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A case of acute traumatic subdural hematoma in a child with previous bilateral encephaloduroarteriosynangiosis

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Abstract

The authors report the case of a 5-year-old female with right-sided hemiparesis and aphasia secondary to moyamoya disease, who had previously undergone staged bilateral encephaloduroarteriosynangiosis procedures. A subsequent ground-level fall caused an acute traumatic subdural hematoma with mass effect and neurological decline. She underwent emergency hematoma evacuation and decompressive craniectomy, which required interruption of the superficial temporal artery that had been used for indirect bypass, followed later by autologous cranioplasty. There were no acute or long-term ischemic events related to the occurrence or treatment of the traumatic hematoma. Follow-up angiography revealed extensive spontaneous vascular collateralization in the field of the decompressive craniectomy and cranioplasty. The patient returned to her pre-injury neurological baseline.

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Acknowledgments

The authors thank Shirley McCartney, Ph.D., for the editorial assistance and Andy Rekito for the figure preparation.

Conflict of interest

The authors report no conflict of interest concerning the materials or methods used in this study or the findings specified in this paper.

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Authors and Affiliations

  1. Department of Neurological Surgery, Oregon Health & Science University, Mail Code CH8N, 3303 SW Bond Ave, Portland, OR, 97239, USA

    Merlin Curry, Nathaniel Whitney, Neil Roundy & Nathan R. Selden

Authors
  1. Merlin Curry
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  2. Nathaniel Whitney
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  3. Neil Roundy
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  4. Nathan R. Selden
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Correspondence to Nathan R. Selden.

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Curry, M., Whitney, N., Roundy, N. et al. A case of acute traumatic subdural hematoma in a child with previous bilateral encephaloduroarteriosynangiosis. Childs Nerv Syst 30, 699–702 (2014). https://doi.org/10.1007/s00381-013-2285-3

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  • DOI: https://doi.org/10.1007/s00381-013-2285-3

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