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Asian J Neurosurg 2020 Apr-Jun;15(2):455-457. Epub 2020 May 29.

Department of Neurosurgery, Hospital Sungai Buloh, Selangor, Malaysia.

Acute spontaneous spinal epidural hematoma without any identified etiology is a rare phenomenon and an uncommon cause of acute spinal cord compression. We report a case of acute spontaneous cervical spinal epidural hematoma, with sudden onset of acute neck pain and left-side body weakness during sleep which resembling of cervicle carotid dissection. The pain commenced suddenly, early in the morning while the patient was asleep. Read More

Pain Pract 2020 Jul 11. Epub 2020 Jul 11.

Department of Anesthesiology, Emergency Medicine and Multidisciplinary Pain Center, Ziekenhuis Oost-Limburg, Genk, Belgium.

Introduction: Cervical epidural corticosteroid injections are frequently used for the treatment of subacute cervicobrachial pain. This therapy isconsidered safe with the vast majority of the complications being minor and transient.

Case Report: We present a case of a woman in her fifties who suffered from cervicobrachialgia and received 2 cervical epidural corticosteroid infiltrations. Read More

Eurasian J Med 2020 Jun 9;52(2):211-216. Epub 2020 Jun 9.

Department of Medicine - DIMED, University of Padova Section of Anesthesiology and Intensive Care, Padova, Italy.

Spinal hematoma following neuraxial or perineural techniques is a rare but severe complication that can potentially lead to catastrophic consequences. The aim of this review is to analyze all reported cases of neuraxial or perineural bleeding after performance of a locoregional technique since the last guidelines update in 2018. We included articles indexed by MEDLINE, Scopus, and Google Scholar. Read More

Ulus Travma Acil Cerrahi Derg 2020 Jun;26(4):628-631

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

Spinal epidural hematoma (SEH) is a rare but a significant cause of spinal cord compression and neurologic deficits. Its etiology is usually unknown and requires emergency intervention. The present study aims to review the clinical significance, treatment strategies and clinical outcomes of traumatic SEH with a rare case presentation. Read More

Intern Med 2020 Jun 23. Epub 2020 Jun 23.

Department of Neurology, Tokyo Teishin Hospital, Japan.

Spontaneous intracranial hypotension (SIH) is an important cause of headache mainly associated with spinal cerebrospinal fluid leakage. We herein report the case of a 51-year-old man who developed SIH after swimming. Brain magnetic resonance imaging (MRI) showed a transient high-intensity lesion in the splenium of the corpus callosum (SCC), in addition to bilateral subdural hematomas (SDH) and pseudo-subarachnoid hemorrhage on brain computed tomography. Read More

Surg Neurol Int 2020 6;11:139. Epub 2020 Jun 6.

Departments of Neuroinfectology, National Institute of Neurology and Neurosurgery, Mexico.

Background: Central nervous system involvement due to aspergillosis is an extremely serious entity, particularly in patients with severe neutropenia, hematological diseases, or post-transplant cases. Immunocompetent patients can be infected by intense exposure, particularly iatrogenic after invasive procedures.

Case Description: We present the case of a 26-year-old male with a 1 year appendectomy background, which required epidural anesthesia. Read More

Cureus 2020 Apr 16;12(4):e7694. Epub 2020 Apr 16.

Neurological Surgery, The University of Toledo Medical Center, Toledo, USA.

We present our experience following a unique case of coincident intracranial hemorrhage and comminuted fractures of both the squamous temporal bone and zygomaticofrontal orbit. Surgical techniques and outcome for this presentation have yet to be sufficiently described. A 55-year-old male presented following trauma with Glasgow Coma Scale score of 7. Read More

J Clin Neurosci 2020 Jul 8;77:110-115. Epub 2020 May 8.

Department of Radiology, Seoul National University Bundang Hospital, Republic of Korea.

Heavily T2-weighted MR myelography (HT2W-MRM) is emerging as an alternative approach for detection and follow up of CSF leaks. We aimed to assess epidural blood patch (EBP) treatment outcome when using HT2W-MRM as the primary modality for detecting CSF leak and planning EBP placement in routine clinical practice. Since 2018, patients at our institute suspected of having CSF leak, routinely HT2W-MRM instead of CT myelography to determine presence of the leak and identify the EBP target site. Read More

Br J Neurosurg 2020 May 2:1-3. Epub 2020 May 2.

