6,087 results match your criteria Epidural Hematoma


Symptomatic postoperative spinal epidural hematoma after spine tumor surgery: Incidence, clinical features, and risk factors.

Spinal Cord 2019 Apr 17. Epub 2019 Apr 17.

Orthopaedic Oncology Center, Department of Orthopaedics, Changzheng Hospital, Second Military Medical University, Shanghai, China.

Study Design: Case-control study.

Objectives: The objective of this study was to provide some useful information concerning the incidence, clinical features, and risk factors for symptomatic postoperative spinal epidural hematoma (SPSEH) in an isolated cohort of patients undergoing spine tumor surgery.

Setting: Hospital in Shanghai, China. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1038/s41393-019-0281-5DOI Listing

Complications associated with stellate ganglion nerve block: a systematic review.

Reg Anesth Pain Med 2019 Apr 16. Epub 2019 Apr 16.

Anesthesiology, Clement Zablocki VA Medical Center/Medical College of Wisconsin, Milwaukee, Wisconsin, USA.

Stellate ganglion nerve blockade (SGNB) is a vital tool in our armamentarium for the treatment of various chronic pain syndromes. SGNB can be performed using the traditional landmark-based approach, or with image guidance using either fluoroscopy or ultrasound. In this review, we systematically analyzed reported SGNB-related complications between 1990 and 2018. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/rapm-2018-100127DOI Listing
April 2019
1 Read

Phantom-based evaluation of near-infrared intracranial hematoma detector performance.

J Biomed Opt 2019 Apr;24(4):1-10

U.S. Food and Drug Administration, Center for Devices and Radiological Health, Silver Spring, Maryla, United States.

Near-infrared spectroscopy (NIRS) is emerging as a rapid, low-cost approach for point-of-care triage of hematomas resulting from traumatic brain injury. However, there remains a lack of standardized test methods for benchtop performance assessment of these devices and incomplete understanding of relevant light-tissue interactions. We propose a phantom-based test method for systems operating near the 800-nm oxy-/deoxy-hemoglobin isosbestic point and implement it to evaluate a clinical system. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1117/1.JBO.24.4.045001DOI Listing
April 2019
2 Reads

E-bike-related cranial injuries in pediatric population.

Childs Nerv Syst 2019 Apr 15. Epub 2019 Apr 15.

Department of Pediatric Neurosurgery, Dana Children's Hospital, Tel-Aviv Medical Center, Tel-Aviv University, 6 Weizman Street, 64239, Tel Aviv, Israel.

Purpose: E-bikes are being used increasingly by all age groups. Children riding e-bikes often do not use safety equipment such as helmets, and are at increased risk for injuries requiring neurosurgery. The most common type of injury among pediatric e-bikers is head and neck trauma. Read More

View Article

Download full-text PDF

Source
http://link.springer.com/10.1007/s00381-019-04146-8
Publisher Site
http://dx.doi.org/10.1007/s00381-019-04146-8DOI Listing
April 2019
2 Reads

Clinical Features of Patients With Spontaneous Intracranial Hypotension Complicated With Bilateral Subdural Fluid Collections.

Headache 2019 Apr 15. Epub 2019 Apr 15.

Department of Neurosurgery, Guro Hospital, Korea University College of Medicine, Seoul, Republic of Korea.

Background: Subdural hygromas are often found bilaterally in spontaneous intracranial hypotension (SIH). They frequently progress to chronic subdural hematomas (CSDHs), and if the hematomas are formed, it is difficult to consider SIH as an underlying cause. Whether SIH is underlying or not among the patients presenting bilateral subdural fluid collections (hygromas or CSDHs) is clinically important because the treatment strategy should be different between them. Read More

View Article

Download full-text PDF

Source
https://onlinelibrary.wiley.com/doi/abs/10.1111/head.13525
Publisher Site
http://dx.doi.org/10.1111/head.13525DOI Listing
April 2019
2 Reads

Case report: difficulty in diagnosis of delayed spinal epidural hematoma in puerperal women after combined spinal epidural anaesthesia.

BMC Anesthesiol 2019 Apr 11;19(1):54. Epub 2019 Apr 11.

Department of Obstetrics and Gynecology, Massa Carrara General Hospital, Via Enrico Mattei, 54100, Massa Carrara, Italy.

