An autopsy case of encapsulated acute subdural hematoma presenting as an acute-on-chronic spontaneous subdural hematoma

被引：1

作者：

Funayama, Kazuhisa ^{[1
,2
]}

Koyama, Akihide ^{[1
,2
]}

Katsuragi-Go, Rieka ^{[1
,2
]}

Aoyama, Takashi ^{[1
]}

Watanabe, Hiraku ^{[1
]}

Takahashi, Naoya ^{[2
,3
]}

Takatsuka, Hisakazu ^{[1
,2
]}

机构：

[1] Niigata Univ, Grad Sch Med & Dent Sci, Dept Community Prevent Med, Div Legal Med, Niigata 9518510, Japan

[2] Niigata Univ, Fac Med, Ctr Cause Death Invest, Niigata, Japan

[3] Niigata Univ, Grad Sch Hlth Sci, Dept Radiol Technol, Niigata, Japan

来源：

LEGAL MEDICINE | 2025年 / 73卷

关键词：

Encapsulated acute subdural hematoma; Acute-on-chronic subdural hematoma; Spontaneous subdural hematoma; Bridging artery; Autopsy; RETE-MIRABILE; SUBARACHNOID HEMORRHAGE; EPIDURAL HEMATOMA; ARTERY;

D O I：

10.1016/j.legalmed.2025.102570

中图分类号：

DF [法律]; D9 [法律]; R [医药、卫生];

学科分类号：

0301 ; 10 ;

摘要：

Subdural hematoma (SDH) is bleeding between the dura mater and the brain surface, often visualized as a crescent-shaped lesion on computed tomography (CT). However, some SDHs can appear as a biconvex hyper- dense lesion mimicking an acute epidural hematoma. Encapsulated acute SDH (EASDH), a rare subtype characterized by a fresh hematoma within the subdural fibrous capsule, presents with similar CT findings. Herein, we describe an autopsy case of EASDH and discuss its etiology based on the case findings and available literature. The autopsy revealed a rupture of the bridging arteries as the SDH bleeding source, confirming the development of an acute-on-chronic spontaneous SDH. To our knowledge, this is the first autopsy report of EASDH and the third case of spontaneous SDH due to bridging-artery rupture.

引用

页数：5

共 26 条

[21] Differential CT features of acute lentiform subdural hematoma and epidural hematoma [J].

Su, I-Chang ;

Wang, Kuo-Chuan ;

Huang, Shih-Hao ;

Li, Chien-Hsun ;

Kuo, Lu-Ting ;

Lee, Jin-Er ;

Tseng, Ham-Min ;

Tu, Yong-Kwang .

CLINICAL NEUROLOGY AND NEUROSURGERY, 2010, 112 (07) :552-556

[22] History and current progress of chronic subdural hematoma [J].

Tamura, Ryota ;

Sato, Mizuto ;

Yoshida, Kazunari ;

Toda, Masahiro .

JOURNAL OF THE NEUROLOGICAL SCIENCES, 2021, 429

[23] ACUTE SPONTANEOUS SUBDURAL-HEMATOMA OF ARTERIAL ORIGIN [J].

TOKORO, K ;

NAKAJIMA, F ;

YAMATAKI, A .

SURGICAL NEUROLOGY, 1988, 29 (02) :159-163

[24] RUPTURES OF SURFACE BLOOD VESSELS ON CEREBRAL HEMISPHERES AS A CAUSE OF SUBDURAL HEMORRHAGE [J].

VANCE, BM .

AMA ARCHIVES OF SURGERY, 1950, 61 (06) :992-1006

[25]

Whitwell H., 2021, Forensic Neuropathology

[26] Coexistence of anterior choroidal artery and posterior cerebral artery retia mirabilia presenting with subarachnoid hemorrhage: illustrative case [J].

Yamaguchi, Izumi ;

Kanematsu, Yasuhisa ;

Shimada, Kenji ;

Korai, Masaaki ;

Miyake, Kazuhisa ;

Sogabe, Shu ;

Ishihara, Manabu ;

Haboshi, Tatsuya ;

Teshima, Natsumi ;

Suzuki, Kaito ;

Takagi, Yasushi .

JOURNAL OF NEUROSURGERY-CASE LESSONS, 2024, 7 (01)

← 1 2 3 →