Acute subdural hematomas caused by ruptured aneurysms: Experience from a single turkish center

ATEŞ, Özkan; ALKAN, ALPAY; DURAK, Mehmet Akif; KOÇAK, AYHAN; ÇAYLI, Süleyman; SARAÇ, KAYA

Acute subdural hematomas caused by ruptured aneurysms: Experience from a single turkish center

Ayhan KOÇAK, (İnönü Üniversitesi, Tıp Fakültesi, Nöroşirürji Anabilim Dalı, Malatya, Türkiye)

Özkan ATEŞ, (İnönü Üniversitesi, Tıp Fakültesi, Nöroşirürji Anabilim Dalı, Malatya, Türkiye)

Mehmet Akif DURAK, (İnönü Üniversitesi, Tıp Fakültesi, Nöroşirürji Anabilim Dalı, Malatya, Türkiye)

Alpay ALKAN, (İnönü Üniversitesi, Tıp Fakültesi, Radyoloji Anabilim Dalı, Malatya, Türkiye)

Süleyman ÇAYLI, (İnönü Üniversitesi, Tıp Fakültesi, Nöroşirürji Anabilim Dalı, Malatya, Türkiye)

Kaya SARAÇ (İnönü Üniversitesi, Tıp Fakültesi, Radyoloji Anabilim Dalı, Malatya, Türkiye)

Turkish Neurosurgery

2 0

Yıl: 2009 Cilt: 19 Sayı: 4 Sayfa Aralığı: 333 - 337 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Acute subdural hematomas caused by ruptured aneurysms: Experience from a single turkish center

Öz:

AMAÇ: Bir anevrizma ruptürü tipik olarak tomografide subaraknoid kanama ile ortaya çıkmasına rağmen kendiliğinden (travmasız) subdural kanama ile beraber görülebilir. Bu makalenin amacı, bu hayatı tehdit eden durumun klinik ve radyolojik özellikleriyle birlikte tanı ve tedavisindeki potansiyel tehlikeleri tartışmaktır. YÖNTEM ve GEREÇ: İnönü Üniversitesi Nöroşirürji Anabilimdalı (Turgut Özal Tıp Merkezi) 1999’dan bu yana intrakraniyal anevrizma tanısı ile tedavi edilen hastaların kayıtlarını prospektif olarak tutmaktadır. Bu veri tabanını kullanarak, tomografisinde akut subdural kanama ile gelen ruptüre anevrizma hastalarını tespit ettik. BULGULAR: Ocak 2000-Ocak 2009 tarihleri arasında radyolojik olarak dökümante edilmiş 687 hasta başvurdu. Bunların 11 (on bir) tanesinde akut travmatik olmayan subdural kanama mevcuttu. Akut subdural kanama-anevrizma rüptürü birlikteliği serimizde % 1,6 idi. SONUÇ: Subaraknoid kanamanın varlığı veya yokluğunda bile, tomografide görülen akut travmatik olmayan subdural kanama anevrizma ruptürü ile ilgili acil çalışmaları düşündürmelidir. CT anjiyografinin DSA’ya göre avantajları vardır ve akut olan bir travmatik olmayan subdural kanama olgularının tedavi planlaması, triyajı ve tanısında makul bir alternatif modalitedir.

Anahtar Kelime:

Konular: Cerrahi

Anevrizma ruptürüne bağlı akut subdural hematomlar: Tek merkez deneyimi

Öz:

AIM: Although an aneurysmal rupture typically presents on computed tomography (CT) imaging as only a subarachnoid hemorrhage (SAH), it may be associated with spontaneous (nontraumatic) subdural hemorrhage (sSDH). The purpose of this paper is to discuss the clinical and radiological characteristics, as well as a potentially dangerous situation in the diagnosis and the management of this life-threatening condition. MATERIAL and METHODS: The Department of Neurosurgery at Inonu University (Turgut Özal Medical Center) (TOMC) maintains a prospective database of all patients treated for intracranial aneurysms since 1999. Using this database, we obtained patients with ruptured aneurysms who presented with sSDH on CT imaging. RESULTS: 687 patients with radiographically documented ruptured aneurysms were admitted from January 2000 through January 2009. Of these, eleven patients presented with sSDH. The incidence of aneurysmal rupture with sSDH is 1.6 % in our series. CONCLUSION: Acute sSDH on cranial CT should be considered for an urgent workup of a ruptured aneurysm, even in the absence or presence of SAH finding. CT angiography has advantages over cerebral digital substraction angiography (DSA) and may be a reasonable alternative to latter modality in the diagnosis, triage, and treatment planning in patients with sSDH.

