6,014 results match your criteria Epidural Hematoma


How low did we go? A case report of unexpected thrombocytopenia.

Int J Obstet Anesth 2018 Nov 29. Epub 2018 Nov 29.

Columbia University Medical Center, Department of Anesthesiology, New York, United States of America.

We report the case of a normotensive 31-year-old parturient who received combined spinal-epidural analgesia for early labor, and who was then found to have an unexpectedly low platelet count (25 000/μL) with elevated liver enzymes, but without alterations in blood pressure. Read More

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http://dx.doi.org/10.1016/j.ijoa.2018.11.008DOI Listing
November 2018

Nonsurgical Intervention in a Preeclamptic Patient with Spontaneous Spinal Epidural Hematoma.

Case Rep Obstet Gynecol 2018 7;2018:5879481. Epub 2018 Nov 7.

Department of Neurology, White Memorial Medical Center, Los Angeles, CA 90033, USA.

Background: Spontaneous epidural hematoma (SEH) is a rare finding in pregnancy, especially since most pregnant women do not have risk factors for developing SEH. The presence of epidural anesthesia can delay the diagnosis of SEH in pregnant patients. Immediate surgical decompression is the current standard of care for treating SEH. Read More

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http://dx.doi.org/10.1155/2018/5879481DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6247676PMC
November 2018

Intraoperative Cerebrospinal Fluid Leak in Extradural Spinal Tumor Surgery.

Neurospine 2018 Oct 7. Epub 2018 Oct 7.

Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.

Objective: Patients with extradural spine tumors are at an increased risk for intraoperative cerebrospinal fluid (CSF) leaks and postoperative wound dehiscence due to radiotherapy and other comorbidities related to systemic cancer treatment. In this case series, we discuss our experience with the management of intraoperative durotomies and wound closure strategies for this complex surgical patient population.

Methods: We reviewed our recent single-center experience with spine surgery for primarily extradural tumors, with attention to intraoperative durotomy occurrence and postoperative wound-related complications. Read More

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http://dx.doi.org/10.14245/ns.1836042.021DOI Listing
October 2018

Cortical surface intracranial electrodes identify clinically relevant seizures missed on scalp EEG after traumatic intracranial hemorrhage.

Epileptic Disord 2018 Dec 10. Epub 2018 Dec 10.

Department of Neurology, Mayo Clinic, Rochester, Minnesota, USA.

Seizures and other electrophysiological disturbances are an under-recognized cause of coma, focal deficits, and prolonged encephalopathy following subdural hematoma evacuation. In these patients, it is possible that seizures remain unrecognized on scalp EEG. It has been shown that a high burden of seizures and other electrophysiological disturbances exist following surgical evacuation and underlie the encephalopathy commonly seen in this patient population, predisposing them to medical complications and confounding estimates of prognosis. Read More

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http://dx.doi.org/10.1684/epd.2018.1015DOI Listing
December 2018

Spinal arachnoiditis ossificans: report of a quadruple triggered case.

World Neurosurg 2018 Dec 3. Epub 2018 Dec 3.

Department of Neurological Surgery, Policlinico "G. Rodolico" University Hospital, Via Santa Sofia 86, 95123 - Catania, Italy.

Background: Arachnoiditis ossificans (AO) is a rare condition often associated with previous spine surgery. Here we describe a unique case of a patient affected by ankylosing spondylitis (AS), presenting with progressive neurological deterioration due to AO. We also review the literature on evaluation and management of patients suffering from AO. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750183276
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http://dx.doi.org/10.1016/j.wneu.2018.11.203DOI Listing
December 2018
3 Reads

Thoracic epidural hematoma.

Can J Anaesth 2018 Dec 4. Epub 2018 Dec 4.

Department of Medicine, Section of Anaesthesiology and Intensive Care, University of Padua, Padua, Italy.

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http://dx.doi.org/10.1007/s12630-018-01266-8DOI Listing
December 2018
1 Read

A rare case of Brown-Sequard syndrome caused by traumatic cervical epidural hematoma.

Surg Neurol Int 2018 23;9:213. Epub 2018 Oct 23.

Department of Neurosurgery, Riverside University Health System, Riverside, California, USA.

Background: Brown-Sequard syndrome (BSS) is a well-known entity that is most commonly caused by a penetrating injury to the spinal cord (e.g., stab wound or gunshot wound). Read More

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http://www.surgicalneurologyint.com/text.asp?2018/9/1/213/24
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http://dx.doi.org/10.4103/sni.sni_142_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6213806PMC
October 2018
3 Reads

North American survey on the post-neuroimaging management of children with mild head injuries.

Authors:

J Neurosurg Pediatr 2018 Oct 1:1-9. Epub 2018 Oct 1.

