6,574 results match your criteria Epidural Hematoma


Surgical Outcomes of Minimally Invasive Transforaminal Lumbar Interbody Fusion for Highly Migrated Lumbar Disc Herniation.

J Pain Res 2021 4;14:1587-1592. Epub 2021 Jun 4.

Department of Orthopedics, Peking University First Hospital, Beijing, People's Republic of China.

Objective: To describe minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) for highly migrated lumbar disc herniation (LDH) and assess its clinical outcomes.

Patients And Methods: This research retrospectively assessed 25 patients who were diagnosed with one-segmental highly migrated LDH and underwent MIS-TLIF in Peking University First Hospital from June 2015 to September 2019. Demographic data, perioperative parameters, complications, recurrence, and surgical outcomes were assessed. Read More

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Continuous epidural catheter for anaesthesia management and post-op pain relief in colorectal surgery, complicated by epidural haematoma and bilateral paraplegia: A case report.

Int J Surg Case Rep 2021 May 26;83:106039. Epub 2021 May 26.

Department of Surgery, Imam Khomeini Hospital Complex, Iran. Electronic address:

Introduction: Utilising epidural analgesia (EA) during major abdominal surgery in combination with general anaesthetic, is a proven approach to decrease anaesthetic requirement in patients with severe comorbidities, enhance recovery and improve pain management.

Case Presentation: Herein we report a case of an 81-years-old female with bilateral lower limb sensory loss, saddle paraesthesia, paraplegia, and incontinence following a thoracic epidural catheterisation required for low anterior resection of rectal adenocarcinoma. The complication was reported by the patient on the third day of post-op. Read More

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Immediate postoperative MRI findings after lumbar decompression surgery: Correlation of imaging features with clinical outcome.

J Clin Neurosci 2021 Jul 2;89:365-374. Epub 2021 Jun 2.

Department of Radiology, Seoul National University Bundang Hospital, Seongnam-si, Gyeonggi-do, South Korea.

An understanding of the common MRI findings observed after decompression surgery is important. However, to date, no study addressing this has been published. The aim of this study was to analyze and describe the immediate postoperative MRI findings after lumbar decompression surgery. Read More

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Spontaneous anterior cervicothoracic spinal epidural hematoma extending to clivus in SARS-CoV-2 infection.

Surg Neurol Int 2021 26;12:181. Epub 2021 Apr 26.

Department of Neurosurgery, Highly Specialized Hospital and of National Importance "Garibaldi", Catania, Italy.

Background: The treatment of spontaneous spinal epidural hematomas (SSEHs), depending on the lesion size and myeloradicular involvement, can be surgical or conservative. Here, we present a 55-year-old patient who sustained a SSEH several months following a systemic SARS-CoV-2 infection.

Case Description: A 55-year-old immunocompromised female (i. Read More

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Spontaneous epidural hematoma of the cervical spine in two patients with sarcoidosis.

Surg Neurol Int 2021 19;12:168. Epub 2021 Apr 19.

Department of Neurosurgery, University Hospital of Ioannina, Ioannina, Epirus, Greece.

Background: Sarcoidosis is correlated with hematological abnormalities that can result in spontaneous spinal epidural hematomas (EDH). As there is significant risk for permanent neurologic sequelae due to acute cord compression, these lesions often warrant emergent surgical intervention.

Case Description: Two females, 56 and 62 years of age, respectively, both with sarcoidosis on corticosteroids, presented with the spontaneous acute onset of cervical pain, and progressive myeloradiculopathy. Read More

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Extra-axial haemorrhage in a patient with Alport syndrome after epidural anaesthesia.

BMJ Case Rep 2021 Jun 3;14(6). Epub 2021 Jun 3.

Department of Obstetrics & Gynaecology, Ipswich Hospital, Ipswich, Queensland, Australia.

Extra-axial haemorrhage following epidural anaesthesia is extremely rare. We present the case of an 18-year-old G1P0 woman with Alport syndrome who had a ventouse delivery for failure to progress that was complicated by a postpartum tonic-clonic seizure. Clinically, and confirmed radiologically, the patient was found to have experienced an extra-axial haemorrhage (extradural and subdural haemorrhage) secondary to a cerebrospinal fluid leak caused by a dural puncture during epidural anaesthesia. Read More

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Mortality After Trauma Craniotomy Is Decreasing in Older Adults-A Nationwide Population-Based Study.