Background: Spinal epidural hematoma is a rare but serious complication of epidural anaesthesia and neurological impairment. Epidural hematoma usually becomes evident within a few hours of the procedure. Delayed clinical presentation of spinal epidural hematoma is even rarer and insidious. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12871-019-0721-yDOI Listing
April 2019
1 Read

Biportal Endoscopic Spinal Surgery for Lumbar Spinal Stenosis.

Asian Spine J 2019 Apr 30;13(2):334-342. Epub 2019 Apr 30.

Spine Center, Himnaera Hospital, Busan, Korea.

Biportal endoscopic spinal surgery (BESS) is a minimally invasive spinal surgery, which is basically similar to microscopic spinal surgery in terms of the use of floating technique and technically similar to conventional percutaneous endoscopic spinal surgery in terms of the use of endoscopic or arthroscopic instruments. Using two independent portals (viewing and working) and maintaining a certain distance from the bony and neural structures allow closer access to the target lesion through a panoramic view by free handling of the scope and instruments rather than through a fixed view by docking into the Kambin's triangle. Minimally invasive surgery allows for reduced dissection and inevitable muscle injury, preserving stability and reducing risks of restabilization. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.31616/asj.2018.0210DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6454273PMC
April 2019
2 Reads

Delayed Presentation of a Vertex Epidural Hematoma Following High Voltage Electrical Injury to the Head.

J Burn Care Res 2019 Apr 2. Epub 2019 Apr 2.

Neurosurgery University of Colorado.

We present the case of a man who suffered a high- voltage electrical injury followed by a delayed presentation of an epidural hematoma. Computed tomography (CT) of the brain demonstrated hyper dense material along the anterior and frontal region consistent with an epidural hematoma at the vertex. The patient underwent serial CT scans of his brain which demonstrated stability of the hematoma and no operative intervention was required. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1093/jbcr/irz042DOI Listing
April 2019
3 Reads

Spontaneous Resolution of Epidural Hematoma: A Rare Case.

Asian J Neurosurg 2019 Jan-Mar;14(1):292-294

Department of Neurosurgery, Gandhi Medical College and Hospital, Secunderabad, Telangana, India.

An epidural hematoma is a life-threatening condition which necessitates early surgical intervention. Conservative management is undertaken in smaller hematomas; rarely, a massive hematoma may show spontaneous resolution which can be picked up only by a repeat computed tomography before surgery. Here, we report one such case where we noted a surprisingly rapid resolution of an epidural hematoma, which was relatively a large clot and where the last minute call to have a repeated computed tomography scan changed the line of management altogether from a surgical one to conservative. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/ajns.AJNS_173_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6417312PMC
April 2019
1 Read

Spontaneous Cervical Epidural Hematoma with Stroke Manifestations.

Asian J Neurosurg 2019 Jan-Mar;14(1):286-288

Neuroscience Research Center, Department of Neurosurgery, Poursina Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.

Spontaneous cervical epidural hematoma (SCEH), which is a rare disease, is manifested as by a sudden quadriplegia or paraplegia and other neurological deficits. SCEH can compress the spinal cord resulting in its clinical manifestations. The reported etiological risk factors are anticoagulants, coagulopathies, vascular malformations, infections, and herniated discs. Read More

View Article

Download full-text PDF

Source
http://www.asianjns.org/text.asp?2019/14/1/286/241629
Publisher Site
http://dx.doi.org/10.4103/ajns.AJNS_333_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6417315PMC
April 2019
2 Reads

Cerebrospinal Fluid Leakage at the Lumbar Spine: A Unique Cause of Delayed Neurologic Deterioration in a Traumatic Acute Subdural Hematoma Patient.

Asian J Neurosurg 2019 Jan-Mar;14(1):219-222

Department of Neurosurgery, Saiseikai Utsunomiya Hospital, Utsunomiya, Japan.

We present a rare case of traumatic acute subdural hematoma (SDH) in which intracranial hypotension (IC) secondary to cerebrospinal fluid (CSF) leakage at the lumbar spine caused delayed neurological deterioration. A 70-year-old male sustained a head injury after ground-level fall and was brought to our institution. A brain computed tomography (CT) showed a thin acute SDH with mild brain shift, and conservative management was initiated. Read More

View Article

Download full-text PDF

Source
http://www.asianjns.org/text.asp?2019/14/1/219/231017
Publisher Site
http://dx.doi.org/10.4103/ajns.AJNS_185_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6417317PMC
April 2019
2 Reads

Breech delivery, rupture of Batson's plexus, T8 epidural hematoma, and paraplegia.

