Skip to main content
Log in

Rapid onset of delayed traumatic intracerebral haematoma with diffuse intravascular coagulation and fibrinolysis

  • Published:
Acta Neurochirurgica Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. 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.

    Google Scholar 

  2. Barmada, M. A., Moossy, J., Shuman, R. M., Cerebral infarcts with arterial occlusion in neonates. Ann. Neurol.6 (1979), 495–502.

    PubMed  Google Scholar 

  3. Benoit, B. G., Wortzman, G., Traumatic cerebral aneurysms: Clinical features and natural history. J. Neurol. Neurosurg. Psychiatry36 (1973), 127–138.

    PubMed  Google Scholar 

  4. 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.

    PubMed  Google Scholar 

  5. 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.

    Google Scholar 

  6. 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.

    PubMed  Google Scholar 

  7. Fleischer, A. S., Patton, J. M., Tindall, G. T., Cerebral aneurysms of traumatic origin. Surg. Neurol.4 (1975), 233–239.

    PubMed  Google Scholar 

  8. Freckman, N., Sartor, K., Matsumoto, K., Angiographic demonstration of vascular injuries following head injury and its significance. Adv. Neurosurg.5 (1978), 116–123.

    Google Scholar 

  9. 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.

    PubMed  Google Scholar 

  10. 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.

    Google Scholar 

  11. 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.

    PubMed  Google Scholar 

  12. 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.

    PubMed  Google Scholar 

  13. 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.

    Google Scholar 

  14. 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.

  15. Keimowitz, R. M., Annis, B. L., Disseminated intravascular coagulation associated with massive brain injury. J. Neurosurg.39 (1973), 178–180.

    PubMed  Google Scholar 

  16. 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.

    PubMed  Google Scholar 

  17. 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.

    PubMed  Google Scholar 

  18. 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.

    PubMed  Google Scholar 

  19. Laun, A., Traumatic aneurysms. Adv. Neurosurg.5 (1978), 124–131.

    Google Scholar 

  20. McKay, D. G., Disseminated intravascular coagulation—an intermediary mechanism of disease, pp. 403–458. New York: Harper and Row, 1965.

    Google Scholar 

  21. Parkinson, D., West, M., Traumatic intracranial aneurysms. J. Neurosurg.52 (1980), 11–20.

    PubMed  Google Scholar 

  22. 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.

    PubMed  Google Scholar 

  23. 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.

    PubMed  Google Scholar 

  24. 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.

    PubMed  Google Scholar 

  25. Stehbens, W. E., Pathology of the Cerebral Blood Vessels. St. Louis: Mosby. 1972.

    Google Scholar 

  26. Tornheim, P. A., McLaurin, R. L., Acute changes in regional brain water content following experimental closed head injury. J. Neurosurg.55 (1981), 407–413.

    PubMed  Google Scholar 

  27. Waga, S., Tochio, H., Sakakura, M., Traumatic cerebral swelling developing within 30 minutes after injury. Surg. Neurol.11 (1979), 191–193.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints 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

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01405446

Keywords

Navigation