World Neurosurg 2021 Jun 1. Epub 2021 Jun 1.

Heart Centre and Center for Population Health Research, Turku University Hospital and University of Turku, Turku, Finland; Center for Population Health Research, Turku University Hospital and University of Turku, Turku, Finland; Research Center of Applied and Preventive Cardiovascular Medicine, University of Turku, Turku, Finland; Administative Center, Hospital District of Southwest Finland, Turku, Finland.

Objective: No evidence-based guidelines are available for operative neurosurgical treatment of older patients with traumatic brain injuries (TBIs), and no population-based results of current practice have been reported. The objective of the present study was to investigate the rates of trauma craniotomy operations and later mortality in older adults with TBI in Finland.

Methods: Nationwide databases were searched for all admissions with a TBI diagnosis and after trauma craniotomy, and later deaths for persons aged ≥60 years from 2004 to 2018. Read More

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Imaging features of spinal fractures in ankylosing spondylitis and the diagnostic value of different imaging methods.

Quant Imaging Med Surg 2021 Jun;11(6):2499-2508

Department of Radiology, Peking University Third Hospital, Beijing, China.

Background: Our study aimed to characterize the imaging appearance of spinal fractures in ankylosing spondylitis (AS) and identify situations in which the use of magnetic resonance imaging (MRI) is necessary.

Methods: A total of 70 cases of spinal fractures associated with AS were retrospectively enrolled. Two radiologists independently reviewed the preoperative images. Read More

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Added Value of Three-Plane Multiecho Fast Field Echo MRI Sequence in the Evaluation of Acute Spinal Trauma Using Sensitivity: A Prospective Study.

Cureus 2021 Apr 26;13(4):e14694. Epub 2021 Apr 26.

Radiodiagnosis, Sikkim Manipal Institute of Medical Science, Gangtok, IND.

Background Multiecho fast field echo (mFFE) MRI sequence provides added value to the conventional MR imaging in evaluation of acute spinal trauma, especially for detecting spinal cord hemorrhage which is a best predictor for patient prognosis. Objective This study aims to evaluate the diagnostic efficacies of three-plane mFFE MRI sequence along with the conventional MRI sequences in acute spinal trauma patients using sensitivity.  Materials and methods This prospective study comprised of 48 patients of acute spinal trauma. Read More

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Spontaneous cranial bone regeneration following craniectomy for traumatic brain injury in a pregnant woman: A case report.

Int J Surg Case Rep 2021 May 21;83:105993. Epub 2021 May 21.

Department of Neurosurgery I, Viet Duc University Hospital, Hanoi, Viet Nam.

Introduction And Importance: Spontaneous bone formation following craniectomy is an extremely rare in adult. As in the medical literature, this is the first case report on total spontaneous ossification following craniectomy in a pregnant woman.

Case Presentation: In this paper, we reported a 20-year-old female currently in the 30th week of her pregnancy suffered from head trauma following motorcycle accident. Read More

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Spontaneous Intracranial Hypotension.

Authors:
Shuu-Jiun Wang

Continuum (Minneap Minn) 2021 06;27(3):746-766

Purpose Of Review: Spontaneous intracranial hypotension is a disorder caused by spinal CSF leakage. This article reviews the clinical presentation, diagnosis, and treatment of spontaneous intracranial hypotension.

Recent Findings: The hallmark symptom of spontaneous intracranial hypotension is acute orthostatic headache; however, clinical presentations can be heterogeneous. Read More

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Location of Traumatic Cranial Epidural Hematoma Correlates with the Source of Hemorrhage: A 12-Year Surgical Review.

World Neurosurg 2021 May 24. Epub 2021 May 24.

