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KMID : 1143720100060020158
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Korean Journal of Neurotrauma
2010 Volume.6 No. 2 p.158 ~ p.161
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Interhemisphric Subdural Hematama Presenting with Falx Syndrome after Trauma
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Lee Mong
Kim Myoung-Soo
Yoon Sang-Won
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Abstract
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Interhemispheric subdural hematoma (ISH) presenting with falx syndrome is a rare occurrence. We present a case of ISH presenting with falx syndrome with visual disturbances. A 66-year-old woman reported headache as a result of a fall. Initial nonenhanced computed tomography (CT) showed a left frontal ISH. Two days later, she was noted to have right homonymous hemianopsia and marked right hemiparesis, especially in the right lower extremity. Follow up CT demonstrated an increase in the size of the frontal ISH and a newly developed occipital ISH. On thirteen day after the trauma, she was treated with mannitol and dexamethasone. Twelve hours after the start of the mannitol and dexamethasone therapy, the patient showed marked improvement of the neurologic deficit. Five months after the trauma, she showed no neurological deficits.
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KEYWORD
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Hematama, Subdural, Interhemisphric, Falx
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