Neurosurgery Department, Tehran University of Medical Sciences, Tehran, Iran.

Interdural hematoma (IDH) is an extremely rare hemorrhage between the outer periosteal dura mater and the inner meningeal dura mater. There are 8 cases of convexity IDH reported previously but none of them were acute post traumatic one. We report the case of a patient with an initial diagnosis of acute epidural hematoma (EDH) that was eventually revealed to be an acute convexity IDH. Read More

R I Med J (2013) 2020 May 1;103(4):52-54. Epub 2020 May 1.

Department of Neurosurgery, The Warren Alpert Medical School of Brown University, Providence.

The authors report the case of an 82-year-old woman with a spinal epidural hematoma following attempted catheter-directed thrombolysis of a large femoral- popliteal deep venous thrombosis. The patient rapidly developed acute motor and sensory paralysis below the level of T7 within hours of the thrombectomy procedure. Computed tomography imaging revealed that the catheter had perforated the wall of the right inferior vena cava and magnetic resonance imaging subsequently demonstrated an extensive T1-S1 dorsal epidural hematoma with compression of the thoracic spinal cord, conus medullaris, and cauda equina. Read More

Int J Spine Surg 2020 Apr 30;14(2):158-161. Epub 2020 Apr 30.

Department of Orthopaedic Surgery, Emory University School of Medicine, Atlanta, Georgia.

Introduction: Spontaneous spinal epidural hematoma (SSEH) is a rare but potentially devastating condition if not appropriately identified and managed. A few case series exist regarding SSEH and certain risk factors have been described; however, much continues to be unknown regarding the pathophysiology and optimal management.

Case Presentation: We present the case of SSEH in a healthy 33-year-old African American woman with no identifiable risk factors who initially presented with significant neurologic compromise. Read More

World Neurosurg 2020 Apr 21;139:245-249. Epub 2020 Apr 21.

Department of Neurosurgery, Pomeranian Medical University Hospital No. 1, Szczecin, Poland.

Background: Vertex epidural hematoma (VEDH) is a rare intracranial mass constituting roughly 2.5% of all epidural hematomas. Bleeding usually derives from the superior sagittal sinus, and presentation is often acute-seldom chronic. Read More

BMC Neurol 2020 Apr 23;20(1):151. Epub 2020 Apr 23.

Department of Neurosurgery, Juntendo Tokyo Koto Geriatric Medical Center, 3-3-20 Shinsuna, Koto-ku, Tokyo, 136-0075, Japan.

Background: Intracranial hypotension is a disorder characterized by low cerebrospinal fluid (CSF) pressure typically caused by loss of CSF. Although some mechanisms account for the CSF leakage have been elucidated, spinal canal stenosis has never been reported as a pathological cause of intracranial hypotension. C1-C2 sign is a characteristic imaging feature, which indicates CSF collection between the spinous processes of C1 and C2, occasionally observed on magnetic resonance imaging (MRI) in patients with intracranial hypotension. Read More

Cureus 2020 Apr 10;12(4):e7626. Epub 2020 Apr 10.

Anesthesiology, Veterans Affairs Puget Sound Health Care System, University of Washington, Seattle, USA.

Thoracic paravertebral blocks (TPVBs) provide an effective pain relief modality in conditions where thoracic epidurals are contraindicated. Historically, TPVBs were placed relying solely on the landmark-based technique, but the availability of ultrasound imaging makes it a valuable and practical tool during the placement of these blocks. TPVBs also provide numerous advantages over thoracic epidurals, namely, minimal hypotension, absence of urinary retention, lack of motor weakness, and remote risk of an epidural hematoma. Read More

Oper Neurosurg (Hagerstown) 2020 Apr 7. Epub 2020 Apr 7.

Department of Neurosurgery, Thomas Jefferson University Hospitals, Philadelphia, Pennsylvania.

The utilization of robotics has been gaining increased popularity in spine surgery. It can be used to assist in pedicle screw insertion when anatomy is complex in deformity surgery, but is also helpful in degenerative spine as it can minimize tissue dissection and fluoroscopy use.1-6 We present an operative video that demonstrates the use of a robotic system (Globus Excelsius GPS, Audubon, Pennsylvania) for thoracic instrumentation in an unstable fracture. Read More

Case Rep Anesthesiol 2020 18;2020:8925731. Epub 2020 Mar 18.