J Neonatal Perinatal Med 2019 Mar 29. Epub 2019 Mar 29.

Creighton University School of Medicine Phoenix Regional Campus, St Joseph's Hospital and Medical Center, Phoenix, Arizona, USA.

A male newborn born by an atraumatic vaginal frank breech delivery was noted to have normal limb movement at birth. However, at 24 hours the neonate developed paraplegia with no evidence of spinal cord injury on radiographic films. Ultrasound and MRI demonstrated an epidural hematoma at the level of T8 and distal cord edema which extended to the conus medullaris. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3233/NPM-180080DOI Listing
March 2019
2 Reads

Minimally invasive approach for removal of a ruptured radiculo-medullary artery aneurysm. Case report and literature review.

World Neurosurg 2019 Mar 28. Epub 2019 Mar 28.

Division of Neurosurgery, Department of Surgery, Sunnybrook Health Sciences Centre, University of Toronto, Ontario, Canada; Department of Medical Imaging, Sunnybrook Health Sciences Centre, University of Toronto, Ontario, Canada.

Introduction: Radiculo-medullary arteries aneurysms are rare, with only few cases previously reported.

Case Report: We report the case of a 54-year-old woman with sudden onset of upper thoracic back pain. MRI/MRA of the spine showed a cervico-thoraco-lumbar hematoma, with no evidence of underlying vascular malformations. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.wneu.2019.03.225DOI Listing
March 2019
1 Read

Biportal endoscopic spine surgery in the treatment of multi-level spontaneous lumbar epidural hematoma: Case report.

J Orthop Sci 2019 Mar 28. Epub 2019 Mar 28.

Spine Center, Jinju Bon Hospital, Jinju-si, Gyeongsangnam-do, Republic of Korea. Electronic address:

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jos.2019.03.010DOI Listing
March 2019
1 Read

Intradural combined transpetrosal approach for primary pontine hemorrhage.

World Neurosurg 2019 Mar 27. Epub 2019 Mar 27.

Department of Neurosurgery, Shizuoka City Shimizu Hospital, Shizuoka, Japan.

Background: The standard combined transpetrosal approach (CTPA) is fundamentally an epidural approach that has been quite successfully practiced for many decades. However, it has some disadvantages, such as cosmetic problems, difficulties with custom-tailored petrosectomy, and cerebrospinal fluid (CSF) leakage, as it is a complicated epidural procedure. We describe here a case of primary pontine hemorrhage via intradural CTPA (iCTPA), which is a modified technique of CTPA and includes intradural anterior petrosectomy and partial posterior petrosectomy without mastoidectomy and skeletonization of the sigmoid sinus. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.wneu.2019.03.122DOI Listing
March 2019
1 Read

Sport-Related Structural Brain Injury in High School Soccer: Epidural Hemorrhage After a "Header".

World Neurosurg 2019 Mar 27. Epub 2019 Mar 27.

Vanderbilt Sports Concussion Center Vanderbilt University School of Medicine Nashville, TN, USA; Department of Neurological Surgery Vanderbilt University Medical Center Nashville, TN, USA. Electronic address:

Background: Sport-related structural brain injury (SRSBI) is a rare but potentially catastrophic injury. Limited data exists outlining its epidemiology, pathophysiology, and outcomes. We present the case of an epidural hematoma (EDH) suffered during a high school soccer game. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.wneu.2019.03.198DOI Listing
March 2019
2 Reads

Reply to «Spontaneous acute epidural haematoma of the cervical spine with an atypical onset resembling ictal symptom».

Neurologia 2019 Mar 27. Epub 2019 Mar 27.

Wester University, London, Ontario, Canadá.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.nrl.2018.12.009DOI Listing
March 2019
1 Read

A Contemporary Medicolegal Analysis of Outpatient Interventional Pain Procedures: 2009-2016.

Anesth Analg 2019 Mar 27. Epub 2019 Mar 27.

Department of Anesthesiology, Perioperative, and Pain Medicine, Brigham and Women's Hospital, Boston, Massachusetts.

Background: Closed malpractice claim studies allow a review of rare but often severe complications, yielding useful insight into improving patient safety and decreasing practitioner liability.

