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A case of acute subdural hematoma associated with convexity meningioma.

Abstract A 61-year-old normotensive woman was admitted to our hospital with complaints of severe headache and nausea. She has had a limp due to the poliomyelitis in her childhood. Three days before admission, she had a headache without unconsciousness. On admission, she was almost alert. Her vital signs were normal. A mild monoparesis of the atrophic right lower extremity was evident. This impairment was due to her past poliomyelitis. There were no other motor palsy, sensory loss, nuchal rigidity, and papilledema. A plain CT scan showed a crescent high density zone adjacent to a round high density mass in the left convexity. A cerebral angiogram showed a vascular left temporoparietal mass supplied by a middle meningeal artery. A craniotomy was then immediately performed. The well encapsulated tumor was totally resected, and the adjacent subdural hematoma was also evacuated. Histologically, the tumor was transitional meningioma with areas containing thin-walled vessels and focal necrosis. Postoperative course was uneventful. The origin of hemorrhage in this case would seem to be the thin-walled blood vessel with loss of vessel support. The clinical significance and the mechanism of the hemorrhage from the meningioma were discussed.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title no shinkei geka. neurological surgery
Publication Year Start




PMID- 3067106
OWN - NLM
STAT- MEDLINE
DCOM- 19890324
LR  - 20061115
IS  - 0301-2603 (Print)
IS  - 0301-2603 (Linking)
VI  - 16
IP  - 12
DP  - 1988 Nov
TI  - [A case of acute subdural hematoma associated with convexity meningioma].
PG  - 1389-93
AB  - A 61-year-old normotensive woman was admitted to our hospital with complaints of 
      severe headache and nausea. She has had a limp due to the poliomyelitis in her
      childhood. Three days before admission, she had a headache without
      unconsciousness. On admission, she was almost alert. Her vital signs were normal.
      A mild monoparesis of the atrophic right lower extremity was evident. This
      impairment was due to her past poliomyelitis. There were no other motor palsy,
      sensory loss, nuchal rigidity, and papilledema. A plain CT scan showed a crescent
      high density zone adjacent to a round high density mass in the left convexity. A 
      cerebral angiogram showed a vascular left temporoparietal mass supplied by a
      middle meningeal artery. A craniotomy was then immediately performed. The well
      encapsulated tumor was totally resected, and the adjacent subdural hematoma was
      also evacuated. Histologically, the tumor was transitional meningioma with areas 
      containing thin-walled vessels and focal necrosis. Postoperative course was
      uneventful. The origin of hemorrhage in this case would seem to be the
      thin-walled blood vessel with loss of vessel support. The clinical significance
      and the mechanism of the hemorrhage from the meningioma were discussed.
FAU - Tokunaga, T
AU  - Tokunaga T
AD  - Department of Neurosurgery, Fuchu Keizinkai Hospital.
FAU - Kuboyama, M
AU  - Kuboyama M
FAU - Kojo, N
AU  - Kojo N
FAU - Matsuo, H
AU  - Matsuo H
FAU - Shigemori, M
AU  - Shigemori M
FAU - Kuramoto, S
AU  - Kuramoto S
LA  - jpn
PT  - Case Reports
PT  - English Abstract
PT  - Journal Article
PT  - Review
PL  - Japan
TA  - No Shinkei Geka
JT  - No shinkei geka. Neurological surgery
JID - 0377015
SB  - IM
MH  - Acute Disease
MH  - Female
MH  - Hematoma, Subdural/*etiology/surgery
MH  - Humans
MH  - Meningeal Neoplasms/*complications/pathology/surgery
MH  - Meningioma/*complications/pathology/surgery
MH  - Middle Aged
RF  - 19
EDAT- 1988/11/01 00:00
MHDA- 1988/11/01 00:01
CRDT- 1988/11/01 00:00
PHST- 1988/11/01 00:00 [pubmed]
PHST- 1988/11/01 00:01 [medline]
PHST- 1988/11/01 00:00 [entrez]
PST - ppublish
SO  - No Shinkei Geka. 1988 Nov;16(12):1389-93.