Department of Anesthesia, Renaissance School of Medicine at Stony Brook University, Stony Brook, NY 11794, USA.

Epidural blood patch (EBP), generally considered a low-risk procedure, can potentially lead to significant neurological complications. We report the case of a parturient who underwent an uneventful EBP for postdural puncture headache (PDPH) and subsequently presented with progressively worsening radicular symptoms. Magnetic resonance imaging (MRI) revealed an intrathecal hematoma, and conservative management with steroids led to complete recovery. Read More

Cureus 2020 Feb 17;12(2):e7018. Epub 2020 Feb 17.

Neurosurgery, Kaiser Permanente Fontana Medical Center, Fontana, USA.

Spontaneous intracranial hypotension (SIH) is a pathology characterized by orthostatic headaches, diffuse pachymeningeal enhancement on magnetic resonance imaging (MRI), and low to normal cerebrospinal fluid (CSF) pressures. We present the case of a 46-year-old male with refractory postural headaches, found to have a diffuse CSF leak throughout the cervicothoracic (C1-T12) spine. His neurological status declined rapidly to a Glasgow Coma Scale (GCS) of eight, necessitating bilateral subdural drain placement. Read More

CJC Open 2020 Mar 28;2(2):71-73. Epub 2019 Dec 28.

Section of Cardiology, Department of Internal Medicine, Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.

A 78-year-old woman presented with an inferior ST-segment elevation myocardial infarction in the setting of a fall resulting in facial trauma causing an unrecognized C6 cervical endplate fracture. After administration of tenecteplase, she developed a spinal epidural hematoma requiring intubation for airway protection and cessation of antiplatelet therapies. The need to delay coronary intervention in this setting led to a recurrent inferolateral ST-segment elevation myocardial infarction that eventually required coronary bypass grafting. Read More

Int J Neurosci 2020 Mar 23:1-6. Epub 2020 Mar 23.

Department of Neurosurgery, The First Affiliated Hospital of Wannan Medical College, Wuhu, China.

Non-traumatic spontaneous acute epidural hematoma (EDH) happening to chronic subdural hematoma (SDH) caused by dural metastases is a rare entity. Pathogenesis can be derived from infection, coagulopathy, and inflammation. Malignant tumors metastasize to dura mater is one of the most infrequent causes. Read More

Diagnostics (Basel) 2020 Mar 13;10(3). Epub 2020 Mar 13.

Department of Physical &, Rehabilitation Medicine, Inha University School of medicine, Inha University Hospital, Incheon 22332, Korea.

This paper reports a mechanism for corticospinal tract injury in a patient with hemiplegia following traumatic brain injury (TBI) based on diffusion tensor tractography (DTT) finding. A 73-year-old male with TBI resulting from a fall, without medical history, was diagnosed as having left convexity epidural hematoma (EDH). He underwent craniotomy and suffered motor weakness on the right side of the body. Read More

World Neurosurg 2020 Jun 3;138:e241-e250. Epub 2020 Mar 3.

Vivian Smith Department of Neurosurgery, McGovern Medical School, The University of Texas Medical School, Houston, Texas, USA.

Background: Epidural hematomas (EDHs) involving the venous sinuses are uncommon and carry the risk of hemorrhage or venous infarction. We report the largest case series for superior sagittal sinus- and transverse sinus-related EDHs including surgical and nonsurgical management. We compare our findings to the relevant literature. Read More

J Neurosci Rural Pract 2020 Jan 5;11(1):191-195. Epub 2019 Dec 5.

3rd Cardiology Department, Hippokrateio University Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.

Spontaneous spinal epidural hematoma (SSEH) is a rare, albeit well-documented complication following thrombolysis treatment in ST elevation myocardial infarction (STEMI). A SSEH usually manifests with cervical pain and neurologic deficits and may require surgical intervention. In this case report, we present the first reported SSEH to occur following thrombolysis with reteplase. Read More

Sci Rep 2020 Mar 4;10(1):4001. Epub 2020 Mar 4.

Department of Radiology, the Third Hospital, Hebei Medical University, Shijiazhuang, China.

