<- Home <- Arhive <- Vol. 23, Issue 4, December 2015

Rom J Leg Med23(4)251-256(2015)
© Romanian Society of Legal Medicine

Sudden death due to non-traumatic subdural hematoma in a patient with a myeloproliferative disorder

M. Ceaușu, C. Dragoteanu, S. Hostiuc, I. Negoi

Abstract: Subdural hematomas are known to be almost exclusively traumatic. Spontaneous, non-traumatic subdural hematomas are rarely cited in the scientific literature, being usually associated with oncological pathologies, drug abuse, vascular malformations, or with various treatments. The purpose of this article is to present a case of non-traumatic subdural hematoma with unfavourable course, which appeared in a patient with a newly diagnosed myeloproliferative disorder having a normal platelet count. Histologically the cause of the atraumatic subdural hematoma was proven to be an extramedullary myeloid metaplasia with liver and spleen involvement in the context of an unclassifiable neoplastic leukemic proliferation, which didn’t exclude chronic myeloid leukaemia. A certain diagnosis of Chronic Myeloid Leukemia would have needed bone marrow sampling, which was not performed in our case. However the initial clinical results, associated with the histology investigation were highly suggestive for CML.
Keywords: sudden death, subdural hematoma, myloproliferative disorder.

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