OBJECTIVEThere remains uncertainty regarding the appropriate level of care and need for repeating neuroimaging among children with mild traumatic brain injury (mTBI) complicated by intracranial injury (ICI). This study's objective was to investigate physician practice patterns and decision-making processes for these patients in order to identify knowledge gaps and highlight avenues for future investigation.METHODSThe authors surveyed residents, fellows, and attending physicians from the following pediatric specialties: emergency medicine; general surgery; neurosurgery; and critical care. Read More

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https://thejns.org/view/journals/j-neurosurg-pediatr/aop/art
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http://dx.doi.org/10.3171/2018.7.PEDS18263DOI Listing
October 2018
4 Reads

Development of a delayed acute epidural hematoma following contralateral epidural hematoma evacuation: case report and review of literature.

Acta Neurol Belg 2018 Nov 26. Epub 2018 Nov 26.

Division of Neurosurgery, Department of Human Neurosciences, Sapienza University of Rome, Rome, Italy.

The formation of a post-traumatic delayed epidural hematoma (DEDH) is a rare but well-described complication in the literature. It is defined as an extradural bleeding not evident at the first computed tomography (CT) scan performed after trauma, but evidenced by further radiological evaluations. The most supported hypothesis about the mechanism responsible for the formation of a DEDH concerns above all the loss of a tamponade effect given by the reduction of intracranial pressure with medical or surgical treatment. Read More

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http://dx.doi.org/10.1007/s13760-018-1049-yDOI Listing
November 2018
2 Reads

Ankylosing spinal disease - diagnosis and treatment of spine fractures.

World Neurosurg 2018 Nov 23. Epub 2018 Nov 23.

Department of Neurosurgery, Klinikum rechts der Isar, Technical University Munich, Munich, Germany.

Background: In patients with ankylosing spinal diseases (ASD) including ankylosing spondylitis (AS) and diffuse idiopathic skeletal hyperostosis (DISH) even low-impact trauma can lead to complex injury. They seem to be highly unstable and associated with higher mortality rates when compared to the general spine trauma population.

Methods: We reviewed the charts of a consecutive series of 41(34 male, 7 female) patients with ASD and unstable traumatic spine injuries who were admitted to our department between 2007 and 2016. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.11.108DOI Listing
November 2018
2 Reads

Timing of Prophylactic Anticoagulation and Its Effect on Thromboembolic Events after Surgery for Metastatic Tumors of The Spine.

Spine (Phila Pa 1976) 2018 11 20. Epub 2018 Nov 20.

Spine Research Group, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, New York.

Study Design: Retrospective cohort study.

Objective: To investigate the effect of timing of initiation of prophylactic anticoagulation (AC) on the incidence of venous thromboembolism (VTE) after surgery for metastatic tumors of the spine.

Summary Of Background Data: VTE is a known complication in patients undergoing surgery for metastatic spine disease. Read More

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http://dx.doi.org/10.1097/BRS.0000000000002944DOI Listing
November 2018
2 Reads

Will deep brain stimulation increase the incidence of induced psychosis? Post-operation follow-ups for 1 hundred patients from 2004-2017.

Authors:
Paul-Jer Chen

Biomedicine (Taipei) 2018 Dec 26;8(4):21. Epub 2018 Nov 26.

Department of Neurosurgery, China Medical University Hospital, China Medical University, Taichung 404, Taiwan.

Generally regarding as a safe treatment for Parkinson's disease (PD) for the past 20 years, deep brain stimulation (DBS) is also an example of precision medicine where surgeons need to titrate individual patient's stimulating electrodes one by one down to the scale of micrometer for the maximum therapeutic effect. In order to prevent operation induced psychiatric complications and minimize any other potential side effects, we have followed 103 patients received this treatment provided by a single surgeon in the same medical institution from 2004 to 2017. We identified each patient complaint from nursing care records and complication data from medical charts during the perioperative hospitalization period to see if any of them correlate statistical significantly with the DBS lead placement procedure. Read More

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http://dx.doi.org/10.1051/bmdcn/2018080421DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6254137PMC
December 2018
4 Reads

Anti-coagulation Drug Warfarin Contributes to Severe Adverse Outcomes in Prolonged Unsupervised Use: A Double-edged Sword.

Cureus 2018 Sep 22;10(9):e3347. Epub 2018 Sep 22.

Neurological Surgery, Haider Spine Center, Riverside, USA.

