6,797 results match your criteria Epidural Hematoma


Pediatric acute epidural hematoma caused by contrecoup injury: illustrative case.

J Neurosurg Case Lessons 2022 Jun 6;3(23):CASE2263. Epub 2022 Jun 6.

Department of Neurosurgery, Kurume University School of Medicine, Fukuoka, Japan.

Background: Acute epidural hematomas (AEDHs) are formed by injury of the middle meningeal artery or venous sinus with a linear fracture just above these blood vessels. The incidence of AEDH without fracture is low, and the formation of an acute epidural hematoma due to contrecoup injury is even rarer. Here, the authors report a case of pediatric AEDH due to contrecoup injury. Read More

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Intracranial drainage versus extracranial shunt in the treatment of intracranial arachnoid cysts: a meta-analysis.

Childs Nerv Syst 2022 Jun 20. Epub 2022 Jun 20.

Department of Neurosurgery, The First College of Clinical Medical Science, China Three Gorges University & Institute of Neurology, Yichang Central People's Hospital, China Three Gorges University, Yichang, 443003, China.

Objective: To review the literature and analyze the efficacy and safety of two surgery procedures, intracranial drainage and extracranial shunt, for intracranial arachnoid cysts.

Methods: We searched the online Medlars, PubMed, and Cochrane Central electronic databases and collected studies of patients with intracranial arachnoid cysts treated with two surgical methods.

Results: The meta-analysis results shows that there were not statistically significant in clinical symptoms improvement, cyst reduction, the improvement of epilepsy, epidural hematoma, cerebrospinal fluid leak, and recurrence rate (P > 0. Read More

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[Rare association of subperiosteal hematoma of the orbit with frontal extradural hematoma: a case report].

Pan Afr Med J 2022 16;41:219. Epub 2022 Mar 16.

Service de Neurochirurgie, Hôpital National de Niamey, Niger.

Subperiosteal haematoma of the orbit associated with frontal extradural hematoma is very rare. We here report a case treated in our Department with a literature review. The study involved a 15-year-old boy, victim of head injury from white weapon, a week before his admission to the emergency room. Read More

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Epidural hematoma with the intermediate recovery period: A rare severe complication of spinal cord stimulation.

Asian J Surg 2022 Jun 15. Epub 2022 Jun 15.

Department of Pain Medicine, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, China.

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Prognostic Factors and Treatments Efficacy in Spontaneous Spinal Epidural Hematoma: A Multicenter Retrospective Study.

Neurology 2022 Jun 17. Epub 2022 Jun 17.

Department of Neurosurgery, The 2nd Affiliated Hospital of Zhejiang University, Hangzhou, Zhejiang, China

Objective: Spontaneous spinal epidural hematoma (SSEH) is an uncommon but serious condition with a high morbidity rate. Although SSEH is related to numerous risk factors, its etiology remains unclear. There is a paucity of data on its prognostic factors. Read More

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Bladder and Bowel Dysfunction due to a Spontaneous Spinal Epidural Hematoma Without Paraplegia: A Case Report.

JBJS Case Connect 2022 04 8;12(2). Epub 2022 Jun 8.

Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan.

Case: A 44-year-old man developed urinary retention due to a spontaneous spinal epidural hematoma (SSEH) at the cervicothoracic junction, without paraplegia. Symptoms improved with surgical treatment.

Conclusion: SSEH is rare and causes acute neck or back pain and progressive paralysis. Read More

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A Case Report of a Subdural Hematoma following Spinal Epidural prior to a Total Knee Arthroplasty.

Case Rep Orthop 2022 2;2022:7548593. Epub 2022 Jun 2.

Department of Orthopedics, Mayo Clinic Arizona, USA.

Introduction: This case report adds to current literature on management of a subdural hematoma following total knee arthroplasty and is particularly important as joint replacement moves into outpatient surgery centers where the orthopedic surgery team becomes the sole patient contact point. . A 66-year-old male presented to the emergency department five days after elective robotic-assisted left total knee arthroplasty performed with spinal epidural with the symptoms of a persistent nonpostural headache. Read More

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Emergency Craniotomy and Burr-Hole Trephination in a Low-Resource Setting: Capacity Building at a Regional Hospital in Cambodia.

Int J Environ Res Public Health 2022 May 26;19(11). Epub 2022 May 26.

Department of Public Health and Nursing, Norwegian University of Science and Technology, 7491 Trondheim, Norway.

