期刊
NEUROLOGIA MEDICO-CHIRURGICA
卷 40, 期 10, 页码 508-510出版社
JAPAN NEUROSURGICAL SOC
DOI: 10.2176/nmc.40.508
关键词
brain stem injury; craniotomy; computed tomography; Duret hemorrhage
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 pens. 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.
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