Department of Surgery, Division of Neurosurgery, Creighton University, School of Medicine Phoenix, Phoenix, Arizona, USA; Valleywise Health Medical Center, Phoenix, Arizona, USA; The University of Arizona, College of Medicine Phoenix, Phoenix, Arizona, USA. Electronic address:

Background: Epidural hematoma (EDH) can result in a catastrophic outcome of traumatic brain injury. Current management guidelines do not consider the source of hemorrhage in decision making. The purpose of this study was to examine the relationship between EDH location and the source of hemorrhage. Read More

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Removal of a compressive mass causes a transient disruption of blood-brain barrier but a long-term recovery of spiny stellate neurons in the rat somatosensory cortex.

Restor Neurol Neurosci 2021 ;39(2):111-127

Department of Anatomy, Tzu Chi University, Hualien, Taiwan.

Background: In the cranial cavity, a space-occupying mass such as epidural hematoma usually leads to compression of brain. Removal of a large compressive mass under the cranial vault is critical to the patients.

Objective: The purpose of this study was to examine whether and to what extent epidural decompression of the rat primary somatosensory cortex affects the underlying microvessels, spiny stellate neurons and their afferent fibers. Read More

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January 2021

CT-Guided Autologous Blood Patch for High-Level Cervical Cerebrospinal Fluid Leakage: Imaging Characteristics and Treatment Safety and Efficiency.

Eur Neurol 2021 May 21:1-7. Epub 2021 May 21.

Interventional Drug Delivery Systems & Strategies (ID2S2), Jupiter, Florida, USA.

Introduction: Epidural blood patches (EBPs) are rarely performed at the high-level cervical levels. The aim of the study was to investigate the imaging features, safety, and effectiveness of CT-guided percutaneous EBPs for high-level cervical cerebrospinal fluid (CSF) leakage.

Methods: Twenty-five patients with spontaneous high-level (C1-C3) CSF leakage on MRI and CT imaging, including 2 patients with intracranial epidural hematoma caused by CSF, were treated with EBP. Read More

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Risk factors for post-traumatic epilepsy.

Seizure 2021 May 13;89:81-84. Epub 2021 May 13.

Epilepsy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran; Jefferson Comprehensive Epilepsy Center, Department of Neurology, Thomas Jefferson University, Philadelphia, PA, United States. Electronic address:

Purpose: The aim of the current study was to investigate the risk factors for post-traumatic epilepsy (PTE) in a large cohort of patients after severe non-penetrating civilian traumatic brain injury (TBI).

Methods: This was a longitudinal study. All patients with a severe non-penetrating TBI, who were admitted at the neuro-intensive care unit of Shahid Rajaee Trauma Hospital, affiliated with Shiraz University of Medical Sciences, Shiraz, Iran, from 2015 until 2019, were studied. Read More

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Extruded disc causes acute cervical epidural hematoma and cord compression: a case report.

Spinal Cord Ser Cases 2021 May 21;7(1):39. Epub 2021 May 21.

Department of Neurosurgery, Thomas Jefferson University and Jefferson Hospital for Neuroscience, Philadelphia, PA, USA.

Introduction: Cervical spontaneous epidural hematoma is a serious neurosurgical pathology that often requires prompt surgical intervention. While a variety of causes may contribute, the authors present the first case in the literature of cervical disc extrusion provoking epidural hemorrhage and acute neurological deterioration.

Case Presentation: A 65 year old male presented with six months of worsening signs and symptoms of cervical myelopathy. Read More

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Minimizing complications in a porcine survival craniotomy model.

Lab Anim 2021 May 21:236772211009435. Epub 2021 May 21.

Department of Neurology and Neurosurgery, Brain Center Rudolph Magnus University Medical Centre Utrecht, The Netherlands.

A large craniotomy survival porcine model is useful for scientific research. The surgical approaches and complications of craniotomies in pigs have not been published before. This study describes how large craniotomies were performed in 46 pigs and how the risk of complications was minimized. Read More

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Acute spontaneous thoracic epidural hematoma associated with intraspinal lymphangioma: A case report.

World J Clin Cases 2021 May;9(14):3411-3417

Division of Neurosurgery, Department of Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 83301, Taiwan.

Background: Spontaneous spinal epidural hematoma is a rare neurosurgical emergency.