Methods: This retrospective observational study of pain medicine malpractice claims utilizes the Controlled Risk Insurance Company Comparative Benchmarking System database, which contains nearly 400,000 malpractice claims drawn from >400 academic and community medical centers. The Controlled Risk Insurance Company Comparative Benchmarking System database was queried for January 1, 2009 through December 31, 2016, for cases with pain medicine as the primary service. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1213/ANE.0000000000004096DOI Listing
March 2019
1 Read

Thoracic epidural haematoma after spinal manipulation treatment.

Childs Nerv Syst 2019 May 22;35(5):735-737. Epub 2019 Mar 22.

Neurosurgical Service, KK Women's and Children's Hospital, 100 Bukit Timah Road, 229899, Singapore, Singapore.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00381-019-04122-2DOI Listing
May 2019
3 Reads

Factors associated with mortality in acute subdural hematoma: Is decompressive craniectomy effective?

Ulus Travma Acil Cerrahi Derg 2019 Mar;25(2):147-153

Department of Neurosurgery, University of Health Sciences, Şişli Hamidiye Etfal Training and Research Hospital, İstanbul-Turkey.

Background: Despite rapid diagnosis and aggressive neurosurgical intervention, acute subdural hematoma (ASDH) is a severe type of head injury that can result in high morbidity and mortality. Although surgical procedures, such as craniotomy and decompressive craniectomy (DC), can be effective, the preferred approach for treating an ASDH remains controversial. The aim of this report was to evaluate factors associated with mortality in patients with ASDH and determinants of outcome in those with ASDH who underwent DC. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.5505/tjtes.2018.48079DOI Listing
March 2019
1 Read
0.379 Impact Factor

Is routine MRI of the spine necessary in trauma patients with ankylosing spinal disorders or is a CT scan sufficient?

Spine J 2019 Mar 16. Epub 2019 Mar 16.

Department of Orthopaedics and Sport Medicine, Harborview Medical Center, 325 Ninth Avenue Seattle, WA 98104, USA. Electronic address:

Background: Ankylosing spinal disorder (ASD) patients are at a greater risk for spinal fractures due to osteoporosis and rigidity of the spinal column. These fractures are associated with a high risk of neurologic compromise resulting from delayed or missed diagnoses. Although computed tomography (CT) is usually the initial imaging modality, magnetic resonance imaging (MRI) has been proposed as mandatory to help identify spinal injuries in ASD patients with unexplained neck or back pain or known injuries to help identify noncontiguous fractures. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.spinee.2019.03.004DOI Listing
March 2019
5 Reads

Back Pain and Radiculopathy from Non-Steroidal Anti-Inflammatory Drug-induced Dorsal Epidural Haematoma.

BMJ Case Rep 2019 Mar 15;12(3). Epub 2019 Mar 15.

Division of Neurosurgery, Department of Neurosciences, Medical University of South Carolina, Charleston, South Carolina, USA.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bcr-2018-229015DOI Listing
March 2019
3 Reads

Evaluation of Postoperative Spinal Epidural Hematoma After Biportal Endoscopic Spine Surgery for Single-Level Lumbar Spinal Stenosis: Clinical and Magnetic Resonance Imaging Study.

World Neurosurg 2019 Mar 14. Epub 2019 Mar 14.

Department of Orthopedic Surgery, Chungnam National University School of Medicine, Daejeon, Republic of Korea.

Background: Symptomatic postoperative spinal epidural hematoma is a serious complication that may occur after lumbar spine surgery. We analyzed epidural hematoma using postoperative magnetic resonance imaging (MRI) after biportal endoscopic spinal surgery and its impact on clinical outcome.

Methods: The subjects of this study were 158 patients who underwent single-level decompression using the biportal endoscopic spinal surgery technique from 2015 to 2017. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.wneu.2019.02.150DOI Listing
March 2019
3 Reads

Atraumatic Spinal Epidural Hematoma as Initial Presentation of Hemophilia A in an Infant.

Pediatr Emerg Care 2019 Mar 12. Epub 2019 Mar 12.

Hemophilia A is characterized by deficiency of factor VIII. We present a unique, illustrative case of an infant with a short history of neck pain and irritability without neurological deficits who was found to have a spinal epidural hematoma. The subsequent investigation for the etiology, including workup for nonaccidental trauma, led to a diagnosis of severe hemophilia A. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/PEC.0000000000001793DOI Listing

Spontaneous spinal epidural hematoma and septic encephalopathy secondary to postpartum septicemia.

Neurol India 2019 Jan-Feb;67(1):268-269

Department of Neurosurgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/0028-3886.253608DOI Listing
March 2019
1 Read

Widening the spectrum of secondary headache: intracranial hypotension following a non-aneurysmal subarachnoid hemorrhage.

