6,044 results match your criteria Epidural Hematoma


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.

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http://dx.doi.org/10.1136/rapm-2018-100318DOI Listing

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 Feb 14. 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

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http://dx.doi.org/10.1007/s00701-019-03830-7DOI Listing
February 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.

Tondela Viseu Hospital Centre, Anesthesiology Service.Address: Centro Hospitalar Tondela Viseu, Anesthesiology Service, Serviço de Anestesiologia Rua Rei Dom Duarte, 3504-509, Viseu, Portugal.

Supplementary strategies, in combination with conventional analgesia, for pain control after lumbar fusion surgery remain limited. Here, we describe a 79-year-old woman who experienced pain (10/10 on a numerical rating scale) on post-operative 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

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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

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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

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

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

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https://www.spiedigitallibrary.org/journals/journal-of-biome
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http://dx.doi.org/10.1117/1.JBO.24.5.051411DOI Listing
February 2019
3 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 Jan;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

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January 2019
2 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

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http://dx.doi.org/10.1016/j.rcl.2018.10.001DOI Listing
March 2019
1 Read

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

Radiographics 2019 Feb 1:180039. 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

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http://dx.doi.org/10.1148/rg.2019180125DOI Listing
February 2019
2 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

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http://dx.doi.org/10.1136/rapm-2018-000005DOI Listing
February 2019
1 Read

Massage-induced spinal epidural hematoma presenting with delayed paraplegia.

Am J Emerg Med 2019 Jan 15. 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

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http://dx.doi.org/10.1016/j.ajem.2019.01.017DOI Listing
January 2019
1 Read

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

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http://dx.doi.org/10.1159/000495028DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6341357PMC
December 2018
6 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

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http://dx.doi.org/10.1016/j.wneu.2019.01.031DOI Listing
January 2019
2 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

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http://dx.doi.org/10.1016/j.ijoa.2018.09.008DOI Listing
February 2019
2 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

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http://Insights.ovid.com/crossref?an=01979360-201810000-0000
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http://dx.doi.org/10.5435/JAAOSGlobal-D-18-00059DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6324892PMC
October 2018
7 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

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

Spontaneous resolution and complete recovery of spontaneous cervical epidural hematoma: Report of two cases and literature review.

Neurochirurgie 2019 Feb 8;65(1):27-31. Epub 2019 Jan 8.

Department of Orthopaedics, Shanghai Changzheng Hospital, Second Military Medical University, No. 415, Feng Yang Street, Huangpu District, Shanghai 200003, China.

Objective: To present the natural course and treatment modalities of spontaneous cervical epidural hematoma (SCEH), by reporting two rare cases with spontaneous resolution in both clinical and radiologic findings without surgery.

Material And Methods: One patient presenting with acute right side hemiparesis and another showing pure cervical radiculopathy were diagnosed with SCEH on magnetic resonance imaging (MRI). Both were both treated non-operatively. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00283770183036
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http://dx.doi.org/10.1016/j.neuchi.2018.10.008DOI Listing
February 2019
10 Reads

Enoxaparin administration within 24 hours of caesarean section: a 6-year single-centre experience and patient outcomes.

J Obstet Gynaecol 2018 Dec 22:1-4. Epub 2018 Dec 22.

a Department of Gynaecology and Obstetrics , Kyoto University , Kyoto , Japan.

A caesarean section (CS) is a major risk factor for a venous thromboembolism, and enoxaparin, a low-molecular-weight heparin, has been widely used for thromboprophylaxis. However, it remains unclear whether an enoxaparin thromboprophylaxis has an acceptable safety profile when given early after CS compared to delayed administration, especially in the presence of an epidural catheter. This study aimed to survey cases in which enoxaparin administration was performed within 24 hours of CS and to evaluate patient outcomes with or without epidural anaesthesia. Read More

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http://dx.doi.org/10.1080/01443615.2018.1527300DOI Listing
December 2018
2 Reads

Prevalence, Evolution, and Extent of Impaired Cerebral Autoregulation in Children Hospitalized With Complex Mild Traumatic Brain Injury.

Pediatr Crit Care Med 2018 Dec 6. Epub 2018 Dec 6.

Harborview Injury Prevention and Research Center, Department of Anesthesiology and Pain Medicine, Harborview Medical Center, Seattle, WA.

Objectives: To examine cerebral autoregulation in children with complex mild traumatic brain injury.

Design: Prospective observational convenience sample.

Setting: PICU at a level I trauma center. Read More

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http://dx.doi.org/10.1097/PCC.0000000000001824DOI Listing
December 2018
11 Reads

[Safety and effectiveness of ultrasonic osteotome in posterior cervical laminectomy decompression and fusion].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 Dec;32(12):1554-1559

Department of Spinal Surgery, Xi'an Honghui Hospital Affiliated to Xi'an Jiaotong University Medical College, Xi'an Shaanxi, 710054,

Objective: To explore the safety of ultrasonic osteotome used in posterior cervical laminectomy decompression surgery and its effect on surgical outcome.