Anti-coagulation medications are widely used in clinical practice, especially in the United States as cardiac-related emergencies are on the rise. An overarching caveat in using anti-coagulation drugs as a long-term treatment regimen, such as warfarin, is that patients are closely monitored by their primary care provider. Routine monthly laboratory examinations are strictly required to assess the international normalized ratio (INR) which measures prothrombin time (PT), providing insight into how long it takes for blood to clot. Read More

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https://www.cureus.com/articles/14892-anti-coagulation-drug-
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http://dx.doi.org/10.7759/cureus.3347DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6248782PMC
September 2018
4 Reads

Spontaneous spinal epidural hematoma mimicking Guillain-Barre Syndrome.

Brain Dev 2018 Nov 21. Epub 2018 Nov 21.

Department of Neurology, Hyogo Prefectural Kobe Children's Hospital, Kobe, Japan.

Background: The initial symptoms of Guillain-Barre Syndrome (GBS) can be similar to a case of spontaneous spinal epidural hematoma (SSEH) located at the cervicothoracic junction. Therefore, SSEH may be misdiagnosed as GBS.

Case Report: A previously healthy 6-year-old girl presented with a 2-day history of progressive pain in the lower extremities and an inability to walk. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S03877604183054
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http://dx.doi.org/10.1016/j.braindev.2018.11.004DOI Listing
November 2018
6 Reads

Machine-learning analysis outperforms conventional statistical models and CT classification systems in predicting 6-month outcomes in pediatric patients sustaining traumatic brain injury.

Authors:

Neurosurg Focus 2018 Nov;45(5):E2

OBJECTIVEModern surgical planning and prognostication requires the most accurate outcomes data to practice evidence-based medicine. For clinicians treating children following traumatic brain injury (TBI) these data are severely lacking. The first aim of this study was to assess published CT classification systems in the authors' pediatric cohort. Read More

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https://thejns.org/view/journals/neurosurg-focus/45/5/articl
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http://dx.doi.org/10.3171/2018.8.FOCUS17773DOI Listing
November 2018
3 Reads

Surgical consideration in Hunter syndrome: a case of hydrocephalus and a case of epidural hematoma.

Childs Nerv Syst 2018 Nov 15. Epub 2018 Nov 15.

Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, 100050, China.

Introduction: Hunter syndrome (HS) is a rare X-linked lysosomal storage disorder which affects multiple organ systems. Surgical intervention and general anesthesia should be used with caution because of significant airway complications.

Case Report: Two HS patients underwent surgery with different prognosis are presented below. Read More

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http://dx.doi.org/10.1007/s00381-018-3998-0DOI Listing
November 2018
2 Reads
1.160 Impact Factor

Epidural hematoma - benign or potentially malignant disease?

Rozhl Chir 2018 ;97(6):267-272

Introduction: Epidural hematoma (EDH) is generally considered to be a condition with a good prognosis. However, postoperative results of numerous studies have shown that mortality and morbidity remain relatively high. The aim of our article is to evaluate surgical outcomes in patients undergoing EDH evacuation over the last five years. Read More

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January 2018
6 Reads

Osteogenesis Imperfecta and Extra-/Intradural Hematomas: A Case Report and Review of the Literature.

J Pediatr Genet 2018 Dec 14;7(4):185-190. Epub 2018 Jun 14.

Department of Neurosurgery, Ankara University School of Medicine, Ibni Sina Hospital, Ankara, Turkey.

Osteogenesis imperfecta, also named as brittle bone disease, is characterized by fragile bones and short stature caused by mutations in the collagen gene. Subdural and intraparenchymal hematomas are defined and associated with trauma, vascular causes, and systemic bleeding diathesis. Skull fragility may lead to epidural hematoma, which is a life-threatening situation. Read More

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http://dx.doi.org/10.1055/s-0038-1660826DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6234040PMC
December 2018
2 Reads

Pain management and safety profiles after preoperative vs postoperative thoracic epidural insertion for bilateral lung transplantation.

Clin Transplant 2018 Nov 9:e13445. Epub 2018 Nov 9.

Division of Cardiac Surgery, Massachusetts General Hospital, Boston, Massachusetts.

Objective: Thoracic epidural analgesia provides effective pain control after lung transplantation; however, the optimal timing of placement is controversial. We sought to compare pain control and pulmonary and epidural morbidity between patients receiving preoperative vs postoperative epidurals.

Methods: Institutional records were reviewed for patients undergoing a bilateral lung transplant via a bilateral anterior thoracotomy with transverse sternotomy incision between January 2014 and January 2017. Read More

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http://doi.wiley.com/10.1111/ctr.13445
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http://dx.doi.org/10.1111/ctr.13445DOI Listing
November 2018
5 Reads

Epidural hematoma after caudal epidural pulsed radiofrequency stimulation: A case report.

Medicine (Baltimore) 2018 Nov;97(45):e13090

Department of Physical Medicine and Rehabilitation, Spine Center, College of Medicine, Yeungnam University, Namku, Daegu, Republic of Korea.

