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Acute Spontaneous Subdural Hematoma of Arterial Origin
Joon-Ho Yoon2, Young-Bo Shim2, Ho-Shin Gwak1, Ji-Woong Kwon3, Sang-Hyun Lee4
1National Cancer Center, Graduate School of Cancer Science and Policy, Goyang-si, Gyeonggi-do, Korea
2Department of Neurosurgery, Seoul National University College of Medicine, Korea , Seoul, Korea
3Neuro-Oncology clinic, National Cancer Center, Goyang, Korea, Goyang, Korea
4Department of Radiology, National Cancer Center, Goyang, Korea, Goyang, Korea
Correspondence  Ho-Shin Gwak ,Tel: 031-920-1666, Fax: 031-920-2798, Email: nsghs@ncc.re.kr
Received: December 30, 2016;  Accepted: March 20, 2017.  Published online: March 20, 2017.
ABSTRACT
A spontaneous subdural hematoma (SDH) occurred in a 43-year-old woman during hospital administration. She had received endoscopic thyroidectomy for alleged papillary thyroid carcinoma. Unfortunately, she had a wound infection complicated from esophageal perforation. Therefore, she had to have parenteral nutrition to avoid per os administration of food materials. Five days after the operation, she received central line insertion uneventfully. However, 30 minutes later, she complained headache and lost consciousness in a few minutes. Brain CT revealed acute SDH of right hemisphere with severe midline shift. Emergency craniotomy revealed acute SDH. At the end of the removal of hematoma, small cortical artery at temporoparietal lobe was found to be ruptured. Spontaneous SDH form of arterial rupture has been rarely reported. All reported cases have a sudden onset headache followed by neurological deficit mostly progressed to comatose status. The verified origin of bleeding is a cortical artery near the temporal or parietal lobe.
Key words: Acute; Artery; Spontaneous; Subdural Hematoma
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Acute Spontaneous Subdural Hematoma of Arterial Origin  2017 April;3(1)
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