To investigate the characteristics of imaging changes with time of facial fractures, patients with facial fractures who had computed tomographic scan were enrolled including 500 patients who were divided into six groups based on the time of scanning: super early (<3 d), early (4-7 d), early-to-medium (8-14 d), medium (15-21d), medium-to-late (22d-2 months) and late stage (>2 months). The data were compared and analyzed. Forty two patients with frontal bone fractures had high-energy impact as the reason of fractures. Read More

World Neurosurg 2020 May 27;137:421-424. Epub 2020 Feb 27.

Department of Neurosurgery, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, South Korea.

Background: An epidural nerve block injection is the most common modality of treatment for control of low backache associated with radiating pain. Epidural catheter injections are also widely used by pain physicians to control cancer pain. Epidural catheters could be associated with procedure-related complications, such as epidural hematoma, epidural abscess, and post-dural puncture headache, and rare complications, such as shearing or breakage of the catheter tip. Read More

Int J Surg 2020 Apr 17;76:88-92. Epub 2020 Feb 17.

Department of Surgery, Massachusetts General Hospital, Boston, MA, USA. Electronic address:

Background: Patients with mild traumatic brain injury (mTBI) are frequently transferred to level 1 trauma centers (L1TC) if they have minor findings on a computerized tomographic scan of the head due to the absence of continuous neurosurgical coverage in community hospitals (CH). We hypothesized that such patients can be safely managed at community hospitals with a qualified Trauma team.

Methods: This is a multicentered Retrospective Cohort Study. Read More

Acta Radiol Open 2020 Feb 3;9(2):2058460120902894. Epub 2020 Feb 3.

Department of Radiology, Teikyo University School of Medicine, Tokyo, Japan.

To discuss the computed tomography (CT) and magnetic resonance (MR) findings of posterior fossa epidural hematoma (PFEDH) mimicking sinus thrombosis, we present two pediatric cases with the PFEDH extending along the sigmoid sinus groove evaluated by MR imaging (MRI) and MR venography (MRV). T2-weighted coronal MRI can diagnose both patency of the sigmoid sinus and epidural hematoma extending along the sinus groove. Phase-contrast MRV (PC-MRV) is also useful to evaluate the flow state in the dural sinuses but it should be diagnosed carefully whether low visualization of the dural sinus means only functional flow impairment or organized occlusion due to thrombus. Read More

World Neurosurg 2020 05 10;137:214-217. Epub 2020 Feb 10.

Department of Neurosurgery, Chi-Mei Medical Center, Tainan, Taiwan. Electronic address:

Background: Pregnancy is a known risk factor for spontaneous spinal epidural hematoma. During cesarean section or vaginal delivery, the unstable hemodynamic status that may occur owing to fluctuation of intra-abdominal pressure increases the possibility of spontaneous spinal epidural hematoma. During labor and the postpartum period, neurologic symptoms may be masked by labor pain or anesthesia block, which makes early diagnosis difficult, especially in the obstetric clinic without a neurologist or neurosurgeon. Read More

Medicine (Baltimore) 2020 Feb;99(7):e19037

Department of Neurosurgery, Chonnam National University Hospital and Medical School, Gwangju, Republic of Korea.

Rationale: We present a rare case of a traumatic intradural ruptured disc associated with a mild vertebral body compression fracture along with a review of the relevant medical literature. An intradural ruptured disc often occurs due to chronic degenerative diseases and is rarely due to trauma. It can cause irreversible neurological complications if the appropriate treatment is not planned. Read More

Neurocrit Care 2020 04;32(2):407-418

Department of Neurology, Johns Hopkins School of Medicine, Baltimore, MD, USA.

Background: With increasing use of direct oral anticoagulants (DOACs) and availability of new reversal agents, the risk of traumatic intracranial hemorrhage (tICH) requires better understanding. We compared hemorrhage expansion rates, mortality, and morbidity following tICH in patients treated with vitamin k antagonists (VKA: warfarin) and DOACs (apixaban, rivaroxaban, dabigatran).

Methods: Retrospective chart review of patients from 2010 to 2017 was performed to identify patients with imaging diagnosis of acute traumatic intraparenchymal, subdural, subarachnoid, and epidural hemorrhage with preadmission use of DOACs or VKAs. Read More

Eur Spine J 2020 Feb 7. Epub 2020 Feb 7.

Department of Spine Surgery, Ganga Hospital, 313, Mettupalayam Road, Coimbatore, India.