Rationale: Epidural hematoma is a possible complication after neuraxial procedures. Recently, caudal epidural pulsed radiofrequency (PRF) stimulation was reported as an effective method for controlling several types of chronic pain. Herein, we report on a patient who developed a lumbar epidural hematoma after receiving caudal epidural PRF stimulation. Read More

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http://dx.doi.org/10.1097/MD.0000000000013090DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6250492PMC
November 2018
4 Reads

Serum electrolyte imbalance and prognostic factors of postoperative death in adult traumatic brain injury patients: A prospective cohort study.

Medicine (Baltimore) 2018 Nov;97(45):e13081

Electrolyte imbalances are common in traumatic brain injury. It shares the cause of perioperative morbidity and mortality. Types of intravenous fluid resuscitation, osmotic diuretics, massive blood loss, and intracranial pathology were considered as the potential factors to worsen electrolyte abnormalities in these patients. Read More

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http://dx.doi.org/10.1097/MD.0000000000013081DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6250545PMC
November 2018
3 Reads

Dengue Fever Presenting With Cervicodorsal Acute Spinal Spontaneous Subdural Hematoma-Case Report And Review Of Literature.

World Neurosurg 2018 Nov 4. Epub 2018 Nov 4.

Department of Neurosurgery, Institute of Neurosciences, Medanta The Medicity, Sector 38 Gurgaon, Haryana, India-122001.

Background: Neurological complications are increasingly being reported in dengue epidemics. Intra-spinal hematomas are rare and those associated with dengue fever are still rarer with only one being reported in literature.

Case Description: We report a case of dengue fever presenting with acute onset quadriparesis (upper limbs MRC 4/5 and lower limbs 0/5) and urinary incontinence. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750183250
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http://dx.doi.org/10.1016/j.wneu.2018.10.201DOI Listing
November 2018
4 Reads

Endovascular Treatment Following Gauze Packing for the Control of Massive Bleeding from Traumatic Transverse Sinus Lesion.

Korean J Neurotrauma 2018 Oct 31;14(2):150-154. Epub 2018 Oct 31.

Department of Neurosurgery and Medical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea.

Posterior fossa epidural hematoma (EDH) is uncommon, but the related clinical deterioration can occur suddenly. Accompanying venous sinus injury and lacerations are associated with 40% to 80% mortality. The authors present one clinical case of a patient with posterior fossa EDH from transverse sinus bleeding. Read More

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https://synapse.koreamed.org/DOIx.php?id=10.13004/kjnt.2018.
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http://dx.doi.org/10.13004/kjnt.2018.14.2.150DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6218356PMC
October 2018
4 Reads

Rapid Redistribution of an Acute Traumatic Epidural Hematoma in a Patient with Invasive Skull Cancer.

Korean J Neurotrauma 2018 Oct 31;14(2):138-141. Epub 2018 Oct 31.

Department of Neurosurgery, Soonchunhyang University Bucheon Hospital, Bucheon, Korea.

The rapid spontaneous resolution of an acute epidural hematoma (EDH) has rarely been reported. A possible mechanism of spontaneous resolution is egress of the hematoma into the subgaleal space through a skull fracture. We report a case of rapid redistribution of an acute EDH in a 37-year-old man who had a malignant peripheral nerve sheath tumor of the skull and who slipped and fell when going to the bathroom. Read More

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http://dx.doi.org/10.13004/kjnt.2018.14.2.138DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6218337PMC
October 2018
2 Reads

Neurodevelopmental Prognostic Factors in 73 Neonates with the Birth Head Injury.

Korean J Neurotrauma 2018 Oct 31;14(2):80-85. Epub 2018 Oct 31.

Department of Obstetrics and Gynecology, Ajou University Hospital, Ajou University School of Medicine, Suwon, Korea.

Objective: The objective of this study was to reinterpret the neurodevelopmental prognostic factors that are associated with birth head injury by performing a long-term follow-up.

Methods: Seventy-three neonates with head injuries were retrospectively analyzed after a duration of 10.0±7. Read More

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https://synapse.koreamed.org/DOIx.php?id=10.13004/kjnt.2018.
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http://dx.doi.org/10.13004/kjnt.2018.14.2.80DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6218339PMC
October 2018
6 Reads

Traumatic Epidural Hematoma: Patient Characteristics and Management.

Am Surg 2017 Nov;83(11):e438-e440

Memorial Regional Hospital, Division of Acute Care Surgery and Trauma, Hollywood, Florida, USA.

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November 2017
1 Read

Consecutive images of conservatively treated cervical spontaneous spinal epidural hematoma.

J Clin Neurosci 2018 Nov 1. Epub 2018 Nov 1.