Case Summary: A 53-year-old healthy woman suffered from complete paraplegia in both legs and loss of all sensation below the xiphoid process. She was diagnosed as acute spontaneous thoracic epidural hematoma caused by an intraspinal lymphangioma. Read More

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Usefulness of Percutaneous Ultrasonography for Deciding the Need of Surgical Evacuation of Epidural Hematoma After Cervical Double-door Laminoplasty.

Clin Spine Surg 2021 May 12. Epub 2021 May 12.

Department of Orthopedic Surgery, Osaka Medical College, Takatsuki-shi, Osaka Prefecture, Japan.

Study Design: This was a retrospective study.

Objective: The objective of this study was to investigate the diagnostic utility of percutaneous ultrasonography (PUS) for postoperative epidural hematoma (EH) as a postoperative complication.

Summary Of Background Data: We investigated the usefulness of PUS for determining the need of surgical evacuation of postoperative EH by comparing the postoperative magnetic resonance imaging (MRI) and PUS of the spinal cord. Read More

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Evaluating hemostatic thresholds for neuraxial anesthesia in adults with hemorrhagic disorders and tendencies: A scoping review.

Res Pract Thromb Haemost 2021 May 4;5(4):e12491. Epub 2021 May 4.

Division of Hematology Department of Medicine and Department of Laboratory Medicine and Pathobiology St. Michael's Hospital Toronto ON Canada.

Neuraxial anesthesia can be complicated by spinal or epidural hematoma and may result in permanent neurologic injury. There is a paucity of literature characterizing this serious complication in patients with congenital and acquired hemorrhagic disorders or tendencies. The objective of this scoping review was to describe the hemostatic laboratory parameters where neuraxial anesthesia has been administered with and without spinal and epidural hematoma in patients with preexisting hemorrhagic disorders and tendencies, including immune thrombocytopenia, gestational thrombocytopenia, thrombocytopenia associated with hypertensive disorders of pregnancy, platelet function disorders, von Willebrand disease, coagulation factor deficiencies, and fibrinogen disorders. Read More

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Spontaneous spinal epidural hematoma associated with antiplatelet therapy with aspirin and ticagrelor.

Rev Esp Cardiol (Engl Ed) 2021 May 6. Epub 2021 May 6.

Servicio de Cardiología, Hospital Universitario Puerta de Hierro de Majadahonda, Majadahonda, Madrid, Spain.

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A rare case of non-traumatic spinal epidural hematoma in lumbar region associated with apixaban therapy.

J Thromb Thrombolysis 2021 May 6. Epub 2021 May 6.

Department of Neurosurgery, Charles University Medical Faculty and Faculty Hospital, Hradec Králové, Czech Republic.

Spontaneous spinal epidural hematoma (SSEH) is a very rare clinical entity with potential diagnostic difficulties and which can result in severe neurological deficit. The etiology of this rare condition is largely not known, but with potential predisposition in patients on anticoagulation medication. This includes the novel anticoagulants with direct inhibition of the factor Xa mechanism (DOACs). Read More

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Prevalence and Characteristics of Earthquake-Related Head Injuries: A Systematic Review.

Disaster Med Public Health Prep 2021 May 5:1-6. Epub 2021 May 5.

Department of Emergency and Critical Care Medicine, Nippon Medical School, Tokyo, Japan.

Objective: We conducted a systematic review to determine the prevalence and characteristics of earthquake-associated head injuries for better disaster preparedness and management.

Methods: We searched for all publications related to head injuries and earthquakes from 1985 to 2018 in MEDLINE and other major databases. A search was conducted using "earthquakes," "wounds and injuries," and "cranio-cerebral trauma" as a medical subject headings. Read More

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Influence of Decompressive Craniectomy Post Evacuation of Epidural Hematoma in Comatose Patients.

World Neurosurg 2021 May 1. Epub 2021 May 1.

Department of Neurosurgery, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania; Neurosciences Institute, Lithuanian University of Health Sciences, Kaunas, Lithuania.

Background: Epidural hematoma causing brain herniation is a major cause of mortality and morbidity after severe traumatic brain injury, even if surgical treatment is performed quickly. Decompression may be effective in decreasing intracranial pressure, but its effect on outcomes remains unclear.

