Abstract
Background: This study presents a patient with a stroke who had total paralysis of his left-side limbs after intracranial haemorrhaging, who later experienced partial weakness of the right-side limbs after a subdural hygroma. Both conditions occurred without major trauma. He received two separate operations, a craniotomy and placement of a ventriculoperitoneal shunt, before the appearance of the subdural hygroma. Case study: According to the literature, heterotopic ossification is often reported with major trauma-associated diseases, but is less frequently found in patients with non-traumatic conditions, from which this patient suffered. Although the patient had experienced no major trauma, he had multiple heterotopic ossifications on the side of the subdural hygroma-affected limbs, which exhibited better motor control and were less spastic than those of the opposite side. These heterotopic ossifications were around joints of the hip, knee and shoulder on his right side, as proven by plain radiography and a triple-phase bone scan and resulted in marked limitations of joint motions. This patient thus had major disabilities of his limbs bilaterally. Conclusions: The occurrence of heterotopic ossifications in the less-paretic limbs might have worsened this patient's functional outcome.
| Original language | English |
|---|---|
| Pages (from-to) | 624-628 |
| Number of pages | 5 |
| Journal | Brain Injury |
| Volume | 25 |
| Issue number | 6 |
| DOIs | |
| Publication status | Published - Jun 2011 |
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Keywords
- case report
- Heterotopic ossification
- stroke
- subdural hygroma
ASJC Scopus subject areas
- Clinical Neurology
Cite this
Subdural hygroma-related heterotopic ossification in a patient with a stroke : A case report. / Lin, Shih Han; Chiu, Chun Chieh; Wang, Chyan Yeong; Chen, Chi-Hsien; Chang, Kwang Hwa.
In: Brain Injury, Vol. 25, No. 6, 06.2011, p. 624-628.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Subdural hygroma-related heterotopic ossification in a patient with a stroke
T2 - A case report
AU - Lin, Shih Han
AU - Chiu, Chun Chieh
AU - Wang, Chyan Yeong
AU - Chen, Chi-Hsien
AU - Chang, Kwang Hwa
PY - 2011/6
Y1 - 2011/6
N2 - Background: This study presents a patient with a stroke who had total paralysis of his left-side limbs after intracranial haemorrhaging, who later experienced partial weakness of the right-side limbs after a subdural hygroma. Both conditions occurred without major trauma. He received two separate operations, a craniotomy and placement of a ventriculoperitoneal shunt, before the appearance of the subdural hygroma. Case study: According to the literature, heterotopic ossification is often reported with major trauma-associated diseases, but is less frequently found in patients with non-traumatic conditions, from which this patient suffered. Although the patient had experienced no major trauma, he had multiple heterotopic ossifications on the side of the subdural hygroma-affected limbs, which exhibited better motor control and were less spastic than those of the opposite side. These heterotopic ossifications were around joints of the hip, knee and shoulder on his right side, as proven by plain radiography and a triple-phase bone scan and resulted in marked limitations of joint motions. This patient thus had major disabilities of his limbs bilaterally. Conclusions: The occurrence of heterotopic ossifications in the less-paretic limbs might have worsened this patient's functional outcome.
AB - Background: This study presents a patient with a stroke who had total paralysis of his left-side limbs after intracranial haemorrhaging, who later experienced partial weakness of the right-side limbs after a subdural hygroma. Both conditions occurred without major trauma. He received two separate operations, a craniotomy and placement of a ventriculoperitoneal shunt, before the appearance of the subdural hygroma. Case study: According to the literature, heterotopic ossification is often reported with major trauma-associated diseases, but is less frequently found in patients with non-traumatic conditions, from which this patient suffered. Although the patient had experienced no major trauma, he had multiple heterotopic ossifications on the side of the subdural hygroma-affected limbs, which exhibited better motor control and were less spastic than those of the opposite side. These heterotopic ossifications were around joints of the hip, knee and shoulder on his right side, as proven by plain radiography and a triple-phase bone scan and resulted in marked limitations of joint motions. This patient thus had major disabilities of his limbs bilaterally. Conclusions: The occurrence of heterotopic ossifications in the less-paretic limbs might have worsened this patient's functional outcome.
KW - case report
KW - Heterotopic ossification
KW - stroke
KW - subdural hygroma
UR - http://www.scopus.com/inward/record.url?scp=79955615677&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=79955615677&partnerID=8YFLogxK
U2 - 10.3109/02699052.2011.571228
DO - 10.3109/02699052.2011.571228
M3 - Article
C2 - 21534740
AN - SCOPUS:79955615677
VL - 25
SP - 624
EP - 628
JO - Brain Injury
JF - Brain Injury
SN - 0269-9052
IS - 6
ER -