Medical Reports & Case Studies

ISSN - 2572-5130

Mark Calayag

Department of Neurosurgery, Harvard University, Boston, MA, United States


  • Commentary   
    Chronic Subdural Hematoma Secondary to Cortical Cerebral Artery Perforation
    Author(s): Mazen Nofual*, Conrad Liang, Paulio Yanez and Mark Calayag

    Introduction: Chronic Subdural Hematoma (CSDH) is generally attributed to pathological changes in the arterial system of the dura mater. There are no case reports of CSDH due to cerebral cortical artery perforation. Method: We report a case of spontaneous CSDH caused by cortical artery rupture that was identified on digital subtraction angiography and could be visualized on Computed Tomographic Angiography (CTA). Result: A 56-year-old man presented with daily headache for three weeks with no history of trauma. Neurologic exam only showed subtle left pronator drift. A CT scan of the head showed a right CSDH with a midline shift. CTA was suspicious for a dilated vein in the subdural collection. Catheter cerebral angiogram demonstrated contrast extravasation from a small cortical branch of the middl.. View More»

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