Recovery from Duret hemorrhage: a rare complication after craniotomy--case report.

Abstract

A 44-year-old female presented with Duret hemorrhage due to transtentorial herniation by extradural hematoma as a complication after craniotomy for treatment of spontaneous middle cranial fossa cerebrospinal fluid leakage through the oval window. Brain computed tomography revealed linear hemorrhage in the midbrain and the rostral pons. She awoke after 2 weeks in a coma, despite showing ocular bobbing and bilateral intranuclear ophthalmoplegia. She was discharged from the hospital with minimal neurological defects. Duret hemorrhage is usually fatal, but this case shows that early surgical decompression is the most important factor to avoid the worst sequelae.

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@article{Fujimoto2000RecoveryFD, title={Recovery from Duret hemorrhage: a rare complication after craniotomy--case report.}, author={Yasunori Fujimoto and Paulo Henrique Pires de Aguiar and Adriana Bezerra Freitas and Almir Ferreira de Andrade and Raul Marino J{\'u}nior}, journal={Neurologia medico-chirurgica}, year={2000}, volume={40 10}, pages={508-10} }