TITLE:
A Rare Etiology of a Life-Threatening Subdural Hematoma: Case Report and Literature Review
AUTHORS:
Ibrahim Dao, Hassan Baallal, Narcisse Mike Wendpuiré Ouédraogo, Ousmane Ouattara
KEYWORDS:
Cavernous Hemangioma, Subdural Hematoma, Emergency, Skull, Surgery
JOURNAL NAME:
Open Journal of Modern Neurosurgery,
Vol.14 No.2,
March
12,
2024
ABSTRACT: Background: Life-threatening subdural hematoma is commonly related to trauma and rarely revealed by neoplasm. Observation: We report a case of a 53-year-old suffering from mild headache and without a history of trauma, was admitted unconscious due to a subdural hematoma on radiological investigations. Beside the left subdural hematoma, there was also alytic lesion of the sphenoid wing and the temporal bone on the same side. An emergent removal of the subdural hematoma and an excision of the bone lesion were performed. Pathological examination diagnosed a cavernous hemangioma of the skull. The postoperative period was uneventful with a dramatic recovery of the patient. Conclusion: A quick worsening of a chronic headache, acute impairment of an uncommon headache deserve prompt investigation and emergent surgical management in case of intracranial hematoma. Any bone and dural abnormalities at the vicinity of a subdural hematoma require total excision with clean border and pathological examination.