J Korean Neurotraumatol Soc.  2006 Jun;2(1):84-87. 10.13004/jknts.2006.2.1.84.

A Case of Craniocerebral Injury Caused by an axe Strike which had a Delayed Spontaneous Acute Subdural Hemorrhage: A Case Report

• Sung KH
• Lee WC
• Min KS
• Lee MS
• Kim YG
• Kim DH

• KMID: 2192340
• DOI: http://doi.org/10.13004/jknts.2006.2.1.84

Abstract

The authors report a case of delayed onset acute subdural hematoma developed spontaneously after open craniocerebral injury by an axe. A-70-year-old women was admitted with open frontofacial injury by an axe. The patient's mental status was slightly drowsy and her right pupil was dilated due to direct eye injury. Brain CT showed frontofacial bone fracture, subdural hematoma and intracerebral hemorrhage in the right frontal lobe. Emergency operation including right frontal lobectomy and frontofacial reconstruction was done and patient's consciousness was completely recovered. Ten days postoperatively, acute subdural hematoma developed without head trauma. The patient expired. Authors report a case of delayed onset spontaneous acute subdural hematoma after craniocerebral injury by an axe and discussed the pathogenesis of spontaneous acute SDH with literature review.

Keyword

Axe; Delayed spontaneous acute SDH

MeSH Terms

Brain
Cerebral Hemorrhage
Consciousness
Craniocerebral Trauma*
Emergencies
Eye Injuries
Female
Fractures, Bone
Frontal Lobe
Hematoma, Subdural*
Hematoma, Subdural, Acute
Humans
Pupil
Strikes, Employee*