Journals / Journal of Neurological Sciences (Turkish) / 2012 / Cilt: 29 - Sayı: 2

Bir çocuk olguda düşük molekül ağırlıklı heparin kullanımına bağlı gelişen ve izole abdusens sinir felci ile birliktelik gösteren gecikmiş travmatik klival subdural hematom

Low Molecular Weight Heparin Induced Delayed Traumatic Clival Subdural Hematoma Associated With Isolated Abducens Nerve Palsy in a Child

Pages
379–384
Publication Date
2022-10-19
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Although several hypotheses are proposed to explain this lesion,the exact pathophysiology remains to be unknown.We present a case of low-molecular-weight heparin induced clival subdural hematoma,extending to the left cerebellopontine angle and causing left abducens nerve palsy whichoccured six days after trauma.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Traumatic clival subdural hematoma is a very rare clinical entity.
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Key Findings & Data:This rarity can result indelayed or missed diagnoses.
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Conclusion & Impact:Although several hypotheses are proposed to explain this lesion,the exact pathophysiology remains to be unknown.We present a case of low-molecular-weight heparin induced clival subdural hematoma,extending to the left cerebellopontine angle and causing left abducens nerve palsy whichoccured six days after trauma.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Traumatic clival subdural hematoma is a very rare clinical entity. This rarity can result indelayed or missed diagnoses. Although several hypotheses are proposed to explain this lesion,the exact pathophysiology remains to be unknown.We present a case of low-molecular-weight heparin induced clival subdural hematoma,extending to the left cerebellopontine angle and causing left abducens nerve palsy whichoccured six days after trauma.

Özet

Travmatik klival subdural hematom çok nadir olarak görülmektedir. Bu durum tanı koymadagüçlüğe veya gecikmeye sebep olabilmektedir. Klivus bölgesi subdural hematomların oluşummekanizmları ile ilgili olarak birçok hipotez öne sürülmüş olmasına rağmen, esaspatofizyoloji hala tam olarak bilinmemektedir. Biz burada, travma sonrası takip edilen vedüşük molekül ağırlıklı heparin tedavisi alan çocuk hastanın travmadan 6 gün sonra izole VI.sinir felcinin eşlik ettiği, sol pontoserebellar bölgeye uzanım gösteren klival subduralhematom olgusunu sunmaktayız. Konu ile ilgili makalelerin ışığında düşük molekül ağırlıklıheparine bağlı gelişen klival subdural hematomun mekanizmasını açıklamaya çalıştık.

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Cite This Article

YAMAN, M. E., ÖZVEREN, M. F., AYBERK, G., DİKMEN, N. (2022). Bir çocuk olguda düşük molekül ağırlıklı heparin kullanımına bağlı gelişen ve izole abdusens sinir felci ile birliktelik gösteren gecikmiş travmatik klival subdural hematom. Journal of Neurological Sciences (Turkish), Cilt: 29 - Sayı: 2, 379–384. https://ajindex.com/articles/565209

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References (3)

  1. Ahn ES, Smith ER: Acute clival and spinal subdural hematoma with spontaneous resolution: clinical and radiolographic correlation in support of a proposed pathophysiological mechanism. J Neurosurgery ( Pediatrics 2) 103: 175-179, 2005 2. Brower C, Thompson AR. Pagon RA, Bird TD, Dolan CR, Stephens K: Hemophilia A GeneReviews [Internet]. Seattle (WA): University of Washington, Seattle
  2. .2000 Sep 21 [updated 2008 Mar 25]. 3. Calisaneller T, Ozdemir O, Altınors N: Posttraumatic acute bilateral abducens nerve palsy in a child. Child's Nervous System 22: 726- 728, 2006 4. Casey D, Chaudhary BR, Leach PA, Herwadkar A, Karabotsou K: Traumatic clival subdural hematoma in an adult. J Neurosurgery 110: 1238-1241, 2009 5. Datta NN, Chan KY, Kwok J, Poon C: Posterior f ossa subdural hematoma due to ruptured arteriovenous malf ormation. Neurosurg Focus 15:8(6):ecp 1, 2000 6. Guillaume D, Menezes A: Retroclival hematoma in the pediatric population: Report of two cases and review of the literature. J Neurosurg (4 suppl Pediatrics) 105: 321-325, 2006 7. Hirsch J, Raschke R: Heparin and low-molecular- weight heparin: The Seventh ACCP Conf erence on Antithrombotic and Thrombolytic Therapy. Chest
  3. 188S–203S, 2004 8. Itshayek E, Goldman J, Rosenthal G, Chikoya L, Gomori M, Segal R Extradural hematoma of the clivus, not limited to the severely inj ured patient: Case report and review of the literature. J Trauma 60: 417-420, 2006 9. Kim MS, Cho MS, Kim SH: Delayed bilateral abducens nerve palsy af ter head trauma. J Korean Neurosurg Soc 44: 396-398, 2008 10. Kurosu A, Amango K, Kubo O, Himuro H, Nagao T, Kobayashi N, Kakinoki Y, Kitamura K: Clivus epidural hematoma. J Neurosurgery 72: 660-662, 1990 11. Kwon TH, Joy H, Park YK, Chung HS: Traumatic retroclival epidural hematoma in a child. Neurol Med Chir 48: 347-350, 2008 12. Mizushima H, Kobayashi N, Saware Y, Hanakawa K, Jinbo H, Iida M, Iwata T, Matsumoto K: Epidural hematoma of the clivus. J Neurosurgery 88: 590- 593, 1998 13. Myers DJ, Moossy JJ, Ragni MV: Fatal clival Subdural Hematoma in a Hemophiliac. Annals of Emergency Medicine 25: 2 249-252, 1995 14. Orrison WW, Rodge S, Kinard RE, Williams JE, Torvik A, Sackett JF, Amundsen P: Clivus Epidural Hematoma: A case Report. Neurosurgery 18 (2): 194-196, 1986 15. Ratilal B, Castanho P, Luiz CV, Antunes JO: Traumatic clivus epidural hematoma: case report and review of the literature. Surgical Neurology 66: 200-202, 2006 16. Schneck MJ, Smith R, Moster M: Isolated b