To evaluate the teaching effect of a trauma training program in emergency cranial neurosurgery in Cambodia on surgical outcomes for patients with traumatic brain injury (TBI). We analyzed the data of TBI patients who received emergency burr-hole trephination or craniotomy from a prospective, descriptive cohort study at the Military Region 5 Hospital between January 2015 and December 2016. TBI patients who underwent emergency cranial neurosurgery were primarily young men, with acute epidural hematoma (EDH) and acute subdural hematoma (SDH) as the most common diagnoses and with long transfer delay. Read More

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Neuroimaging in professional combat sports: consensus statement from the association of ringside physicians.

Phys Sportsmed 2022 Jun 13:1-8. Epub 2022 Jun 13.

Department of Sports Medicine, Orthopedic Specialists of North Carolina, Raleigh NC, USA.

Professional boxing, kickboxing, and mixed martial arts (MMA) are popular sports with substantial risk for both acute and chronic traumatic brain injury (TBI). Although rare, combat sports athletes have died in the ring or soon after the completion of a bout. Deaths in these instances are usually the result of an acute catastrophic neurological event such as an acute subdural hematoma (SDH). Read More

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Percutaneous vertebroplasty in osteoporotic vertebral compression fracture with huge spinal epidural hematoma: A case report.

Medicine (Baltimore) 2022 Jun 3;101(22):e29340. Epub 2022 Jun 3.

Department of Spine Surgery, Fuzhou Second Hospital, The Third Clinical Medical College, Fujian Medical University, Fuzhou, China.

Rationale: Osteoporotic vertebral compression fracture (OVCF) accompanying huge spinal epidural hematoma (SEH) is fairly rare. The aim of this report is to investigate the management strategies and treatment outcomes of OVCF accompanying SEH.

Patient Concerns: An 89-year-old female patient was admitted to hospital because of severe back pain and numbness of both lower limbs after a slight fall. Read More

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Post-dural puncture headache diagnosis and management.

Best Pract Res Clin Anaesthesiol 2022 May 25;36(1):179-189. Epub 2022 Jan 25.

Department of Anesthesiology, Cedars-Sinai Medical Center, Los Angeles, CA, 90048, USA.

Epidural analgesia, commonly used to alleviate labor pain, is not without complication. The most common complication associated with labor epidural analgesia (LEA) is Unintentional Dural Puncture (UDP), where many professionals go on to develop a Post Dural Puncture Headache (PDPH). Spinal anesthesia can also result in PDPH. Read More

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Contrecoup epidural hematoma: a rare case report.

Pan Afr Med J 2022 1;41:169. Epub 2022 Mar 1.

Department of Surgery, Brawijaya University, Malang, Indonesia.

Epidural hematoma (EDH) is defined as a traumatic accretion of blood separating the dural membrane and the internal table of the skull that caused from contact bending or skull fracture. The cases of contrecoup EDH are as not common, and there are just 10 recorded cases on this. As a result of its uncommonness, we disclose one subject of a 33-year-old man having countrecoup EDH who suffered from a head trauma caused by falling from 4 meters high. Read More

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A novel decision support tool (IniCT score) for repeat head computed tomography in pediatric mild traumatic brain injury.

World Neurosurg 2022 May 30. Epub 2022 May 30.

Department of Neurosurgery, University of Health Sciences, Diskapi Yildirim Beyazit Training and Research Hospital, Ankara, Turkey.

Background: Necessity of computed tomography (CT) has been questioned in pediatric mTBI due to concerns related to radiation exposure. Distinguishing patients with lower and higher risk of clinically important TBI (ciTBI) is paramount to the optimal management of these patients.

Objective: This study aimed to analyze the imaging predictors of ciTBI, and develop an algorithm to identify patients at low and high risk for ciTBI to inform clinical decision-making using a large single-center cohort of pediatric mTBI patients. Read More

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A series of post-traumatic midline epidural hematoma and review of the literature.

Ulus Travma Acil Cerrahi Derg 2022 Jun;28(6):805-811

Department of Neurosurgery, İstanbul University Istanbul Faculty of Medicine, İstanbul-Turkey.

Background: Supratentorial midline epidural hematoma is rare but challenging in diagnosis and management. Indication for surgery can arise even following hospital admission. Being familiar to the presentation and watching out for direct and indirect signs on axial computed tomography (CT) such as suture diastasis or fracture traversing midline are essential to plan multi-planar CT enabling exact diagnosis including form and mass effect of hematoma. Read More

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Spontaneous Epidural Hematoma in Sickle Cell Crisis: A Case Report.

Cureus 2022 Apr 26;14(4):e24492. Epub 2022 Apr 26.

Radiology, St. John's Medical College, Bangalore, IND.

