Summary
A delayed traumatic intracerebral haematoma (DTICH) was seen in a patient with a moderately severe head injury and disseminated intravascular coagulation and fibrinolysis (DICF) two hours after she had a normal computerized tomographic (CT) scan of the brain and five and one half hours after she was involved in a motor vehicle pedestrian accident. It is important to consider the diagnosis of DTICH in patients with head injuries who deteriorate clinically, especially if they have DICF.
Similar content being viewed by others
References
Asari, S., Nakamura, S., Yamada, O., Beck, H., Sugatani, H., Higashi, T., Traumatic aneurysm of peripheral cerebral arteries: Report of two cases. J. Neurosurg.6 (1977), 795–803.
Barmada, M. A., Moossy, J., Shuman, R. M., Cerebral infarcts with arterial occlusion in neonates. Ann. Neurol.6 (1979), 495–502.
Benoit, B. G., Wortzman, G., Traumatic cerebral aneurysms: Clinical features and natural history. J. Neurol. Neurosurg. Psychiatry36 (1973), 127–138.
Clifton, G. L., Grossman, R. G., Makela, M. E., Miner, M. E., Handel, S., Sadhu, V., Neurological course and correlated computerized tomography findings after severe closed head injury. J. Neurosurg.52 (1980), 611–624.
Corales, R. L., Miller, J. D., Becker, D. P., Intracranial pressure and brain water content in acute graded experimental cerebral trauma. In: Intracranial pressure IV (Shulman, K.,et al., eds.), pp. 280–283. Berlin-Heidelberg-New York: Springer. 1980.
Diaz, F. G., Yock, D. H., Jr., Larson, D., Rockswald, G. L., Early diagnosis of delayed posttraumatic intracerebral hematomas. J. Neurosurg.50 (1979), 217–223.
Fleischer, A. S., Patton, J. M., Tindall, G. T., Cerebral aneurysms of traumatic origin. Surg. Neurol.4 (1975), 233–239.
Freckman, N., Sartor, K., Matsumoto, K., Angiographic demonstration of vascular injuries following head injury and its significance. Adv. Neurosurg.5 (1978), 116–123.
Gudemann, S. K., Kishore, P. R. S., Miller, J. D., Girevendulis, A. K., Lipper, M. H., Becker, D. P., The genesis and significance of delayed traumatic intracerebral hematomas. Neurosurgery5 (1979), 309–313.
Jennett, B., Graham, D. I., Adams, H., Johnson, I. H., Ischemic brain damage after fatal blunt head injury. In: Eighth conference on cerebral vascular diseases (McDowell, F. H.,et al., eds.), pp. 163–180. New York: Grune and Stratton. 1973.
Kaufman, H. H., Moake, J. L., Olson, J. D., Miner, M. E., du Cret, R. P., Pruessner, J. L., Gildenberg, P. L., Delayed and recurrent intracranial hematomas related to disseminated intravascular clotting and fibrinolysis in head injury. Neurosurgery7 (1980), 445–449.
Kaufman, H. H., Sadhu, V. J., Clifton, G. L., Handel, S. F., Delayed intracerebral hematoma due to traumatic aneurysm caused by a shotgun wound: A problem in prophylaxis. Neurosurgery6 (1980), 181–184.
Kaufman, H. H., Lind, T. A., Clark, D. S., Non-penetrating trauma to the carotid artery with secondary thrombosis and embolism: Treatment by thrombolysin. Acta neurochir. (Wien)37 (1977), 219–244.
Kaufman, H. H., Olson, J. D., Makela, M. E., Pruessner, J. L., Moake, J. L., Miner, M. E., Haar, F. L., Gildenberg, P. L., Disseminated intravascular coagulation and fibrinolysis in head injury. Presented at the American Association of Neurological Surgeons, Boston, Mass., 8 April, 1981.
Keimowitz, R. M., Annis, B. L., Disseminated intravascular coagulation associated with massive brain injury. J. Neurosurg.39 (1973), 178–180.
Kim, H. S., Suzuki, M., Lie, J. T., Titus, J. L., Clinically unsuspected disseminated intravascular coagulation (DIC)—an autopsy survey. Am. J. Clin. Pathol.,66 (1976), 31–39.
Kobrine, A. I., Timmins, E., Rajjoub, R. K., Rizzoli, H. V., Dovis, D. O., Demonstration of massive traumatic brain swelling within 20 minutes after injury. Case report. J. Neurosurg.46 (1977), 256–258.
Langfitt, T. W., Tannanbaum, H. M., Kassell, N. F., The etiology of acute brain swelling following experimental head injury. J. Neurosurg.24 (1966), 47–56.
Laun, A., Traumatic aneurysms. Adv. Neurosurg.5 (1978), 124–131.
McKay, D. G., Disseminated intravascular coagulation—an intermediary mechanism of disease, pp. 403–458. New York: Harper and Row, 1965.
Parkinson, D., West, M., Traumatic intracranial aneurysms. J. Neurosurg.52 (1980), 11–20.
Ryan, F. P., Timperley, W. R., Preston, F. E., Holdsworth, C. D., Cerebral involvement with disseminated intravascular coagulation in intestinal disease. J. Clin. Pathol.30 (1977), 551–555.
Sadar, E. S., Jane, J. A., Lewis, L. W., Adelman, L. S., Traumatic aneurysms of the intracranial circulation. Surg. Gynec. Obstet.137 (1973), 59–67.
Spetzler, R. F., Owen, M. P., Extracranial-intracranial arterial bypass to a single branch of the middle cerebral artery in the management of a traumatic aneurysm. Neurosurgery4 (1979), 334–337.
Stehbens, W. E., Pathology of the Cerebral Blood Vessels. St. Louis: Mosby. 1972.
Tornheim, P. A., McLaurin, R. L., Acute changes in regional brain water content following experimental closed head injury. J. Neurosurg.55 (1981), 407–413.
Waga, S., Tochio, H., Sakakura, M., Traumatic cerebral swelling developing within 30 minutes after injury. Surg. Neurol.11 (1979), 191–193.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Pretorius, M.E., Kaufman, H.H. Rapid onset of delayed traumatic intracerebral haematoma with diffuse intravascular coagulation and fibrinolysis. Acta neurochir 65, 103–109 (1982). https://doi.org/10.1007/BF01405446
Issue Date:
DOI: https://doi.org/10.1007/BF01405446