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Erschienen in: Acta Neurochirurgica 8/2017

09.05.2017 | Case Report - Vascular

A case of refractory subgaleal hematoma in adolescence treated with aspiration and endovascular surgery

verfasst von: Daisuke Wajima, Ichiro Nakagawa, Yukiko Kotani, Takeshi Wada, Hiroshi Yokota, Young-Soo Park, Kimihiko Kichikawa, Hiroyuki Nakase

Erschienen in: Acta Neurochirurgica | Ausgabe 8/2017

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Abstract

A 14-year-old boy experienced sudden headache in the left parietal region, without any history of head trauma. Approximately 40 ml of hematoma was aspirated using a 22-gauge needle, and scalp swelling immediately disappeared. However, the swelling recurred bilaterally 2 weeks later. Left external carotid angiography revealed a reticular shadow consistent with subgaleal hematoma from a branch of bilateral superficial temporal arteries, without any arteriovenous shunts. The patient was successfully treated using the combination of hematoma aspiration and embolization of the superficial temporal artery. The combination of aspiration of hematoma and embolization may be effective for refractory non-traumatic subgaleal hematoma.
Literatur
1.
Zurück zum Zitat Beauchamp CJ, Metcalf MB (1983) Subgaleal hemorrhage. Pediatrics 72:912–913PubMed Beauchamp CJ, Metcalf MB (1983) Subgaleal hemorrhage. Pediatrics 72:912–913PubMed
2.
Zurück zum Zitat Davis DJ (2001) Neonatal subgaleal hemorrhage: diagnosis and management. Can Med Assoc J 164(10):1452–1453 Davis DJ (2001) Neonatal subgaleal hemorrhage: diagnosis and management. Can Med Assoc J 164(10):1452–1453
3.
Zurück zum Zitat Falvo CE, San Filippo JA, Vartany A, Osborn EH (1981) Subgaleal hematoma from hair combing. Pediatrics 68:583–584PubMed Falvo CE, San Filippo JA, Vartany A, Osborn EH (1981) Subgaleal hematoma from hair combing. Pediatrics 68:583–584PubMed
4.
Zurück zum Zitat Faber M (1976) Massive subgaleal hemorrhage: a hazard of playground swings. Clin Pediatr 15:384–385CrossRef Faber M (1976) Massive subgaleal hemorrhage: a hazard of playground swings. Clin Pediatr 15:384–385CrossRef
5.
Zurück zum Zitat Fujisawa H, Yonaha H, Oka Y, Uehara M, Nagata Y, Kajiwara K, Fujii M, Kato S, Akimura T, Suzuki M (2005) A marked exophthalmos and corneal ulceration caused by delayed massive expansion of a subgaleal hematoma. Childs Nerv Syst 21:489–492CrossRefPubMed Fujisawa H, Yonaha H, Oka Y, Uehara M, Nagata Y, Kajiwara K, Fujii M, Kato S, Akimura T, Suzuki M (2005) A marked exophthalmos and corneal ulceration caused by delayed massive expansion of a subgaleal hematoma. Childs Nerv Syst 21:489–492CrossRefPubMed
6.
Zurück zum Zitat Hamlin H (1968) Subgaleal hematoma caused by hair-pull. J Am Med Assoc 204:339CrossRef Hamlin H (1968) Subgaleal hematoma caused by hair-pull. J Am Med Assoc 204:339CrossRef
7.
Zurück zum Zitat Hutspardol S, Chotisupakarn S, Aryurachai K (2010) Spontaneous subgaleal hemorrhage in a girl with impaired adrenaline-induced platelet aggregation. J Med Assoc Thail 93(5):625–628 Hutspardol S, Chotisupakarn S, Aryurachai K (2010) Spontaneous subgaleal hemorrhage in a girl with impaired adrenaline-induced platelet aggregation. J Med Assoc Thail 93(5):625–628
8.
Zurück zum Zitat Kashino S, Takuji T, Nagai H (1988) A study on diffuse subgaleal hematoma in childhood. Nerv Syst Child 13(14):319–323 Kashino S, Takuji T, Nagai H (1988) A study on diffuse subgaleal hematoma in childhood. Nerv Syst Child 13(14):319–323
10.
Zurück zum Zitat Koizumi K, Suzuki S, Utsuki S, Nakahara K, Niki J, Mabuchi I, Kurata A, Fujii K (2010) A case of non-traumatic subgaleal hematoma effectively treated with endovascular surgery. Interv Neuroradiol 16(3):317–321CrossRefPubMedPubMedCentral Koizumi K, Suzuki S, Utsuki S, Nakahara K, Niki J, Mabuchi I, Kurata A, Fujii K (2010) A case of non-traumatic subgaleal hematoma effectively treated with endovascular surgery. Interv Neuroradiol 16(3):317–321CrossRefPubMedPubMedCentral
11.
Zurück zum Zitat Komatsu Y, Naushima K, Kobayashi E, Nose T, Maki Y (1989) Congenital arteriovenous malformation of the scalp-case report. Neurol Med Chir 29:230–234CrossRef Komatsu Y, Naushima K, Kobayashi E, Nose T, Maki Y (1989) Congenital arteriovenous malformation of the scalp-case report. Neurol Med Chir 29:230–234CrossRef