The University of Tokyo Hospital, Japan.

Spontaneous spinal epidural hematoma (SSEH) in the cervical spine is rare, and it remains unclear how this condition resolves. We aimed to elucidate the underlying pathology of SSEH conservatively treated using magnetic resonance imaging (MRI) analysis. We reviewed the clinical records of patients with SSEH treated conservatively between January 2011 and November 2016 and analyzed the patients' medical history, medication, spinal cord compression on MRI, and neurological status. Read More

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http://dx.doi.org/10.1016/j.jocn.2018.10.097DOI Listing
November 2018
1 Read

Efficacy of stenting in patients with cerebral venous sinus thrombosis-related cerebral venous sinus stenosis.

J Neurointerv Surg 2018 Nov 2. Epub 2018 Nov 2.

Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China.

Background: Venous stenting has been proven to be a safe and effective therapeutic option for patients with idiopathic intracranial hypertension (IIH) and cerebral venous sinus stenosis (CVSS). However, its use in patients with cerebral venous sinus thrombosis-related CVSS has been less reported.

Purpose: To explore the safety and efficacy of stenting for patients with cerebral venous sinus thrombosis (CVST)-related CVSS. Read More

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http://dx.doi.org/10.1136/neurintsurg-2018-014328DOI Listing
November 2018
1 Read

Spontaneous spinal epidural hematoma of the thoracic spine after herbal medicine: a case report.

BMC Complement Altern Med 2018 Oct 29;18(1):291. Epub 2018 Oct 29.

Department of Orthopaedics, Hanil General Hospital, 308 Uicheon-ro, Dobong-Gu, Seoul, 132-703, South Korea.

Background: Spontaneous spinal epidural hematoma (SSEH) is an uncommon disease, but it can lead to acute cord compression with disabling consequences. Identifiable reasons for spontaneous hemorrhage are vascular malformations and bleeding disorders. However, SSEH after taking herbal medicines has not been described yet. Read More

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https://bmccomplementalternmed.biomedcentral.com/articles/10
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http://dx.doi.org/10.1186/s12906-018-2354-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6206678PMC
October 2018
5 Reads

[Two Cases of Cervical Epidural Hematoma that Developed during Oral Anti-Platelet Treatment and Achieved Satisfactory Outcomes Following Early Diagnosis and Treatment].

No Shinkei Geka 2018 Oct;46(10):883-888

Department of Neurosurgery, National Hospital Organization Ureshino Medical Center.

We report two cases of patients who developed cervical epidural hematoma while receiving oral anti-platelet agents and achieved satisfactory outcomes following early diagnosis and treatment. Both patients attained decompression within 12 hours of symptom onset and achieved independent gait at an early stage. Decompression was attained in a shorter amount of time(<6 hours)in case 1, and neurological symptoms rapidly and fully improved immediately following surgery. Read More

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http://dx.doi.org/10.11477/mf.1436203833DOI Listing
October 2018
6 Reads

Trauma-induced Acute Epidural Hematoma: The Rising Sun in a Progressively Lethargic Man.

Cureus 2018 Aug 20;10(8):e3162. Epub 2018 Aug 20.

Neurological Surgery, University of California Riverside School of Medicine, Riverside, USA.

A young adult, 18 years of age, presented to the emergency department with severe traumatic brain injury (TBI) resulting from a bicycle versus vehicle head-on collision. The patient initially presented in a promising condition but quickly deteriorated into a state of unconsciousness with no meaningful responses to stimuli or coordinated voluntary movement. Stat computed tomography (CT) revealed a large, right-sided, acute epidural hematoma (EDH) with mass-effect and a severe midline shift indicative of immediate surgery. Read More

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https://www.cureus.com/articles/11985-trauma-induced-acute-e
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http://dx.doi.org/10.7759/cureus.3162DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6197528PMC
August 2018
2 Reads

Prothrombin Complex Concentrate for Warfarin-Associated Intracranial Bleeding in Neurosurgical Patients: A Single-Center Experience.

Medicina (Kaunas) 2018 Apr 25;54(2). Epub 2018 Apr 25.

Neuroscience Institute, Medical Academy, Lithuanian University of Health Sciences, LT-50009 Kaunas, Lithuania.

: The number of patients presenting with warfarin-associated intracranial bleeding and needing neurosurgical intervention is growing. Prothrombin complex concentrate (PCC) is commonly used for anti-coagulation reversal before emergent surgery. We present our experience with PCC use in patients presenting with coagulopathy and needing urgent craniotomy. Read More

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http://dx.doi.org/10.3390/medicina54020022DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6037259PMC
April 2018
1 Read

Assessment of Single-Barrel Superficial Temporal Artery-Middle Cerebral Artery Bypass in Treatment for Adult Patients with Ischemic-Type Moyamoya Disease.

