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CC BY-NC-ND 4.0 · Indian Journal of Neurotrauma 2022; 19(02): 108-110
DOI: 10.1055/s-0041-1725213
Case Report

Duret Hemorrhage after Extradural Hematoma Evacuation–A Rare Entity

Lamkordor Tyngkan
1   Department of Neurosurgery, Sheri-Kashmir-Institute of Medical Sciences, Kashmir, India
,
Nazia Mahfouz
2   Department of Pulmonary Medicine, Sheri-Kashmir-Institute of Medical Sciences, Kashmir, India
,
Sobia Bilal
1   Department of Neurosurgery, Sheri-Kashmir-Institute of Medical Sciences, Kashmir, India
,
Bazla Fatima
1   Department of Neurosurgery, Sheri-Kashmir-Institute of Medical Sciences, Kashmir, India
,
Nayil Malik
1   Department of Neurosurgery, Sheri-Kashmir-Institute of Medical Sciences, Kashmir, India
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Abstract

Traumatic brainstem injury can be classified as primary or secondary. Secondary brainstem hemorrhage that evolves from raised intracranial pressure (ICP) and transtentorial herniation is referred to as Duret hemorrhage. We report a 25-year-old male who underwent emergency craniotomy, with evacuation of acute epidural hematoma, and postoperatively developed fatal Duret hemorrhage. Duret hemorrhage after acute epidural hematoma (EDH) evacuation is a very rare complication and the outcome is grave in most of the cases.

Keywords

Epidural hematoma - extradural hematoma - Duret hemorrhage - craniotomy - postoperative complications


Publication History

Article published online:
23 February 2021

© 2021. Neurotrauma Society of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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  • References

  • 1 Rosyidi RM, Priyanto B, Fauzi AA, Sutiono AB. Toward zero mortality in acute epidural hematoma: A review in 268 cases problems and challenges in the developing country. Interdiscip Neurosurg 2019; 17: 12-18
    CrossrefPubMedGoogle Scholar
  • 2 Ndoumbe A, Ekeme MVP, Jemea B, Simeu C, Takongmo S. Epidemiological analysis of surgically treated acute traumatic epidural hematoma. Open Journal of Modern Neurosurgery 2016; 6: 89-97
    CrossrefPubMedGoogle Scholar
  • 3 Parizel PM, Makkat S, Jorens PG. et al Brainstem hemorrhage in descending transtentorial herniation (Duret hemorrhage).. Intensive Care Med 2002; 28 (01) 85-88
    CrossrefPubMedGoogle Scholar
  • 4 Cheung PS, Lam JM, Yeung JH, Graham CA, Rainer TH. Outcome of traumatic extradural haematoma in Hong Kong. Injury 2007; 38 (01) 76-80
    CrossrefPubMedGoogle Scholar
  • 5 Stiver SI, Gean AD, Manley GT. Survival with good outcome after cerebral herniation and Duret hemorrhage caused by traumatic brain injury. J Neurosurg 2009; 110 (06) 1242-1246
    CrossrefPubMedGoogle Scholar
  • 6 Fujimoto Y, Aguiar PH, Freitas AB, de Andrade AF, Marino Júnior R. Recovery from Duret hemorrhage: a rare complication after craniotomy–case report. Neurol Med Chir (Tokyo) 2000; 40 (10) 508-510
    CrossrefPubMedGoogle Scholar
  • 7 Beier AD, Dirks PB. Pediatric brainstem hemorrhages after traumatic brain injury. J Neurosurg Pediatr 2014; 14 (04) 421-424
    CrossrefPubMedGoogle Scholar
  • 8 Mathai K, Jain A, Singh D, Dutta S, Sengupta SK, Harikrishnan V. The enigma of traumatic, behaviourally benign brain stem bleeds: case report. Ind J Neurotrauma 2009; 6: 141-144
    Article in Thieme ConnectPubMedGoogle Scholar
  • 9 Ishizaka S, Shimizu T, Ryu N. Dramatic recovery after severe descending transtentorial herniation-induced Duret haemorrhage: a case report and review of literature. Brain Inj 2014; 28 (03) 374-377
    CrossrefPubMedGoogle Scholar
  • 10 Chew KL, Baber Y, Iles L, O’Donnell C. Duret hemorrhage: demonstration of ruptured paramedian pontine branches of the basilar artery on minimally invasive, whole body postmortem CT angiography. Forensic Sci Med Pathol 2012; 8 (04) 436-440
    CrossrefPubMedGoogle Scholar
  • 11 Nguyen HS, Doan NB, Gelsomino MJ, Shabani S, Mueller WM. Good outcomes in a patient with a Duret hemorrhage from an acute subdural hematoma. Int Med Case Rep J 2016; 9: 15-18
    CrossrefPubMedGoogle Scholar
  • 12 Gregory FJ, Ethan T. A fatal epidural hematoma with Duret hemorrhage. J Trauma Inj Infect Crit Care 2010; 69: 6
    PubMedGoogle Scholar