Epidural hematoma (EDH) classically occurs secondary to trauma. Spontaneous EDH is uncommon and can be a rare complication of sickle cell disease (SCD). We report the case of a 20-year-old Indian male with sickle cell anemia, who presented with a sickling bony crisis and suffered a non-traumatic EDH within 24 hours of admission. Read More

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Chronic spontaneous epidural hematoma in the lumbar spine with cauda equina syndrome and severe vertebral scalloping mimicking a spinal tumor: a case report.

BMC Musculoskelet Disord 2022 May 30;23(1):508. Epub 2022 May 30.

Department of Orthopaedic Surgery, Saitama Medical Center, Saitama Medical University, 1981 Kamoda, Kawagoe, Saitama, 350-8550, Japan.

Background: Chronic spinal epidural hematomas (SEHs) are rare clinical entities. SEH with vertebral scalloping is extremely rare, with only a few cases having been reported to date. We report a unique case of spontaneous chronic SEH in the lumbar spine with severe vertebral scalloping mimicking an epidural tumor. Read More

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Treatment of spontaneous spinal epidural hematoma in children: analysis of 25 cases.

Childs Nerv Syst 2022 May 30. Epub 2022 May 30.

Di Rocco Center of Pediatric Neurosurgery, Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China.

Introduction: Spontaneous spinal epidural hematoma (SSEH) is a rare neurosurgical emergency, presenting as sudden onset of back pain and weakness of lower extremities. Many patients have no definite cause. Some cases of SSEH caused by vascular malformation have been reported. Read More

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Emergency Decompressive Craniostomy "Burr Hole" Using an Intraosseous Vascular Access System in a Resource-Limited Setting: A Technical Report on a Cadaver.

Cureus 2022 Apr 23;14(4):e24420. Epub 2022 Apr 23.

Emergency Medicine, Envision Physician Services, Fort Lauderdale, USA.

This paper describes an alternative approach to emergency burr hole evacuation of epidural hematoma using the intraosseous (IO) vascular access system. The IO vascular access system is commonly available in the Emergency Department. We demonstrate that it can be used in rare situations where immediate neurosurgical intervention and the standard cranial drill and brace are not available for burr hole craniostomy. Read More

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Acute Traumatic Epidural Hematoma in the Elderly: A Community Hospital Experience.

Am Surg 2022 06 16;88(6):1328-1329. Epub 2020 Aug 16.

3577 Department of Surgery, Trauma Section, Ascension Genesys Hospital, Grand Blanc, MI, USA.

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Localization of macroscopically undetectable intramedullary hematoma by intraoperative epidural motor evoked potential.

Clin Neurophysiol Pract 2022 22;7:129-134. Epub 2022 Apr 22.

Department of Neurosurgery, University of Szeged, Hungary.

Introduction: Intramedullary hematoma is an uncommon, serious neurological disease, representing a diagnostic challenge. The preferred treatment is surgical. In most of the cases the lesion can be identified macroscopically. Read More

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Mirror-image Artifact of a Cephalhematoma Mimicking an Epidural Hematoma in a Newborn.

J Belg Soc Radiol 2022 28;106(1):28. Epub 2022 Apr 28.

Department of Radiology, General Hospital Damiaan, Ostend, Belgium.

When performing ultrasound examination of a cephalhematoma, the occurrence of a mirror-image artifact can mimic the presence of an epidural hematoma. Read More

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[Comparison of unilateral biportal endoscopic transforaminal lumbar interbody fusion versus minimally invasive tubular transforaminal lumbar interbody fusion for lumbar degenerative disease].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2022 May;36(5):592-599

Department of Mininlally Invasive Spine Surgery, Luoyang Orthopedic Hospital of Henan Province (Orthopedic Hospital of Henan Province), Zhengzhou Henan, 450016, P. R. China.

Objective: To compare the clinical and radiological outcomes of unilateral biportal endoscopic transforaminal lumbar interbody fusion (UBE-TLIF) and minimally invasive tubular TLIF (MT-TLIF) in treatment of lumbar degenerative diseases.

Methods: A clinical data of 75 patients with lumbar degenerative diseases, who met the selection criteria between August 2019 and August 2020, was retrospectively analyzed, including 35 patients in the UBE- TLIF group and 40 patients in the MT-TLIF group. There was no significant difference in general data such as gender, age, body mass index, disease type and duration, and surgical segment between the two groups ( >0. Read More

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Deconstructive repair of a traumatic vertebrovertebral arteriovenous fistula via a contralateral endovascular approach.

J Cerebrovasc Endovasc Neurosurg 2022 May 16. Epub 2022 May 16.

Department of Neurosurgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.

