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Interhemispheric Subdural Hematoma

Published online by Cambridge University Press:  18 September 2015

Neville A. Russell ,
Raquel del Carpio-O'Donovan ,
K.B. Mallya ,
Brien G. Benoit  and
Gary Belanger
Neville A. Russell*
Affiliation:
Division of Neurosurgery and the Department of Diagnostic Radiology, Ottawa Civic Hospital and the University of Ottawa, Ottawa, Ontario
Raquel del Carpio-O'Donovan
Affiliation:
Division of Neurosurgery and the Department of Diagnostic Radiology, Ottawa Civic Hospital and the University of Ottawa, Ottawa, Ontario
K.B. Mallya
Affiliation:
Division of Neurosurgery and the Department of Diagnostic Radiology, Ottawa Civic Hospital and the University of Ottawa, Ottawa, Ontario
Brien G. Benoit
Affiliation:
Division of Neurosurgery and the Department of Diagnostic Radiology, Ottawa Civic Hospital and the University of Ottawa, Ottawa, Ontario
Gary Belanger
Affiliation:
Division of Neurosurgery and the Department of Diagnostic Radiology, Ottawa Civic Hospital and the University of Ottawa, Ottawa, Ontario
*
Suite 606, 1081 Carling Avenue, Ottawa, Ontario K1Y 4G2
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Abstract:

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Although relatively uncommon, interhemispheric subdural hematoma (ISDH) occurs more frequently than was suspected before the advent of computerized tomographic (CT) scanning. When its mass is sufficiently large to compress the medial cerebral hemisphere, specific focal neurological abnormalities may occur. These include weakness of the contralateral leg, or contralateral hemiparesis with the leg being weaker than the arm. On the unenhanced CT scan ISDH is seen as a crescent shaped, midline hyperdensity. Treatment is dictated by the clinical course. Evacuation of the hematoma by parasagittal craniotomy is recommended if the symptoms are pronounced.

Type
Original Articles
Information
Canadian Journal of Neurological Sciences , Volume 14 , Issue 2 , May 1987 , pp. 172 - 174
Copyright
Copyright © Canadian Neurological Sciences Federation 1987

