more concerning secondary causes of headache.1. Learn about the symptoms of septal hematoma, including possible ways to treat it from home. A subdural hematoma is always a risk after a head injury. Subdural hematoma following roller coaster ride while anticoagulated. MRI uses a strong magnetic field and radio waves to create detailed images of the brain tissues. World Neurosurg. Women were older than men, among whom alcohol abuse and hypertension were more common (Table 1). A 25-year-old male patient presented to the emergency department (ED) after a minor trauma. Rev. Similar Result for Craniotomy, Craniectomy in Acute Hematoma McBride W. Subdural hematoma in adults: Management and prognosis. It often forms due to an acute subdural hematoma that will not go away. Bullock MR, Chesnut R, Ghajar J, et al. Chronic subdural hematoma (CSDH) is the most common neurosurgical emergency in older people [1]. The acute form has a very high mortality rate. Brain Bleeds: Symptoms, Causes, Diagnosis, and Treatment - Verywell Health Two months later, in consultation, the patient remained with 3rd nerve palsy, but hemiparesis was resolved and the patient performed daily activities in a fully independent manner (Fig. During the last two decades, however, perception of the nature of the disease has changed: cSDH has been associated with higher lingering mortality rates than previously reported6,12,14,15. Another had a pre-existing arachnoid cyst, discovered when the subdural hematoma after riding roller coasters was diagnosed. Neurol. Kolias, A. G., Chari, A., Santarius, T. & Hutchinson, P. J. Page last reviewed: 19 August 2021 Excess case-fatality rate was 8% among men and only 3% among women in the youngest age group. New York, NY: McGraw-Hill Education; 2014. https://doi.org/10.1016/j.jocn.2018.01.050 (2018). Mrs. R did have a medical history of ADPKD; however, her vasculature did not show any evidence of aneurysm on prior brain MRA, making it less likely that her medical condition predisposed her to traumatic injury. PubMed https://doi.org/10.3340/jkns.2012.52.3.234 (2012). Whitehouse et al. 2009;30(4):339-345. This pressure can lead to breathing problems, paralysis and death if not treated. Initial imaging 3 days after the incident showed no abnormalities, but after persistent headaches, repeat imaging at 4 weeks showed bilateral subacute subdural hematomas. In the absence of all risk factors, Mrs. R was graded as having a low risk for severe intracranial injury.3. 2016;56(2):372-378. Some patients may need a combination of MMA embolization, surgery, and medication. We do not endorse non-Cleveland Clinic products or services. It can be caused by many things but isn't well understood.