Vertebrovertebral arteriovenous fistulas (VVAVFs) are rare entities that lack consensus guidelines for their management. Our case describes the successful treatment of a traumatic VVAVF via a contralateral deconstructive endovascular approach. A 64-year-old female presented following a traumatic fall. Read More

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Rapid Spontaneous Resolution of Contralateral Lentiform Acute Subdural Hematoma After Burr Hole Trephination for Chronic Subdural Hematoma.

Korean J Neurotrauma 2022 Apr 28;18(1):75-82. Epub 2022 Mar 28.

Department of Neurosurgery, Dongguk University Ilsan Hospital, Goyang, Korea.

Although rare, acute subdural hematoma (ASDH) may occur after burr hole trephination (BHT) for chronic subdural hematoma (CSDH). It usually occurs in the hemisphere ipsilateral to the burr hole site and rarely in the hemisphere contralateral to the burr hole site. On computed tomography (CT), SDH is usually crescent-shaped and occasionally lentiform or biconvex, which can be misdiagnosed as epidural hematoma (EDH). Read More

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Epidural analgesia in pregnant with deficit of factor VII.

Rev Esp Anestesiol Reanim (Engl Ed) 2022 04 6;69(4):242-244. Epub 2022 May 6.

Servicio de Medicina Interna y Unidad de Investigación, Complejo Asistencial de Soria, Soria, Spain.

The congenital deficit of FVII of coagulation it's an anomaly of genetic transmission autosomal recessive type, it can occur with clinical manifestations like hematomas and spontaneous bleeding or not. The normal levels of FVII it's found between 70%-130% of the laboratory reference value. For unknown reasons there is a poor correlation between levels of FVII and bleeding risk. Read More

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Two Cases of Cervical Epidural Hematoma Presenting With Left-Sided Hemiplegia and Requiring Surgical Drainage.

Cureus 2022 Apr 7;14(4):e23915. Epub 2022 Apr 7.

Neurosurgery, Toyohashi Municipal Hospital, Toyohashi, JPN.

Spinal epidural hematoma is a rare disease that may present as motor paralysis, sensory disturbance, and a sudden radiating pain from the hematoma site. Herein, we report two cases of cervical epidural hematoma diagnosed as left hemiplegia and treated with surgery. Case 1 was a 62-year-old woman who presented to our hospital with the chief complaint of posterior neck pain and left upper and lower limb paralysis. Read More

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Letter to Editor regarding: "High risk and low prevalence diseases: Spinal epidural abscess".

Am J Emerg Med 2022 Jul 28;57:160-161. Epub 2022 Apr 28.

Department of Diagnostic Imaging, Faculty of Medicine, Medical University of Plovdiv, Plovdiv, Bulgaria.

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Postoperative cerebral infarction after evacuation of traumatic epidural hematoma in children younger than two years: Single-center experience.

Surg Neurol Int 2022 15;13:141. Epub 2022 Apr 15.

Department of Neurosurgery, Faculty of Medicine, Cairo University, Cairo, Egypt.

Background: Epidural hematoma (EDH) forms about 2-3% of all head injuries in the pediatric population. We evaluated clinical data and risk factors for postoperative infarction in children younger than 2 years presented with traumatic EDH.

Methods: We retrospectively reviewed and analyzed the data of 28 children with traumatic EDH operated in our institute during a period of 26 months (from December 2016 to Febuary 2019). Read More

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Remote bifrontal epidural hematoma following hemispheric glioma resection. A rare life-threatening postoperative complication.

Surg Neurol Int 2022 15;13:149. Epub 2022 Apr 15.

Department of Neurosurgery, Avicenne Military Hospital of Marrakech and Mohammed V University in Rabat, Morocco.

Background: Postoperative acute epidural hematoma (EDH) is a well-known serious complication that usually occurs at the operated site after cranial surgery. However, epidural bleeding, distant from the site of the previous craniotomy, is relatively rare and may sometimes cause significant neurological morbidity or even mortality. We report such a case. Read More

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Tiny but risky: the reasons why the Caspar pin distractor causes suffocating cervical hematoma - two cases and a literature review.

Neurochirurgie 2022 May 1. Epub 2022 May 1.

Department of Orthopaedic and Traumatological Surgery, Beaujon/Bichat Hospitals, APHP. Nord University of Paris, Clichy, France.

Symptomatic cervical hematoma (CH) after cervical spine surgery through an anterolateral approach is a feared complication. In up to 60% of CH cases, no source of bleeding is detected during drainage. Bleeding from the pin holes of the Caspar distractor is a known complication, briefly mentioned in the patent, but harmfulness has never been thoroughly assessed. Read More

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