Neurol Sci 2019 Mar 7. Epub 2019 Mar 7.

Neurology Service and Stroke Unit, Department of Neuroscience, AO Brotzu, Cagliari, Italy.

Background: Intracranial hypotension has been associated with a wide spectrum of neurological conditions including chronic non-aneurysmal and acute aneurysmal subarachnoid hemorrhage.

Case: A 59-year-old man presented with a non-aneurysmal subarachnoid hemorrhage in a perimesencephalic pattern after a mild physical exertion. In the course of the disease, a magnetic resonance imaging of head and spine displayed intracranial hypotension that resolved spontaneously. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s10072-019-03809-3DOI Listing
March 2019
1 Read

Traumatic Posterior Fossa Epidural Hematomas in Children : Experience with 48 Cases and a Review of the Literature.

J Korean Neurosurg Soc 2019 Mar 27;62(2):225-231. Epub 2019 Feb 27.

Department of Neurosurgery, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou , China.

Objective: Epidural haematoma (EDH) most commonly occurs in the supratentorial area, particularly in the temporal region, of the brain. Posterior fossa epidural haematoma (PFEDH) is less frequently observed, accounting for only 1.2% to 12. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3340/jkns.2016.0506.007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6411576PMC
March 2019
5 Reads

Delayed Diagnosis of an Acute Epidural Hematoma Due to MRI Artifact from Reinforced Catheter.

Pain Med 2019 Mar 6. Epub 2019 Mar 6.

Anesthesia and Critical Care, University of Chicago, Chicago, Illinois, USA.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1093/pm/pnz018DOI Listing
March 2019
1 Read

Spinal hematoma following coronary angioplasty: An uncommon complication.

Cardiovasc Revasc Med 2019 Feb 8. Epub 2019 Feb 8.

Cardiology Department, Queen Elizabeth Hospital, London, UK; Cardiology Department, St. Thomas' Hospital, London, UK.

We report an unusual case of post-procedural spontaneous spinal epidural hematoma in a 65 year old man who presented with an acute coronary syndrome and underwent complex coronary intervention with adjunct use of a GPIIb/IIIa inhibitor. Although spontaneous spinal epidural hematoma (SSEH) following coronary intervention is extremely rare, clinicians should be aware of this unusual diagnosis. Prompt investigation with MRI and early referral for neurosurgical input are recommended to prevent potentially significant sequelae. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.carrev.2019.02.001DOI Listing
February 2019
1 Read

Epidural analgesia for adults undergoing cardiac surgery with or without cardiopulmonary bypass.

Cochrane Database Syst Rev 2019 03 1;3:CD006715. Epub 2019 Mar 1.

Department of Anesthesiology, Faculty of Medicine, University of Sherbrooke, Sherbrooke, Quebec, Canada.

Background: General anaesthesia combined with epidural analgesia may have a beneficial effect on clinical outcomes. However, use of epidural analgesia for cardiac surgery is controversial due to a theoretical increased risk of epidural haematoma associated with systemic heparinization. This review was published in 2013, and it was updated in 2019. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/14651858.CD006715.pub3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6396869PMC
March 2019
2 Reads

Swirl sign in epidural hematoma.

Arq Neuropsiquiatr 2019 Feb;77(2):140-141

Hospital Estadual Jayme Santos Neves, Departamento de Radiologia, Serra ES, Brasil.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/0004-282X20190010DOI Listing
February 2019
1 Read

Traumatic Retroclival Epidural Hematoma.

Pediatr Emerg Care 2019 Feb 19. Epub 2019 Feb 19.

Neurosurgery Clinic, Okmeydani Training and Research Hospital, Istanbul, Turkey.

Retroclival epidural hematomas are particularly rare conditions that are frequently the result of high-energy, hyperflexion-hyperextension injuries in pediatric patients. We present the case of a 7-year-old previously healthy girl with traumatic retroclival epidural hematoma after a fall from a swing. She presented with a Glasgow Coma Scale score of 15 with severe neck pain and limitation of cervical movements in all directions. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/PEC.0000000000001756DOI Listing
February 2019
2 Reads

Acute cerebral infarction in a patient with an epidural catheter after left upper lobectomy: a case report.

BMC Anesthesiol 2019 Feb 23;19(1):27. Epub 2019 Feb 23.

