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J Neurol Surg A Cent Eur Neurosurg 2021; 82(06): 604-610
DOI: 10.1055/s-0040-1721021
Case Report

Head Injury without Head Blow? A Rare Case of Subdural Hematoma Associated with Minute Arachnoid Cyst in a Teenage Skater

Jacek Szczygielski
1   Department of Neurosurgery, Saarland University Medical Center and Saarland University Faculty of Medicine, Homburg/Saar, Germany
2   Instutute of Neuropathology, Saarland University Medical Center and Saarland University Faculty of Medicine, Homburg/Saar, Germany
3   Faculty of Medicine, University of Rzeszów, Rzeszów, Poland
,
Dorothea München
1   Department of Neurosurgery, Saarland University Medical Center and Saarland University Faculty of Medicine, Homburg/Saar, Germany
,
Ralf Ketter
1   Department of Neurosurgery, Saarland University Medical Center and Saarland University Faculty of Medicine, Homburg/Saar, Germany
,
Lukas Ràkàsz
4   Department of Neurosurgery, Queens Elisabeth Hospital Birmingham, Birmingham, United Kingdom
,
Walter Schulz-Schaeffer
2   Instutute of Neuropathology, Saarland University Medical Center and Saarland University Faculty of Medicine, Homburg/Saar, Germany
,
Joachim Oertel
1   Department of Neurosurgery, Saarland University Medical Center and Saarland University Faculty of Medicine, Homburg/Saar, Germany
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Abstract

Background Skateboarding has been reported to cause diverse kinds of injuries, including head trauma. However, the risk of brain injury without direct blow to the head seems to be underestimated. In particular, the impact of the inertial forces related to the vigorous character of skateboarding tricks is not sufficiently recognized.

Case Description In our report, we demonstrate a case of chronic subdural hematoma developing without previous blow to the head in a 17-year-old skater bearing small frontal convexity arachnoid cyst.

Conclusion Based on the described case, the possibility of acceleration and angular forces related to skate park leisure activities resulting in subdural hematoma needs to be discussed. This risk should be critically appraised in patients carrying arachnoid cyst as a malformation predisposing to develop subdural bleeding.

Keywords

arachnoid cyst - chronic subdural hematoma - skateboard

Authors' Contributions

J.S., L.R., and J.O. came up with the concept and design of the study. J.S., D.M., and R.K. contributed to the acquisition of data. J.S. and L.R. contributed to the analysis and interpretation of data. J.S., L.R., W.S.-S., and J.O. drafted the article. J.S., L.R., and J.O. critically revised the article and reviewed the submitted version of the manuscript. J.S. approved the final version of the manuscript on behalf of all the authors. J.S., W.S.-S., and J.O. provided administrative/technical/material support. J.O. supervised the study.




Publication History

Received: 03 January 2020

Accepted: 19 March 2020

Article published online:
04 February 2021

© 2021. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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