Subdural hematomas of the posterior fossa are very rare and most cases are related to head injury. The influence of anticoagulation in cases of spontaneous development is well known. Although diagnosis is easily achieved by CT sean, atypical forms may lead to the wrong diagnosis of cerebellar hematoma. We present a case of a posterior fossa acute subdural hematoma occurring in an anticoagulated patient who was preoperatively misdiagnosed as an intracerebellar hemorrhage.
Los hematomas subdurales en la fosa posterior son muy infrecuentes y la mayoría son secundarios a traumatismo craneal. La influencia de la anticoagulación en el desarrollo de los casos espontáneos es bien conocida. Aunque el diagnóstico es fácil de realizar si se dispone de TC, existen formas atípicas que pueden llevar al diagnóstico incorrecto de hematoma intracerebeloso. Se presenta un nuevo caso de hematoma subdural agudo de fosa posterior en un paciente anticoagulado que fue erróneamente diagnosticado de presentar un hematoma intracerebeloso.
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