J Korean Neurosurg Soc.  2009 Sep;46(3):277-280. 10.3340/jkns.2009.46.3.277.

Traumatic Acute Subdural Hematoma Extending from the Posterior Cranial Fossa to the Cerebellopontine Angle

• Gulsen S
• Sonmez E
• Yilmaz C
• Altinors N

• KMID: 2138421
• DOI: http://doi.org/10.3340/jkns.2009.46.3.277

Abstract

Posterior cranial fossa subdural hematomas and extension of the subdural hematoma to the cerebellopontine angle is rarely seen and the concurrent development of acute peripheral facial palsy and the management strategy have not previously been reported in this pathology because of its rarity. We present this case to emphasize that minor head trauma may lead to a posterior cranial fossa hematoma extending to the cerebellopontine angle and cause peripheral facial palsy in patients using aspirin (acetylsalicylic acid). In addition, partial evacuation and waiting for the resorption of the hematoma may help to prevent damage to the 7th and 8th cranial nerves.

Keyword

Antiplatelet agent; Cerebellopontine angle; Facial nerve; Head injury; Posterior fossa; Subdural hematoma

MeSH Terms

Aspirin
Cerebellopontine Angle
Cranial Fossa, Posterior
Cranial Nerves
Craniocerebral Trauma
Facial Nerve
Facial Paralysis
Hematoma
Hematoma, Subdural
Hematoma, Subdural, Acute
Humans
Aspirin