Med Sci Monit 2018 Oct 19;24:7469-7474. Epub 2018 Oct 19.

Department of Neurosurgery, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou, Jiangsu, China (mainland).

BACKGROUND Moyamoya disease (MMD) is an idiopathic disease caused by progressive steno-occlusion of the distal internal carotid artery. Ideal surgical treatment for adult patients with ischemic-type MMD has not been achieved. The aim of this study was to evaluate the efficacy of single-barrel superficial temporal artery-middle cerebral artery (STA-MCA) bypass in treatment for adult patients with ischemic-type MMD by analyzing clinical and radiological data retrospectively. Read More

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http://dx.doi.org/10.12659/MSM.910252DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6203936PMC
October 2018
1 Read

Spontaneous cervical epidural hematoma mimicking a transient ischemic attack.

Acute Med Surg 2018 Oct 25;5(4):395-396. Epub 2018 Jun 25.

Department of Orthopedics Saku Central Hospital Advanced Care Center Saku Nagano Japan.

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http://doi.wiley.com/10.1002/ams2.350
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http://dx.doi.org/10.1002/ams2.350DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6167401PMC
October 2018
5 Reads

Spontaneous Spinal Epidural Hematoma: Correlation of Timing of Surgical Decompression and MRI Findings with Functional Neurological Outcome.

World Neurosurg 2018 Oct 16. Epub 2018 Oct 16.

Division of Neurosurgery, Department of Surgery, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.

Objective: Spontaneous spinal epidural hematoma (SSEH) is a rare and morbid entity, with the prognosis affected by delayed diagnosis and surgical intervention. The correlation between the timing of the intervention and neurological recovery has not been clearly reported. We present a retrospective study of SSEH to determine the correlation between the timing of surgical intervention and changes in the spinal cord signal on magnetic resonance imaging (MRI) with the neurological outcome. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750183227
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http://dx.doi.org/10.1016/j.wneu.2018.09.224DOI Listing
October 2018
12 Reads
2.417 Impact Factor

Anterior Controllable Antedisplacement Fusion as a Choice for Ossification of Posterior Longitudinal Ligament and Degenerative Kyphosis and Stenosis: Postoperative Morphology of Dura Mater and Probability Analysis of Epidural Hematoma Based on 63 Patients.

World Neurosurg 2019 Jan 13;121:e954-e961. Epub 2018 Oct 13.

Department of Orthopedics, Changzheng Hospital, Second Military Medical University, Shanghai, China.

Objective: We studied the postoperative morphology of the dura mater and analyzed the probability of epidural hematoma (EH) after anterior controllable antedisplacement and fusion (ACAF).

Methods: A total of 63 patients with a diagnosis of ossification of the posterior longitudinal ligament (OPLL) and degenerative kyphosis and stenosis (DKS) had undergone ACAF from 2016 to 2017. All these patients had undergone cervical plain films, computed tomography, and magnetic resonance imaging (MRI). Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750183234
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http://dx.doi.org/10.1016/j.wneu.2018.10.052DOI Listing
January 2019
6 Reads

Impact of lumbar hypolordosis on the incidence of symptomatic postoperative spinal epidural hematoma after decompression surgery for lumbar spinal canal stenosis.

Eur Spine J 2018 Oct 9. Epub 2018 Oct 9.

Department of Orthopaedic Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjyuku-ku, Tokyo, 160-8582, Japan.

Purpose: Potential associations between radiographic parameters and the incidence of symptomatic postoperative spinal epidural hematoma (PSEH) have not been identified. This study aimed to identify risk factors including radiographic parameters for symptomatic PSEH after posterior decompression surgery for lumbar spinal canal stenosis (LSS).

Methods: We retrospectively reviewed 1007 consecutive patients who underwent lumbar decompression surgery for lumbar spinal canal stenosis (LSS) at our institution. Read More

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http://link.springer.com/10.1007/s00586-018-5782-y
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http://dx.doi.org/10.1007/s00586-018-5782-yDOI Listing
October 2018
3 Reads

Disturbed Consciousness and Coma: Diagnosis and Management of Intracranial Hypotension Caused by a Spinal Cerebrospinal Fluid Leak.

World Neurosurg 2019 Jan 5;121:e700-e711. Epub 2018 Oct 5.

Department of Neurosurgery, Tokyo Metropolitan Neurological Hospital, Fuchu, Tokyo, Japan.

Objective: The diagnosis and treatment of intracranial hypotension associated with a spinal cerebrospinal fluid (CSF) leak, especially in comatose patients, have yet to be established.

