PMID- 31528424
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220410
IS  - 2229-5097 (Print)
IS  - 2152-7806 (Electronic)
IS  - 2152-7806 (Linking)
VI  - 10
DP  - 2019
TI  - Retroclival and spinal subdural hematoma after traumatic brain injury - A case 
      report and literature review.
PG  - 86
LID - 10.25259/SNI-11-2019 [doi]
LID - 86
AB  - BACKGROUND: Retroclival hematomas are rare and occur mostly in the pediatric 
      population. They are variously attributed to trauma, apoplexy, and vascular 
      lesions. With motor vehicle accidents (MVAs), the mechanism of traumatic injury 
      is forced flexion and extension. There may also be associated cervical spinal 
      and/or clivus fractures warranting fusion. CASE DESCRIPTION: A 35-year-old male 
      sustained a traumatic brain injury after a fall of 5 m at work. His Glasgow coma 
      scale (GCS) on admission was 13 (M6V3O4). He had no cranial nerve deficits. The 
      brain computed tomography (CT) showed a retroclival subdural hematoma that 
      extended to the C2 level. CONCLUSIONS: Most retroclival hematomas are attributed 
      to MVAs, and cranial CT and magnetic resonance studies typically demonstrate a 
      combination of posterior fossa hemorrhage with retroclival hematomas (intra or 
      extradural). Patients with retroclival hematomas but high GCS scores on admission 
      usually have better prognoses following traumatic brain injuries attributed to 
      MVA. Notable however is the frequent association with additional cervical and/or 
      craniocervical injuries (e.g. such as odontoid fracture) that may warrant 
      surgery/fusion.
FAU - Solorio-Pineda, Saul
AU  - Solorio-Pineda S
AD  - Department of Neurosurgery, Centro Medico "Lic. Adolfo Lopez Mateos", ISEM. Av 
      Nicolas San Juan S/N, Colonia ex-Hacienda la Magdalena, Toluca, Estado de Mexico, 
      Mexico.
FAU - Nieves-Valerdi, Adriana Ailed
AU  - Nieves-Valerdi AA
AD  - Department of Neurosurgery, Centro Medico "Lic. Adolfo Lopez Mateos", ISEM. Av 
      Nicolas San Juan S/N, Colonia ex-Hacienda la Magdalena, Toluca, Estado de Mexico, 
      Mexico.
FAU - Franco-Jimenez, Jose Alfonso
AU  - Franco-Jimenez JA
AD  - Department of Neurosurgery, Centro Medico "Lic. Adolfo Lopez Mateos", ISEM. Av 
      Nicolas San Juan S/N, Colonia ex-Hacienda la Magdalena, Toluca, Estado de Mexico, 
      Mexico.
FAU - Gutierrez-Aceves, Guillermo Axayacalt
AU  - Gutierrez-Aceves GA
AD  - Department of Neurosurgery, Centro Medico "Lic. Adolfo Lopez Mateos", ISEM. Av 
      Nicolas San Juan S/N, Colonia ex-Hacienda la Magdalena, Toluca, Estado de Mexico, 
      Mexico.
AD  - Radioneurosurgery Unit, Neurological Center, Department of Neurosurgery, National 
      Institute of Neurology and Neurosurgery "Dr. Manuel Velasco Suarez", Av. 
      Insurgentes Sur No. 3877, La Fama, Mexico.
AD  - American British Cowray Medical Center, Carlos Graef Fernandez No. 154, Col. 
      Santa Fe, Cuajimalpa, Mexico City, Mexico.
FAU - Buenrostro-Torres, Luis Manuel
AU  - Buenrostro-Torres LM
AD  - Department of Neurosurgery, Centro Medico "Lic. Adolfo Lopez Mateos", ISEM. Av 
      Nicolas San Juan S/N, Colonia ex-Hacienda la Magdalena, Toluca, Estado de Mexico, 
      Mexico.
FAU - Ruiz-Flores, Milton Inocencio
AU  - Ruiz-Flores MI
AD  - Department of Neurosurgery, Centro Medico "Lic. Adolfo Lopez Mateos", ISEM. Av 
      Nicolas San Juan S/N, Colonia ex-Hacienda la Magdalena, Toluca, Estado de Mexico, 
      Mexico.
LA  - eng
PT  - Case Reports
DEP - 20190510
PL  - United States
TA  - Surg Neurol Int
JT  - Surgical neurology international
JID - 101535836
PMC - PMC6744770
OTO - NOTNLM
OT  - Retroclival hematoma
OT  - subdural hematoma
OT  - traumatic brain injury
COIS- There are no conflicts of interest.
EDAT- 2019/09/19 06:00
MHDA- 2019/09/19 06:01
PMCR- 2019/05/10
CRDT- 2019/09/19 06:00
PHST- 2019/01/09 00:00 [received]
PHST- 2019/02/07 00:00 [accepted]
PHST- 2019/09/19 06:00 [entrez]
PHST- 2019/09/19 06:00 [pubmed]
PHST- 2019/09/19 06:01 [medline]
PHST- 2019/05/10 00:00 [pmc-release]
AID - SNI-10-86 [pii]
AID - 10.25259/SNI-11-2019 [doi]
PST - epublish
SO  - Surg Neurol Int. 2019 May 10;10:86. doi: 10.25259/SNI-11-2019. eCollection 2019.