Background: Cauda equina syndrome following transforaminal lumbar interbody fusion (TLIF) is very rare, and the causes implicated include inadequate decompression, retained disc fragments, epidural haematoma, gel foams, fat pad grafts, retained sponges, intradural masses and ischaemia of conus. This is a rare case report of pseudoaneurysm of dorsal branch of lumbar artery presenting with delayed onset incomplete cauda equina syndrome following TLIF.

Objective: To describe the very rare case of lumbar artery pseudoaneurysm causing delayed onset incomplete cauda equina syndrome following TLIF and its management with endovascular embolisation. Read More

Surg Neurol Int 2020 17;11. Epub 2020 Jan 17.

Department of Neurosurgery, Hospital das Clinicas da Faculdade de Medicina da USP, Sao Paulo, Brazil.

Background: Acute spontaneous subdural hematoma is rare. For patients under 40 years of age, we found only five previous reports. Here, we have presented a sixth case study. Read More

Quant Imaging Med Surg 2019 Dec;9(12):1986-1991

Department of Neurology, Gosford Hospital, Gosford, Australia.

World Neurosurg 2020 Apr 9;136:198-204. Epub 2020 Jan 9.

Department of Neurosurgery, Cannizzaro Hospital, Trauma Center, Gamma Knife Center, Catania, Italy.

Background: Pseudoaneurysms of the middle meningeal artery represent fewer than 1% of all intracranial aneurysms; it can be associated with different patterns of intracranial hemorrhages. A chronic epidural hematoma (CEDH) caused by post-traumatic pseudoaneurysm of the middle meningeal artery (MMA) has not yet been reported.

Case Description: A 17-year-old male patient was referred to our unit after a car accident, with head trauma and presented motor and language deficits. Read More

Medicine (Baltimore) 2020 Jan;99(2):e18711

Department of Spinal Surgery.

Symptomatic epidural hematoma (SEH) after anterior cervical spine surgery is very rare, but it has disastrous consequences for the patients. Timely diagnosis and evaluation can effectively reduce the sequelae of neurological deficit in SEH. The purpose of this study was to retrospectively analyze a subset of clinical data of SEH after anterior cervical spine surgery, and to investigate the risk factors and treatment experience of this serious complication. Read More

Acute Med 2019 ;18(4):255-258

MBBS, MD, MRCP, FRCP, Consultant Physician and Geriatrician University hospitals of Leicester NHS trust, Leicester Royal Infirmary.

Spinal epidural haematoma is a rare condition, which may be due to trauma, surgery, epidural catheterisation or disorders of coagulation. We report a case of 60 year old lady who was on warfarin for Atrial fibrillation (AF) presented with history of non-traumatic sudden onset pain in both legs and difficulty in walking. Magnetic resonance imaging (MRI) spine demonstrated epidural haematoma which was treated conservatively. Read More

Mayo Clin Proc 2020 01;95(1):164-168

Advisor to resident and Consultant in General Internal Medicine, Mayo Clinic, Rochester, MN. Electronic address:

Adv Exp Med Biol 2020 ;1232:55-62

Department of Neurosurgery, University of New Mexico School of Medicine, Albuquerque, USA.

The aim was to investigate the feasibility of simultaneous comparison of cerebral circulation in major vessels and microvasculature in patients suffering traumatic brain injury (TBI) with or without intracranial hematomas (IH).

Methods: 170 patients were divided into two groups: Group 1 - diffuse TBI (75 patients); and Group 2 - TBI with IH (95 patients: 18 epidural, 65 subdural and 12 multiple). Perfusion computed tomography (PCT) for assessment of volumetric cerebral blood flow (CBF) was done 2-15 days after admission to hospital. Read More

J Neurosurg Spine 2019 Dec 20:1-7. Epub 2019 Dec 20.

Departments of1Neurosurgery and.

Paraplegia after posterior fossa surgery is a rare and devastating complication. The authors reviewed a case of paraplegia following Chiari decompression and surveyed the literature to identify strategies to reduce the occurrence of such events.An obese 44-year-old woman had progressive left arm pain, weakness, and numbness and tussive headaches. Read More

Med Sci Monit 2019 Dec 20;25:9776-9785. Epub 2019 Dec 20.

Department of Neurosurgery, 904TH Hospital of People's Liberation Army (PLA), Wuxi Clinical College of Anhui Medical University, Wuxi, Jiangsu, China (mainland).