Methods: A clinical data of 52 patients with ossification of posterior longitudinal ligament of cervical spine (C-OPLL) undergoing posterior cervical laminectomy decompression and fusion (PCLDF) between April 2013 and April 2017 was retrospectively analysed. The patients were divided into two groups according to whether using the ultrasonic osteotome during operation: group A (20 cases, ultrasonic osteotome group) and group B (32 cases, traditional gun-clamp decompression group). Read More

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http://dx.doi.org/10.7507/1002-1892.201804012DOI Listing
December 2018
2 Reads

Bilateral blunt cerebrovascular injury resulting in direct carotid-cavernous fistulae: A case report and review of the literature.

Surg Neurol Int 2018 19;9:229. Epub 2018 Nov 19.

Department of Neurosurgery, Clinical Neurosciences Center, Salt Lake City, Utah, USA.

Background: Bilateral blunt cerebrovascular injury (BCVI) has been documented in 32 patients in the English-language literature and bilateral carotid-cavernous fistulae (CCFs) have been reported in only 1 patient. Here, we present a case of severe, unexpected bilateral BCVI with bilateral direct CCF and review the literature of BCVI, particularly cases of bilateral injury.

Case Description: A 65-year-old woman with episodic bradycardia presented after a motor vehicle accident. Read More

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http://dx.doi.org/10.4103/sni.sni_210_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6262944PMC
November 2018
2 Reads

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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https://linkinghub.elsevier.com/retrieve/pii/S0959289X183048
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http://dx.doi.org/10.1016/j.ijoa.2018.11.008DOI Listing
November 2018
1 Read

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
2 Reads

Intraoperative Cerebrospinal Fluid Leak in Extradural Spinal Tumor Surgery.

Neurospine 2018 Dec 7;15(4):338-347. 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
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6347353PMC
December 2018
2 Reads

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

Epileptic Disord 2018 Dec;20(6):551-556

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
2 Reads

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
16 Reads

Thoracic epidural hematoma.

Can J Anaesth 2019 Mar 4;66(3):331-332. 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
March 2019
1 Read

Outcomes of Posterior Thoracic Corpectomies for Metastatic Spine Tumors: An Analysis of 90 Patients.

World Neurosurg 2018 Nov 27. Epub 2018 Nov 27.

Department of Neurological Surgery, University of California, San Francisco, San Francisco, California, USA.

Objective: To retrospectively analyze the outcomes and complications of patients with metastatic thoracic spinal tumors (MTTs) who underwent posterior corpectomies.

Methods: Ninety patients with MTTs who underwent posterior corpectomies were retrospectively analyzed. Characteristics evaluated included number of MTTs per year, location, involved vertebrae numbers, sex, histology, pre- and postoperative American Spinal Injury Association (ASIA) grade, visual analog scale (VAS) pain scores, operative time, blood loss, and length of hospital stay. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.11.172DOI Listing
November 2018
2 Reads
2.417 Impact Factor

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
10 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
9 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 disease, including ankylosing spondylitis and diffuse idiopathic skeletal hyperostosis, even low-impact trauma can lead to complex injuries. The injuries seem to be highly unstable and associated with greater mortality rates compared with the general spine trauma population.

Methods: We reviewed the medical records of a consecutive series of 41 patients (34 men, 7 women) with ankylosing spinal disease and unstable traumatic spine injuries who were admitted to our department from 2007 to 2016. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.11.108DOI Listing
November 2018
9 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
18 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
9 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
10 Reads

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

Neurosurg Focus 2018 Nov;45(5):E2

1Surgical Outcomes Center for Kids, and.

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
6 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
7 Reads
1.163 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
8 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 Dec 6;32(12):e13445. Epub 2018 Dec 6.

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
December 2018
12 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
9 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
10 Reads

Dengue Fever Presenting with Cervicodorsal Acute Spinal Spontaneous Subdural Hematoma-Case Report and Review of Literature.

World Neurosurg 2019 Feb 4;122:272-277. Epub 2018 Nov 4.

Department of Neurosurgery, Institute of Neurosciences, Medanta the Medicity, Gurgaon, Haryana, India.

Background: Neurologic complications are increasingly being reported in dengue epidemics. Intraspinal hematomas are rare, and those associated with dengue fever are still rarer with only 1 being reported in the literature.

Case Description: We report a case of dengue fever presenting with acute-onset quadriparesis (upper limbs Medical Research Council [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
February 2019
11 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
9 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
7 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
12 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
2 Reads

Consecutive images of conservatively treated cervical spontaneous spinal epidural hematoma.

J Clin Neurosci 2019 Jan 2;59:270-275. Epub 2018 Nov 2.

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
January 2019
2 Reads