Department of Anesthesiology and Critical Care Medicine, Jichi Medical University Saitama Medical Center, 1-847 Amanumacho, Omiyaku, Saitama, 330-8503, Japan.

Background: There are several recent reports that left upper lobe lung resection is a risk factor for the development of postoperative thromboembolism. Although administering epidural analgesia is common in thoracic surgery, anesthesiologists should be alert when administering epidural analgesia to a patient undergoing left upper lobectomy, considering the increased risk of postoperative thromboembolism and the potential need for anticoagulation or fibrinolytic therapy in the immediate postoperative period.

Case Presentation: A seventy-one-year-old female with a metastatic lung lesion developed a cerebral infarction approximately 30 h after video-assisted thoracoscopic left upper lobectomy. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12871-019-0695-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6387476PMC
February 2019
1 Read

Acute Pain Service: A 10-Year Experience.

Pain Pract 2019 Feb 21. Epub 2019 Feb 21.

Department of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute, Milan, Italy.

Background: Pain management after surgery is crucial to decrease perioperative morbidity and mortality. Acute pain services (APS) are multidisciplinary teams that represent a modern strategy to address pain inside hospitals. The APS defines and applies pain treatment protocols specific for each surgery. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/papr.12777DOI Listing
February 2019
2 Reads

Reply to Dr. Furman The risk of hematoma with transforaminal epidural injections.

Reg Anesth Pain Med 2019 Mar;44(3):417-418

Pain Diagnostics and Interventional Care Sewickley, Sewickley, Pennsylvania, USA.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/rapm-2018-100318DOI Listing
March 2019
1 Read

Postoperative subdural hematoma with blood flow from an epidural hematoma through a tear at the suture point of an artificial dura substitute.

Acta Neurochir (Wien) 2019 Apr 14;161(4):755-760. Epub 2019 Feb 14.

Department of Neurosurgery, Cerebrovascular Research Institute, Eisyokai Yoshida Hospital, Daikai-dori9-2-6, Hyogo-ku, Kobe, 652-0803, Japan.

Objective: We have recently seen cases of postoperative epidural and subdural hematomas after duraplasty with an artificial dura substitute. In these cases, the epidural hematoma flowed into the subdural space through a tear at the suture point of the artificial dura substitute. In this study, whether such hematomas are specific to a certain artificial dura substitute was investigated, and the cause and risk factors were examined. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00701-019-03830-7DOI Listing
April 2019
1 Read

Continuous Bilateral Erector of Spine Plane Block at T8 for Extensive Lumbar Spine Fusion Surgery: Case Report.

Pain Pract 2019 Feb 13. Epub 2019 Feb 13.

Anesthesiology Service, Tondela Viseu Hospital Centre, Viseu, Portugal.

Introduction: Supplementary strategies, in combination with conventional analgesia, for pain control after lumbar fusion surgery remain limited.

Case Description: Here, we describe a 79-year-old woman who experienced pain (10/10 on a numeric rating scale) on postoperative day 1 after undergoing L2 to S1 spine fusion. Erector spinae plane (ESP) blocks were performed at T8 and, after a bolus of ropivacaine 0. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/papr.12774DOI Listing
February 2019
1 Read

Spontaneous Spinal Haemorrhage as a Complication of Oral Anticoagulant Therapy: A Case Report and Literature Review.

Eur J Case Rep Intern Med 2018 27;5(12):000887. Epub 2018 Dec 27.

Emergency Department, Centro Hospitalar Cova da Beira, Covilhã, Portugal.

Spinal cord haematoma, or haematomyelia, is a rare condition caused by several unusual disease processes. Traumatic events, such as spinal cord injury and surgery or procedures involving the spinal cord, are the most important causes of spinal cord haematoma. Rarely, it is associated with anticoagulation therapy. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.12890/2018_000887DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6346978PMC
December 2018
1 Read

Delayed Rupture of a Cortical Traumatic Intracranial Aneurysm.

Cureus 2018 Nov 27;10(11):e3643. Epub 2018 Nov 27.

Neurosurgery, Advocate Christ Medical Center, Oak Lawn, USA.

Traumatic intracranial aneurysms are rare lesions that occur after blunt or primarily penetrating mechanisms. These are extremely fragile vessel injuries associated with significant morbidity and mortality, especially after rupture. Disease natural history, surveillance strategies, and management are based on small case series. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7759/cureus.3643DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6351004PMC
November 2018
2 Reads

Early diagnosis of traumatic intracranial hematomas.

