Subdural hematoma in the setting of internal carotid artery occlusion: CT studies

Robert M. Pascuzzi, Orest B. Boyko, Joseph L. Voelker

Research output: Contribution to journalArticle

Abstract

A 72-year-old woman with previously symptomatic internal carotid artery occlusion subsequently presented with an acute hemispheric deficit. The patient was initially diagnosed as having an ischemic infarction but eventually was shown to have a subacute subdural hematoma with delay in surgical evacuation and a major permanent deficit. We speculate that internal carotid artery occlusion may predispose the patient to greater morbidity from subdural hematoma. Patchy hemispheric infarction may reflect greater vulnerability to extrinsic hemispheric compression in the setting of carotid occlusion. This case illustrates the necessity for vigorous pursuit of the diagnosis of subdural hematoma in patients presumed to have transient ischemic attacks or acute cerebral infarction.

Original languageEnglish (US)
Pages (from-to)899-902
Number of pages4
JournalJournal of Computer Assisted Tomography
Volume13
Issue number5
DOIs
StatePublished - Jan 1 1989

Fingerprint

Subdural Hematoma
Internal Carotid Artery
Infarction
Transient Ischemic Attack
Cerebral Infarction
Morbidity

Keywords

  • Brain
  • Brain
  • Computed tomography
  • Hematoma
  • Infarction

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology

Cite this

Subdural hematoma in the setting of internal carotid artery occlusion : CT studies. / Pascuzzi, Robert M.; Boyko, Orest B.; Voelker, Joseph L.

In: Journal of Computer Assisted Tomography, Vol. 13, No. 5, 01.01.1989, p. 899-902.

Research output: Contribution to journalArticle

@article{ae4c5788afab40d28547ccb22d1e2ef0,
title = "Subdural hematoma in the setting of internal carotid artery occlusion: CT studies",
abstract = "A 72-year-old woman with previously symptomatic internal carotid artery occlusion subsequently presented with an acute hemispheric deficit. The patient was initially diagnosed as having an ischemic infarction but eventually was shown to have a subacute subdural hematoma with delay in surgical evacuation and a major permanent deficit. We speculate that internal carotid artery occlusion may predispose the patient to greater morbidity from subdural hematoma. Patchy hemispheric infarction may reflect greater vulnerability to extrinsic hemispheric compression in the setting of carotid occlusion. This case illustrates the necessity for vigorous pursuit of the diagnosis of subdural hematoma in patients presumed to have transient ischemic attacks or acute cerebral infarction.",
keywords = "Brain, Brain, Computed tomography, Hematoma, Infarction",
author = "Pascuzzi, {Robert M.} and Boyko, {Orest B.} and Voelker, {Joseph L.}",
year = "1989",
month = "1",
day = "1",
doi = "10.1097/00004728-198909000-00029",
language = "English (US)",
volume = "13",
pages = "899--902",
journal = "Journal of Computer Assisted Tomography",
issn = "0363-8715",
publisher = "Lippincott Williams and Wilkins",
number = "5",

}

TY - JOUR

T1 - Subdural hematoma in the setting of internal carotid artery occlusion

T2 - CT studies

AU - Pascuzzi, Robert M.

AU - Boyko, Orest B.

AU - Voelker, Joseph L.

PY - 1989/1/1

Y1 - 1989/1/1

N2 - A 72-year-old woman with previously symptomatic internal carotid artery occlusion subsequently presented with an acute hemispheric deficit. The patient was initially diagnosed as having an ischemic infarction but eventually was shown to have a subacute subdural hematoma with delay in surgical evacuation and a major permanent deficit. We speculate that internal carotid artery occlusion may predispose the patient to greater morbidity from subdural hematoma. Patchy hemispheric infarction may reflect greater vulnerability to extrinsic hemispheric compression in the setting of carotid occlusion. This case illustrates the necessity for vigorous pursuit of the diagnosis of subdural hematoma in patients presumed to have transient ischemic attacks or acute cerebral infarction.

AB - A 72-year-old woman with previously symptomatic internal carotid artery occlusion subsequently presented with an acute hemispheric deficit. The patient was initially diagnosed as having an ischemic infarction but eventually was shown to have a subacute subdural hematoma with delay in surgical evacuation and a major permanent deficit. We speculate that internal carotid artery occlusion may predispose the patient to greater morbidity from subdural hematoma. Patchy hemispheric infarction may reflect greater vulnerability to extrinsic hemispheric compression in the setting of carotid occlusion. This case illustrates the necessity for vigorous pursuit of the diagnosis of subdural hematoma in patients presumed to have transient ischemic attacks or acute cerebral infarction.

KW - Brain

KW - Brain

KW - Computed tomography

KW - Hematoma

KW - Infarction

UR - http://www.scopus.com/inward/record.url?scp=0024396825&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0024396825&partnerID=8YFLogxK

U2 - 10.1097/00004728-198909000-00029

DO - 10.1097/00004728-198909000-00029

M3 - Article

C2 - 2778150

AN - SCOPUS:0024396825

VL - 13

SP - 899

EP - 902

JO - Journal of Computer Assisted Tomography

JF - Journal of Computer Assisted Tomography

SN - 0363-8715

IS - 5

ER -