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	KOÇAK A, ATEŞ Ö, DURAK M, ALKAN A, ÇAYLI S, SARAÇ K (2009). Acute subdural hematomas caused by ruptured aneurysms: Experience from a single turkish center. , 333 - 337.
Chicago	KOÇAK AYHAN,ATEŞ Özkan,DURAK Mehmet Akif,ALKAN ALPAY,ÇAYLI Süleyman,SARAÇ KAYA Acute subdural hematomas caused by ruptured aneurysms: Experience from a single turkish center. (2009): 333 - 337.
MLA	KOÇAK AYHAN,ATEŞ Özkan,DURAK Mehmet Akif,ALKAN ALPAY,ÇAYLI Süleyman,SARAÇ KAYA Acute subdural hematomas caused by ruptured aneurysms: Experience from a single turkish center. , 2009, ss.333 - 337.
AMA	KOÇAK A,ATEŞ Ö,DURAK M,ALKAN A,ÇAYLI S,SARAÇ K Acute subdural hematomas caused by ruptured aneurysms: Experience from a single turkish center. . 2009; 333 - 337.
Vancouver	KOÇAK A,ATEŞ Ö,DURAK M,ALKAN A,ÇAYLI S,SARAÇ K Acute subdural hematomas caused by ruptured aneurysms: Experience from a single turkish center. . 2009; 333 - 337.
IEEE	KOÇAK A,ATEŞ Ö,DURAK M,ALKAN A,ÇAYLI S,SARAÇ K "Acute subdural hematomas caused by ruptured aneurysms: Experience from a single turkish center." , ss.333 - 337, 2009.
ISNAD	KOÇAK, AYHAN vd. "Acute subdural hematomas caused by ruptured aneurysms: Experience from a single turkish center". (2009), 333-337.

APA	KOÇAK A, ATEŞ Ö, DURAK M, ALKAN A, ÇAYLI S, SARAÇ K (2009). Acute subdural hematomas caused by ruptured aneurysms: Experience from a single turkish center. Turkish Neurosurgery, 19(4), 333 - 337.
Chicago	KOÇAK AYHAN,ATEŞ Özkan,DURAK Mehmet Akif,ALKAN ALPAY,ÇAYLI Süleyman,SARAÇ KAYA Acute subdural hematomas caused by ruptured aneurysms: Experience from a single turkish center. Turkish Neurosurgery 19, no.4 (2009): 333 - 337.
MLA	KOÇAK AYHAN,ATEŞ Özkan,DURAK Mehmet Akif,ALKAN ALPAY,ÇAYLI Süleyman,SARAÇ KAYA Acute subdural hematomas caused by ruptured aneurysms: Experience from a single turkish center. Turkish Neurosurgery, vol.19, no.4, 2009, ss.333 - 337.
AMA	KOÇAK A,ATEŞ Ö,DURAK M,ALKAN A,ÇAYLI S,SARAÇ K Acute subdural hematomas caused by ruptured aneurysms: Experience from a single turkish center. Turkish Neurosurgery. 2009; 19(4): 333 - 337.
Vancouver	KOÇAK A,ATEŞ Ö,DURAK M,ALKAN A,ÇAYLI S,SARAÇ K Acute subdural hematomas caused by ruptured aneurysms: Experience from a single turkish center. Turkish Neurosurgery. 2009; 19(4): 333 - 337.
IEEE	KOÇAK A,ATEŞ Ö,DURAK M,ALKAN A,ÇAYLI S,SARAÇ K "Acute subdural hematomas caused by ruptured aneurysms: Experience from a single turkish center." Turkish Neurosurgery, 19, ss.333 - 337, 2009.
ISNAD	KOÇAK, AYHAN vd. "Acute subdural hematomas caused by ruptured aneurysms: Experience from a single turkish center". Turkish Neurosurgery 19/4 (2009), 333-337.