J Biomed Opt 2019 Feb;24(5):1-10

Infrascan Inc., Philadelphia, Pennsylvania, United States.

Timing of the intervention for intracranial hematomas is critical for its success, specifically since expansion of the hemorrhage can result in debilitating and sometimes fatal outcomes. Led by Britton Chance, we and an extended team from University of Pennsylvania, Baylor and Drexel universities developed a handheld brain hematoma detector for early triage and diagnosis of head trauma victims. After obtaining de novo Food and Drug Administration clearance, over 200 systems are deployed in all Marine battalion aid stations around the world. Read More

View Article

Download full-text PDF

Source
https://www.spiedigitallibrary.org/journals/journal-of-biome
Publisher Site
http://dx.doi.org/10.1117/1.JBO.24.5.051411DOI Listing
February 2019
9 Reads

Responsible, Safe, and Effective Use of Antithrombotics and Anticoagulants in Patients Undergoing Interventional Techniques: American Society of Interventional Pain Physicians (ASIPP) Guidelines.

Pain Physician 2019 01;22(1S):S1-S74

Massachusetts General Hospital and Harvard Medical School, Boston, MA.

Background: Interventional pain management involves diagnosis and treatment of chronic pain. This specialty utilizes minimally invasive procedures to target therapeutics to the central nervous system and the spinal column. A subset of patients encountered in interventional pain are medicated using anticoagulant or antithrombotic drugs to mitigate thrombosis risk. Read More

View Article

Download full-text PDF

Source
January 2019
8 Reads
3.542 Impact Factor

Imaging of Acute Low Back Pain.

Radiol Clin North Am 2019 Mar 5;57(2):397-413. Epub 2018 Dec 5.

Department of Radiology and Imaging Sciences, University of Utah, 30 North 1900 East, Room 1A71, Salt Lake City, UT 84132, USA. Electronic address:

Acute low back pain, defined as less than 6 weeks in duration, does not require imaging in the absence of "red flags" that may indicate a cause, such as fracture, infection, or malignancy. When imaging is indicated, it is important to rule out a host of abnormalities that may be responsible for the pain and any associated symptoms. A common mnemonic VINDICATE can help ensure a thorough consideration of the possible causes. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.rcl.2018.10.001DOI Listing
March 2019
2 Reads

Injuries to the Rigid Spine: What the Spine Surgeon Wants to Know.

Radiographics 2019 Mar-Apr;39(2):449-466. Epub 2019 Feb 1.

From the Department of Radiology, Brigham and Women's Hospital, 75 Francis St, Boston, MA 02115.

The biomechanical stability of the spine is altered in patients with a rigid spine, rendering it vulnerable to fracture even from relatively minor impact. The rigid spine entities are ankylosing spondylitis (AS), diffuse idiopathic skeletal hyperostosis, degenerative spondylosis, and a surgically fused spine. The most common mechanism of injury resulting in fracture is hyperextension, which often leads to unstable injury in patients with a rigid spine per the recent AOSpine classification system. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1148/rg.2019180125DOI Listing
February 2019
4 Reads

Cervical epidural hematoma following interlaminar epidural steroid injection via the contralateral oblique view in patient taking omega-3 fatty acids.

Reg Anesth Pain Med 2019 Feb;44(2):253-255

Department of Anesthesiology, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA

Background And Objectives: We sought to describe a case of an epidural hematoma after a cervical interlaminar epidural steroid injection (ILESI) performed using contralateral oblique view. We also discuss factors that could have placed this patient at increased risk, including concurrent use of omega-3 fatty acids and non-steroidal anti-inflammatory medications.

Case Report: A 74-year-old woman returned to the pain clinic, within 15 min of discharge, after an apparent uncomplicated cervical ILESI using the contralateral oblique technique with severe periscapular pain and muscle spasms. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/rapm-2018-000005DOI Listing
February 2019
2 Reads

Massage-induced spinal epidural hematoma presenting with delayed paraplegia.

Am J Emerg Med 2019 Apr 15;37(4):797.e1-797.e4. Epub 2019 Jan 15.

Truman Medical Center, Department of Emergency Medicine, University of Missouri-Kansas City (UMKC) School of Medicine, Kansas City, Mo, USA. Electronic address:

Background: Spinal epidural hematoma (SEH) is an uncommon but serious emergency condition rare cases of spontaneously or following a minor traumatic event without bony injury.