Methods: A retrospective analysis of deeply comatose patients (Glasgow Coma Scale score 3-5) who underwent surgical treatment during a 12-year period, either via osteoplastic craniotomy (OC) or decompressive craniectomy, was carried out. Read More

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Which Criterion for Wound Drain Removal is Better Following Posterior 1-Level or 2-Level Lumbar Fusion With Instrumentation: Time Driven or Output Driven?

Global Spine J 2021 May 4:21925682211013770. Epub 2021 May 4.

Department of Spine Surgery, ZhongDa Hospital, School of Medicine, Southeast University, Nanjing, China.

Study Design: Case-control study.

Objectives: To compare the outcomes of 2 different criteria (time driven and output driven) for wound drain removal and identify which one is better.

Methods: 743 patients who underwent posterior lumbar fusion with instrumentation involving 1 or 2 motion segments were enrolled in this study. Read More

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Proposed Grading System for Posterior Atlantooccipital Membrane Complex Injuries on Cervical Magnetic Resonance Imaging.

World Neurosurg 2021 Apr 30. Epub 2021 Apr 30.

Department of Neuroradiology, University of Florida College of Medicine, Jacksonville, Florida, USA.

Background: The posterior atlantooccipital membrane complex consists of the posterior atlantooccipital membrane and posterior atlantoaxial membrane. Posttraumatic, posterior atlantooccipital membrane complex injuries may have varied appearances on cervical magnetic resonance imaging. The purpose of this study was to identify the different types of posterior atlantooccipital membrane complex injuries that occur in trauma patients. Read More

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Epidemiological and Clinico-radiological Evaluation of Head Injury in Pediatric Population.

J Pediatr Neurosci 2020 Oct-Dec;15(4):386-392. Epub 2021 Jan 19.

Department of Community Medicine, Division of Biostatistics, Dr. Baba Sahib Ambedkar Medical College, Delhi 110085, India.

Background: Head injury in infancy and childhood has been documented as the single most common cause of death. In India, children aged <15 years constitute 35% of the total population and contribute to 20-30% of all head injuries. In this study, we attempted to analyze the epidemiological factors, management, and outcome of traumatic brain injury (TBI). Read More

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January 2021

Carbon fiber-reinforced PEEK instrumentation in the spinal oncology population: a retrospective series demonstrating technique, feasibility, and clinical outcomes.

Neurosurg Focus 2021 May;50(5):E13

Departments of1Neurologic Surgery and.

Objective: The authors aimed to demonstrate the feasibility and advantages of carbon fiber-reinforced PEEK (CFRP) composite implants in patients with both primary and secondary osseous spinal tumors.

Methods: Twenty-eight spinal tumor patients who underwent fixation with CFRP hardware were retrospectively identified in a Spine Tumor Quality Database at a single institution. Demographic, procedural, and follow-up data were retrospectively collected. Read More

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Obstetric neuraxial anaesthesia in the setting of immune thrombocytopenia and low platelet counts: call to participate in an international registry.

Br J Anaesth 2021 Apr 27. Epub 2021 Apr 27.

Department of Biomedical and Molecular Sciences, School of Medicine, Queen's University, Kingston, ON, Canada; School of Baccalaureate Nursing, St. Lawrence College, Kingston, ON, Canada.

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Risk Factors of Postoperative Spinal Epidural Hematoma After Transforaminal Lumbar Interbody Fusion Surgery.

Neurochirurgie 2021 Apr 26. Epub 2021 Apr 26.

Department of Orthopedics, Jinling Hospital, School of Medicine, Nanjing University, 210002 Nanjing, Jiangsu Province, People's Republic of China. Electronic address:

Object: To assess the incidence and analyze the risk factors of postoperative spinal epidural hematoma(SEH) after transforaminal lumbar interbody fusion(TLIF)surgery, in order to provide a solution for reducing the occurrence of postoperative SEH after TLIF.

Methods: A total of 3717 patients who were performed TLIF surgery in the Orthopedics department of our hospital from January 2010 to March 2020 were included. Patients who had reoperations due to postoperative SEH were selected as the SEH group. Read More

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