J Korean Neurosurg Soc.  2013 Sep;54(3):265-267. 10.3340/jkns.2013.54.3.265.

Chronic Subdural Hematoma after Eccentric Exercise Using a Vibrating Belt Machine

• Park HR
• Lee KS
• Bae HG

• KMID: 2190912
• DOI: http://doi.org/10.3340/jkns.2013.54.3.265

Abstract

We report a case of bilateral chronic subdural hematoma (CSDH) in a 75-year-old man after exercise using a vibrating belt machine on the head. He suffered from headache and intermittent left side numbness for ten days. He denied any head injuries except eccentric exercise using a vibrating belt on his own head for 20 days. An MRI revealed bilateral CSDH. The hematoma was isodense on the CT scan. We made burr-holes on the both sides under local anesthesia. We identified the neomembrane and dark red subdural fluid on both sides. In the postoperative CT scan, we found an arachnoid cyst on the left temporal pole. Although the arachnoid cyst itself is asymptomatic, trivial injury such as vibrating the head may cause a CSDH.

Keyword

Chronic subdural hematoma; Craniocerebral trauma; Injuries; Vibration

MeSH Terms

Aged
Anesthesia, Local
Arachnoid
Craniocerebral Trauma
Head
Headache
Hematoma
Hematoma, Subdural, Chronic*
Humans
Hypesthesia
Vibration

Figure

• 

  Fig. 1 (A) T1-weighted image reveals bilateral subdural isointense collections, (B) T2-weighted SE and (C) T2-FLAIR image reveals bilateral subdural collections with hypointensity, (D) Gradient echo T2-weighted image reveals bilateral hematomas with different signal intensities; the right side is more hypointense than the left side, (E) T2-weighted SE image shows arachnoid cyst on the left temporal pole, (F) T2-FLAIR image shows arachnoid cyst on the left temporal pole.

• 

  Fig. 2 CT scans reveal thick crescent homogeneous isodensity lesions in both fronto-temporo-parietal regions without midline shift.

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  Fig. 3 Postoperative CT scans reveal nearly total removal of chronic subdural hematoma. We could identify an arachnoid cyst on the left temporal pole which is unnoticed on the preoperative CT scan (arrow).

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  Fig. 4 Follow-up CT scans 2 months later reveal recurred subdural hematoma on the left side. An arachnoid cyst is still found on the left temporal pole.

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  Fig. 5 The recurred subdural hematoma is resolved in the CT scans of 5 months after surgery. An arachnoid cyst is still found on the left temporal pole.

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