Methods: Clinical manifestations, neuroimaging findings, and treatment outcomes in 11 patients (Glasgow Coma Scale score 10 ± 4) were described and compared with 36 patients with normal consciousness.

Results: Patients with disturbed consciousness were diagnosed at a significantly older age (55 ± 11 years; P < 0. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750183224
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http://dx.doi.org/10.1016/j.wneu.2018.09.193DOI Listing
January 2019
3 Reads

Spinal Emergencies in Primary Care Practice.

Am J Med 2018 Oct 3. Epub 2018 Oct 3.

Division of Spine Surgery, Department of Orthopaedic Surgery, Warren Alpert Medical School, Brown University, Providence, RI.

Atraumatic spinal emergencies often present a diagnostic and management dilemma for health care practitioners. Spinal epidural abscess, cauda equina syndrome, and spinal epidural hematoma are conditions that can insidiously present to outpatient medical offices, urgent care centers, and emergency departments. Unless a high level of clinical suspicion is maintained, these clinical entities may be initially misdiagnosed and mismanaged. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00029343183094
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http://dx.doi.org/10.1016/j.amjmed.2018.09.022DOI Listing
October 2018
4 Reads

Subdural Hematoma as a Consequence of Labor Epidural Analgesia.

Asian J Neurosurg 2018 Jul-Sep;13(3):931-934

Department of Radiology, Sacred Heart of Jesus Hospital, Benevento, Italy.

Subdural hematoma (SDH) following labor epidural analgesia is a rare neurological complication. SDH is a late complication of this procedure; it is caused by a leak of cerebrospinal fluid that may damage the vascular structures of the brain. Persistent headache in the days after labor epidural analgesia is a nonspecific clinical symptom caused by hematoma. Read More

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http://dx.doi.org/10.4103/ajns.AJNS_115_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6159069PMC
October 2018
1 Read

Delayed Occurrence of C3 Vertebra Anterior Subluxation Diagnosed after Surgery for Epidural Hematoma.

Asian J Neurosurg 2018 Jul-Sep;13(3):870-872

Department of Neurosurgery, Kagawa Rosai Hospital, Kagawa, Japan.

A case of delayed occurrence of C3 vertebra anterior subluxation diagnosed 10 days after surgery for epidural hematoma is herein described. A 56-year-old man underwent surgery for right epidural hematoma. No spinal fracture was identified on the cervical-spinal computed tomography (CT) on arrival. Read More

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http://dx.doi.org/10.4103/ajns.AJNS_348_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6159070PMC
October 2018
1 Read

Oyster Calcification of Infected Bone Flap: A Rare Complication.

Asian J Neurosurg 2018 Jul-Sep;13(3):797-799

Department of Neurosurgery, SMS Medical College, Jaipur, Rajasthan, India.

An extremely rare case of chronic epidural empyema after cranioplasty is presented. It derives its extreme rareness from its association with calcification. This patient when presented to our department had a complaint of swelling with on and off discharging sinus for 2 months adjacent to old incision scar mark. Read More

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http://dx.doi.org/10.4103/ajns.AJNS_237_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6159056PMC
October 2018
2 Reads

Pediatric Extradural Hematoma: Clinical Assessment Using King's Outcome Scale for Childhood Head Injury.

Asian J Neurosurg 2018 Jul-Sep;13(3):681-684

Department of Neurosurgery, Jinnah Post Graduate Medical Center, Karachi, Pakistan.

Introduction: Epidural hematoma (EDH) is a traumatic accumulation of blood between the inner table of the skull and the stripped off dural membrane and predominantly consists of venous blood in infants. The study aims to assess the outcome of pediatric EDH using King's Outcome Scale for Childhood Head Injury (KOSCHI).

Materials And Methods: A total of 72 patients' files were reviewed retrospectively with a diagnosis of EDH from January 2012 to December 2014. Read More

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http://dx.doi.org/10.4103/ajns.AJNS_164_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6159040PMC
October 2018
3 Reads

Spontaneous Epidural Hematoma of Cervical Spine.

Int J Spine Surg 2018 Jan 30;12(1):26-29. Epub 2018 Mar 30.

Department of Neurosurgery, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.

Spontaneous cervical epidural hematoma is an uncommon cause of acute spinal cord compression. This is a rare idiopathic condition that leads to acute onset of neurologic deficits, which if not recognized early can have catastrophic consequences. Acute cervical epidural hematoma is definitely a condition of neurologic emergency. Read More

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http://dx.doi.org/10.14444/5005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6162037PMC
January 2018
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Spinal subdural and epidural hematomas after vertebroplasty for compression fracture: a case report.

Spinal Cord Ser Cases 2018 21;4:87. Epub 2018 Sep 21.

