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Journal of Korean Neurosurgical Society 2009;46(3): 277-280.
doi: https://doi.org/10.3340/jkns.2009.46.3.277
Traumatic Acute Subdural Hematoma Extending from the Posterior Cranial Fossa to the Cerebellopontine Angle.
Salih Gulsen, Erkin Sonmez, Cem Yilmaz, Nur Altinors
Department of Neurosurgery, Baskent University, Ankara, Turkey. salihgulsen07@gmail.com
Posterior cranial fossa subdural hematomas and extension of the subdural hematoma to the cerebellopontine angle is rarely seen and the concurrent development of acute peripheral facial palsy and the management strategy have not previously been reported in this pathology because of its rarity. We present this case to emphasize that minor head trauma may lead to a posterior cranial fossa hematoma extending to the cerebellopontine angle and cause peripheral facial palsy in patients using aspirin (acetylsalicylic acid). In addition, partial evacuation and waiting for the resorption of the hematoma may help to prevent damage to the 7th and 8th cranial nerves.
Key Words: Antiplatelet agent; Cerebellopontine angle; Facial nerve; Head injury; Posterior fossa; Subdural hematoma
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