Objective: We report the rare case of SEH associated with traditional massage initially presenting with delayed lower paraplegia.

Case Report: A 20-year-old man presented with bilateral lower extremity weakness and numbness 3 h prior to presentation. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ajem.2019.01.017DOI Listing
April 2019
2 Reads

Spontaneous Spinal Epidural Haematoma Secondary to Autoimmune Acquired Haemophilia.

Case Rep Neurol 2018 Sep-Dec;10(3):353-356. Epub 2018 Dec 13.

Department of Neurosurgery, Birmingham University Hospital, Birmingham, United Kingdom.

Spontaneous spinal epidural haematoma is a rare entity associated with high morbidity. Although there are previous reports of spinal haematoma secondary to X-linked genetic haemophilia, there are no such cases secondary to acquired autoimmune haemophilia. We report the case of a 71-year-old patient who presented with sudden quadriplegia secondary to cervical (C2 to T1) epidural haematoma as a result of undiagnosed autoimmune acquired haemophilia A. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1159/000495028DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6341357PMC
December 2018
9 Reads

Spontaneous Hemorrhage followed by paraparesis in a patient with a Spinal Meningioma.

World Neurosurg 2019 Jan 23. Epub 2019 Jan 23.

Maimonides Medical Center, Division of Neurosurgery, 948 48th St, Brooklyn, NY 11219, Brooklyn, New York, USA. Electronic address:

Background: Although rare, spinal meningiomas may cause motor and sensory deficits or difficulty with bladder or bowel function due to spinal cord compression. While hemorrhage of intracranial meningiomas is well documented, there are very few cases of hemorrhage or hematoma associated with spinal meningiomas in the literature. Spinal meningiomas have been reported to be associated with subdural, epidural, intratumoral, and subarachnoid hemorrhage and usually in the setting of inciting event such as lumbar puncture or anti-coagulation therapy. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.wneu.2019.01.031DOI Listing
January 2019
4 Reads

Epidural hematoma following low molecular weight heparin prophylaxis and spinal anesthesia for cesarean delivery.

Int J Obstet Anesth 2019 Feb 26;37:118-121. Epub 2018 Sep 26.

Department of Anesthesiology, University of Arizona, Tucson, AZ, USA. Electronic address:

Epidural hematoma is a very uncommon complication of spinal anesthesia. Its incidence has been reported to be between 1:200 000-250 000 in the obstetric population following neuraxial anesthesia. Cesarean delivery increases the risk of maternal venous thromboembolism significantly and recommendations to decrease its incidence and morbidity have been developed. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ijoa.2018.09.008DOI Listing
February 2019
4 Reads

Spontaneous Spinal Epidural Hematoma Associated With the Use of Low-dose Aspirin in Elderly Patient.

J Am Acad Orthop Surg Glob Res Rev 2018 Oct 9;2(10):e059. Epub 2018 Oct 9.

Orthopedic Department, Hospital Sultan Ismail, Johor Bahru, Malaysia.

Spontaneous spinal epidural hematoma is a rare condition defined by bleeding in the epidural space of the spine with no identifiable causes such as trauma, vascular malformation, or bleeding disorders. This is a case of a 79-year-old woman with a medical history of diabetes mellitus, dyslipidemia, and hypertension presented with the sudden onset of severe thoracolumbar back pain associated with weakness and numbness in her bilateral lower limb. Examination of the lower limb showed bilateral lower limb motor and sensory deficits. Read More

View Article

Download full-text PDF

Source
http://Insights.ovid.com/crossref?an=01979360-201810000-0000
Publisher Site
http://dx.doi.org/10.5435/JAAOSGlobal-D-18-00059DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6324892PMC
October 2018
14 Reads

Comparison of clinical outcomes following minimally invasive or lumbar endoscopic unilateral laminotomy for bilateral decompression.

J Neurosurg Spine 2019 Jan 11:1-9. Epub 2019 Jan 11.

OBJECTIVEMinimally invasive lumbar unilateral tubular laminotomy for bilateral decompression has gradually gained acceptance as a less destabilizing but efficacious and safe alternative to traditional open decompression techniques. The authors have further advanced the principles of minimally invasive surgery (MIS) by utilizing working-channel endoscope-based techniques. Full-endoscopic technique allows for high-resolution off-axis visualization of neural structures within the lateral recess, thereby minimizing the need for facet joint resection. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3171/2018.9.SPINE18689DOI Listing
January 2019
4 Reads