References

1.Aring, CD, Evans, JP.Aberrant location of subdural hematoma. Arch Neurol Psychiat (Chicago) 1940; 44: 1296–1306.Google Scholar
2.Jacobsen, HH.An interhemispherically situated hematoma: Case report. Acta Radiol (Stockh.) 1955; 43: 235–36.Google Scholar
3.Campbell, JA, Campbell, RL.Angiographic diagnosis of head and neck lesions. JAMA 1962; 175: 761–68.Google Scholar
4.Clein, LJ, Bolton, CF.Interhemispheric subdural hematoma: A case report. J Neurol Neurosurg Psychiat 1969; 32: 389–92.Google Scholar
5.Fein, JM, Rovit, RL.Interhemispheric subdural hematoma secondary to hemorrhage from a calloso-marginal artery aneurysm. Neuroradiology 1970; 1: 83–86.Google Scholar
6.Gannon, WE.Interhemispheric subdural hematoma. Case Report. J Neurosurg 1961; 18: 829–30.Google Scholar
7.Woolschlaeger, PB, Woolschlaeger, G.The interhemispheric subdural orfalx hematoma. AJR 1964; 92: 1252–54.Google Scholar
8.Fruin, AH, Juhl, GL, Taylon, C.Interhemispheric subdural hematoma. J Neurosurg 1980; 60: 1300–1302.Google Scholar
9.Glista, GC, Reichman, OH, Brumlik, J, et al.Interhemispheric subdural hematoma. Surg Neurol 1978; 1-: 119–22.Google Scholar
10.Kasdon, DL, Macgruber, MR, Steven, EA, et al.Bilateral interhemispheric subdural hematoma. Neurosurgery 1979; 5: 57–9.Google Scholar
11.Pozzati, E, Gaist, G, Vinci, , et al.Traumatic interhemispheric subdural hematoma. J Trauma 1982; 22: 241–43.Google Scholar
12.Fearnside, MR, Hall, K, Sengupta, RP.Interhemispheric subdural hematoma following head injury. Aust N J Surg 1979; 49: 679–80.Google Scholar
13.Friedman, MB, Brant-Zawadzki, M.Interhemispheric subdural hematoma from ruptured aneurysm. Computerized Radiol 1983; 7: 129–134.Google Scholar
14.Gardeur, D, Metzger, J.Tomodensitometre intra-cranienne. Livre IV. Pathologietraumatiquecranio-cerebrale. Paris Ellipses 1982: 43.Google Scholar
15.Handel, SF, Perpetuo, FUL, Handel, CH.Subdural hematomas due to ruptured cerebral aneurysms: Angiographic diagnosis and potential pitfalls for CT. Am J Roentgenol 1978; 130: 507–509.Google Scholar
16.Ho, SU, Spehlmann, R, Ho, HT.CT scan in interhemispheric subdural hematoma: Clinical and pathological correlation. Neurology 1977; 27: 1097–98.Google Scholar
17.Izawa, M, Takahashi, K, Sentoh, S.A case of interhemispheric subdural hematoma associated with thrombocytopenia. Neurolog Surg (Tokyo) 1982; 10: 557–60.Google Scholar
18.New, PFJ, Scott, WR, Schnur, JA, et al.Computerized axial tomography with the EMI scanner. Radiology 1974; 110: 109–23.Google Scholar
19.Ogsbury, JS, Schneck, SA, Lehman, RAW.Aspects of interhemispheric chronic subdural hematoma including the falx syndrome. J Neurol Neurosurg Psychiat 1978; 41: 72–5.Google Scholar
20.Satoh, T, Yamamato, Y, Asari, S, Sadamoto, K.Traumatic interhemispheric subdural hematoma. Report of a case and analysis of 7 cases. Neurolog Surg (Tokyo) 1982; 10: 667–72.Google Scholar
21.Shigmori, M, Tomoyuki, K, Shirahama, M, et al.Acute interhemispheric subdural hematoma: Report of 2 cases. Neurolog Surg (Tokyo) 1982; 10: 647–52.Google Scholar
22.Sibayan, RI, Gurdjian, ES, Thomas, LM.Interhemispheric chronic subdural hematoma. Neurology 1970; 20: 1215–54.Google Scholar
23.Woimant, F, Thurel, C, Roux, FX, et al.Hematomes susduraux aigus interhemispheriques. Rev Neurol (Paris) 1983; 139: 299–303.Google Scholar
24.Zimmerman, RA, Bilaniuk, LT, Bruce, D, et al.Interhemispheric acute subdural hematoma: A computed tomographic manifestation of child abuse by shaking. Neuroradiology 1978; 16: 39–40.Google Scholar
25.Zimmerman, RA, Bilaniuk, LT, Bruce, D, et al.Computed tomography of craniocerebral injury in the abused child. Radiology 1979; 130: 687–690.Google Scholar
26.Zimmerman, RD, Danziger, A.Extracerebral trauma. Radiol Clin of NA 1982; 20: 105–122.Google Scholar
27.Zimmerman, RD, Yurberg, E, Russell, EJ, et al.Falx and interhemispheric fissure on axial CT: I Normal Anatomy. AJNR 1982; 3: 103–115.Google Scholar
28.Zimmerman, RD, Russell, EJ, Yurberg, E, et al.Falx and interhemispheric fissure on axial CT: II Recognition and differentiation of interhemispheric subarachnoid and subdural hemorrhage. 1982; 3: 635–642.Google Scholar
29.Kristainsen, K, Zimmer, J.Interhemispheric subdural abscess. Brit J Rad 1958; 31: 278–79.Google Scholar
30.List, CF.Diagnosis and treatment of acute subdural empyema. Neurology 1955; 5: 665–70.Google Scholar
31.Osborn, AG, Anderson, RE, Wing, SD.The false falx sign, Radiology 1980; 134: 421–425.Google Scholar