Department of Orthopedics, Sun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou, Guangdong China.

Introduction: Vertebroplasty (VP) is a well-known and effective therapeutic method for relieving the pain and improving the quality of life of patients with vertebral compression fractures. Major complications of VP are infrequent, occurring in no more than 1% of such procedures, whereas spinal subdural and epidural hematomas are extremely rare complications.

Case Presentation: We present a unique case of a spinal subdural hematoma (sSDH) (from T4 to T12) occurring immediately after VP to treat a traumatic vertebral compression fracture, followed by a spinal epidural hematoma (SEH) (from T3 to T12) after the decompressive laminectomy, occurring in a 64-year-old patient. Read More

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http://dx.doi.org/10.1038/s41394-018-0120-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6155041PMC
September 2018
2 Reads

Iatrogenic Spinal Epidural Hematoma in the Acute Postoperative Period.

Ochsner J 2018 ;18(3):268-270

University of Miami, School of Medicine, Department of Anesthesiology, Perioperative Medicine and Pain Management, University of Miami Health System, Jackson Memorial Hospital, Miami, FL.

Background: Spinal epidural hematomas (SEHs) are a rare but serious complication associated with spinal surgery, with an incidence estimated to be as high as 3%. Patients present with back pain and neurologic symptoms, with a typical onset time of several hours to days following surgery.

Case Report: A 60-year-old female who underwent cervical spine surgery had negative intraoperative neuromonitoring and no apparent neurologic deficits of the upper extremities immediately postsurgery. Read More

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http://dx.doi.org/10.31486/toj.17.0076DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6162128PMC
January 2018
1 Read

Refracture of Kummell Disease Combined with Huge Epidural Hematoma After Minor Trauma.

World Neurosurg 2018 Dec 26;120:500-505. Epub 2018 Sep 26.

Department of Neurosurgery, Nanoori Gangnam Hospital, Seoul, Republic of Korea.

Background: Kummell disease is defined as avascular necrosis of vertebra, occurs after the delayed posttraumatic osteoporotic vertebral collapse, and mainly occurs in adults older than 50 years of age. We report the first case of refracture of Kummell disease and epidural hematoma followed by paraparesis.

Case Description: A 67-year-old woman with a known case of osteoporotic T12 fracture (3 months back) visited our outpatient clinic complaining of persistent back pain and paraparesis after jerking while getting up from the bed. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.09.130DOI Listing
December 2018
1 Read
2.420 Impact Factor

Nationwide incidence and risk factors for posttraumatic seizures in children with traumatic brain injury.

J Neurosurg Pediatr 2018 Sep 21:1-10. Epub 2018 Sep 21.

Department of Neurosurgery, University of Kansas Medical Center, Kansas City, Kansas.

Objective: Posttraumatic seizures (PTSs) are the most common complication following a traumatic brain injury (TBI) and may lead to posttraumatic epilepsy. PTS is well described in the adult literature but has not been studied extensively in children. Here, the authors utilized the largest nationwide registry of pediatric hospitalizations to report the national incidence, risk factors, and outcomes associated with PTS in pediatric TBI. Read More

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http://thejns.org/doi/10.3171/2018.6.PEDS1813
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http://dx.doi.org/10.3171/2018.6.PEDS1813DOI Listing
September 2018
6 Reads

Cerebral Venous Thrombosis in Spontaneous Intracranial Hypotension: A Report on 4 Cases and a Review of the Literature.

Headache 2018 Sep 20;58(8):1244-1255. Epub 2018 Sep 20.

Department of Neurology, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, PR. China.

Objective: Spontaneous intracranial hypotension is a risk factor for cerebral venous thrombosis. The occurrence of cerebral venous thrombosis in patients with spontaneous intracranial hypotension raises difficult practical questions regarding the management of the 2 conditions. We reviewed our experience and the relevant literature to evaluate these related questions. Read More

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http://dx.doi.org/10.1111/head.13413DOI Listing
September 2018
9 Reads

Central Nervous System Bleeding After a Lumbar Puncture: Still an Ongoing Complication.

Am J Case Rep 2018 Sep 17;19:1103-1107. Epub 2018 Sep 17.

Department of Neurology, American University of Beirut Medical Center (AUBMC), Beirut, Lebanon.

BACKGROUND A lumbar puncture is a procedure performed to uncover the state of the central nervous system by analysis of the cerebrospinal fluid. It is done also to infuse medications in the subdural space. A lumbar puncture should not cause central nervous system bleeding, but this complication is still occurring in certain cases. Read More

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https://www.amjcaserep.com/abstract/index/idArt/910912
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http://dx.doi.org/10.12659/AJCR.910912DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6156413PMC
September 2018
7 Reads