12.
Zurück zum Zitat Komiyama M, Yasui T, Tamura K, Nagata Y, Fu Y, Yagura H (1994) Chronic subdural hematoma associated with middle meningeal arteriovenous fistula treated by a combination of embolization and burr hole drainage. Surg Neurol 42(4):316–319CrossRefPubMed Komiyama M, Yasui T, Tamura K, Nagata Y, Fu Y, Yagura H (1994) Chronic subdural hematoma associated with middle meningeal arteriovenous fistula treated by a combination of embolization and burr hole drainage. Surg Neurol 42(4):316–319CrossRefPubMed
13.
Zurück zum Zitat Kuban K, Winston K, Bresnan M (1983) Childhood subgaleal hematoma following minor head trauma. Am J Child 137:637–640 Kuban K, Winston K, Bresnan M (1983) Childhood subgaleal hematoma following minor head trauma. Am J Child 137:637–640
14.
Zurück zum Zitat Mandai S, Sakurai M, Matsumoto Y (2000) Middle meningeal artery embolization for refractory chronic subdural hematoma. J Neurosurg 93:686–688CrossRefPubMed Mandai S, Sakurai M, Matsumoto Y (2000) Middle meningeal artery embolization for refractory chronic subdural hematoma. J Neurosurg 93:686–688CrossRefPubMed
15.
Zurück zum Zitat Meyer S, Gortner L, Abdul-Khaliq H, Papanaqiotou P (2014) Subgaleal hematoma. Indian J Pediatr 81(3):321CrossRefPubMed Meyer S, Gortner L, Abdul-Khaliq H, Papanaqiotou P (2014) Subgaleal hematoma. Indian J Pediatr 81(3):321CrossRefPubMed
16.
Zurück zum Zitat Raffini L, Tsarouhas N (2004) Subgaleal hematoma from hair braiding leads to the diagnosis of von Willebrand disease. Pediatr Emerg Care 20(5):316–318CrossRefPubMed Raffini L, Tsarouhas N (2004) Subgaleal hematoma from hair braiding leads to the diagnosis of von Willebrand disease. Pediatr Emerg Care 20(5):316–318CrossRefPubMed
17.
Zurück zum Zitat Sharma A, Tyagi G, Sahai A, Baijal SS (1991) Traumatic aneurysm of superficial temporal artery, CT demonstration. Neuroradiology 33:510–512CrossRefPubMed Sharma A, Tyagi G, Sahai A, Baijal SS (1991) Traumatic aneurysm of superficial temporal artery, CT demonstration. Neuroradiology 33:510–512CrossRefPubMed
18.
Zurück zum Zitat Shinoda J, Iwai T, Morita T, Miwa Y, Takada M, Sakai N, Yamada H (1985) Traumatic arteriovenous fistula of the scalp. Report of cases and review of the literature in Japan. Neurol Med Chir 25:55–60CrossRef Shinoda J, Iwai T, Morita T, Miwa Y, Takada M, Sakai N, Yamada H (1985) Traumatic arteriovenous fistula of the scalp. Report of cases and review of the literature in Japan. Neurol Med Chir 25:55–60CrossRef
19.
Zurück zum Zitat Souvagya P, Sudhansu SM, Srikant D, Patra SK (2013) Large subgaleal hematoma as a presentation of parahemophilia. J Neurosci Rural Pract 4(2):240–242CrossRef Souvagya P, Sudhansu SM, Srikant D, Patra SK (2013) Large subgaleal hematoma as a presentation of parahemophilia. J Neurosci Rural Pract 4(2):240–242CrossRef
20.
Zurück zum Zitat Suzuki S, Endo M, Kurata A, Ohmomo T, Kitahara T, Ohwada T, Utsuki S, Fujii K (2004) Efficacy of endovascular surgery for the treatment of acute epidural hematomas. Am J Neuradiol 25:1177–1180 Suzuki S, Endo M, Kurata A, Ohmomo T, Kitahara T, Ohwada T, Utsuki S, Fujii K (2004) Efficacy of endovascular surgery for the treatment of acute epidural hematomas. Am J Neuradiol 25:1177–1180
21.
Zurück zum Zitat Takahashi K, Muraoka K, Sugiura T, Maeda Y, Mandai S, Gohda Y, Kawauchi M, Matsumoto Y (2002) Middle meningeal artery embolization for refractory chronic subdural hematoma: 3 case reports. No Shinkei Geka 30(5):535–539PubMed Takahashi K, Muraoka K, Sugiura T, Maeda Y, Mandai S, Gohda Y, Kawauchi M, Matsumoto Y (2002) Middle meningeal artery embolization for refractory chronic subdural hematoma: 3 case reports. No Shinkei Geka 30(5):535–539PubMed
Metadaten
Titel
A case of refractory subgaleal hematoma in adolescence treated with aspiration and endovascular surgery
verfasst von
Daisuke Wajima
Ichiro Nakagawa
Yukiko Kotani
Takeshi Wada
Hiroshi Yokota
Young-Soo Park
Kimihiko Kichikawa
Hiroyuki Nakase
Publikationsdatum
09.05.2017
Verlag
Springer Vienna
Erschienen in
Acta Neurochirurgica / Ausgabe 8/2017
Print ISSN: 0001-6268
Elektronische ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-017-3207-z

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