Recovery From Duret Hemorrhage: A Rare Complication After Craniotomy <b>—Case Report—</b>

Yasunori FUJIMOTO; Paulo Henrique AGUIAR; Alexandre Bruno Raul FREITAS; Almir Ferreira de ANDRADE; Raul MARINO, Jr.

doi:10.2176/nmc.40.508

Case Reports

Recovery From Duret Hemorrhage: A Rare Complication After Craniotomy

—Case Report—

Yasunori FUJIMOTO, Paulo Henrique AGUIAR, Alexandre Bruno Raul FREITAS, Almir Ferreira de ANDRADE, Raul MARINO, Jr.

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Keywords: brain stem injury, craniotomy, computed tomography, Duret hemorrhage

JOURNAL OPEN ACCESS

2000 Volume 40 Issue 10 Pages 508-510

DOI https://doi.org/10.2176/nmc.40.508

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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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