INTER-HEMISPHERIC SCISSURE, A RARE LOCATION FOR A TRAUMATIC SUBDURAL-HEMATOMA, CASE-REPORT AND REVIEW OF THE LITERATURE

Subdural interhemispheric hematomas (ISH), though not really rare, are quite an uncommon complication of head traumas. This condition is mor e frequent in childhood, where it is generally considered as a part of a more complex syndrome, called 'Shaken Children Syndrome', usually p ointing out child abuse. Although a head injury is very often consider ed the cause (in about 80-90% of the cases), possible predisposing fac tors such as coagulopathies, alcohol abuse or anticoagulant therapy ca n also be considered. Furthermore, as the rupture of an intracranial a neurysm has also occasionally pinpointed as a possible cause, this eve nt should be kept in mind in order to be able to address exactly both the diagnostic and therapeutical procedures. A new conservatively mana ged case is thereby described. A review of the literature with particu lar attention drawn to the diagnosis and the different therapeutical p ossibilities is also elaborated. (C) 1997 Elsevier Science B.V.