BACKGROUND In the past, standard rapid decompressive craniectomy was used to alleviate the secondary damage caused by high intracranial pressure. Recent clinical studies showed that controlled decompression may have a better curative effect than rapid decompression. However, the effect on controlled decompression in animals is unclear. Read More

BMJ Case Rep 2019 Dec 3;12(12). Epub 2019 Dec 3.

Orthopaedics, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

Post-traumatic spinal epidural haematoma (SEH) is a rare clinical entity in children. We are reporting the case of an 8-year-old child who presented with thoracolumbar SEH with neurological deficit. MRI confirmed SEH without bony disruption. Read More

J Rural Med 2019 Nov 20;14(2):206-210. Epub 2019 Nov 20.

Department of Orthopaedic Surgery and Sports Medicine, Tsukuba University Hospital Mito Clinical Education andTraining Center, Mito Kyodo General Hospital, Japan.

Spontaneous spinal epidural hematoma is rare and therefore difficult to diagnose. This study evaluated the clinical features of this condition in patients admitted to our hospital. We evaluated 12 patients with spontaneous spinal epidural hematoma who were treated at our hospital. Read More

World Neurosurg 2020 Mar 28;135:160-164. Epub 2019 Nov 28.

Department of Spine Service, Indian Spinal Injuries Center, Vasant Kunj, New Delhi, India.

Background: Spinal hematomas are rarely associated with dengue syndrome and usually occur at the time of active dengue fever. Late presentation after recovery from dengue fever, intradural hematoma, presentation as a multiloculated cystic lesion with longitudinal extensive myelitis, and recurrence after surgery are rarely or not described. Due to the peculiar association of all these findings, we report this case to provide insight into the existence of such a rare presentation. Read More

Spine Surg Relat Res 2019 31;3(4):285-294. Epub 2019 May 31.

Department of Orthopaedic Surgery, Hirosaki University School of Medicine, Aomori, Japan.

Introduction: The purpose of this study was to evaluate surgical outcomes using a new grading of postoperative epidural hematoma (EH) or epidural scar formation after posterior cervical spine surgery.

Methods: Postoperative EH or epidural scar formation after cervical laminoplasty (LP) or posterior decompression and fusion (PDF) were graded into Grades 1-5 by magnetic resonance imaging at 24 hours, 2 weeks, 6 months, and one year after surgery. The patients were divided into the Mild group (Grades 1-3) and the Severe group (Grades 4, 5). Read More

Cureus 2019 Oct 2;11(10):e5827. Epub 2019 Oct 2.

Neurosurgery, Riverside University Health System Medical Center, Moreno Valley, USA.

Introduction It is common to start all patients on chemical prophylaxis for deep vein thrombosis (DVT) in order to decrease the risk of venous thromboembolism (VTE) and the associated adverse effects, including the potential for fatal pulmonary embolism (PE). There is no consensus in the literature on the optimal time to resume chemical DVT prophylaxis in patients who present with intracranial hemorrhage requiring neurosurgical intervention. The practice is variable and practitioner dependent. Read More

J Emerg Med 2019 Nov 15. Epub 2019 Nov 15.

Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan.

Background: Traumatic spinal epidural hematomas (TSEDH) are rare, with the reported incidence being < 1% of all spinal injuries. Causes of TSEDHs include vertebral fractures, obstetrical birth trauma, lumbar punctures, postsurgical bleeding, epidural anesthesia, and missile injuries. The retrodental location has not been reported as a location for spontaneous epidural hematoma. Read More

Acta Neurol Belg 2019 Nov 12. Epub 2019 Nov 12.

Department of Neurosurgery, Humanitas University, Rozzano, Italy.

Retroclival epidural hematomas (REDHs) are rare and almost exclusively found in the pediatric age group. Frequently, the etiology is related to accidental trauma, though other mechanisms have been observed, including coagulopathy, non-accidental trauma, and pituitary apoplexy. A 76-year-old man was admitted to our emergency department after a loss of consciousness. Read More

Korean J Neurotrauma 2019 Oct 2;15(2):209-213. Epub 2019 Oct 2.

Department of Neurosurgery, College of Medicine, Chosun University, Gwangju, Korea.

Traumatic cervical epidural hematoma (EDH) with no osseous fracture or underlying hematological abnormalities is a rare disorder that sometimes requires emergent surgical decompressive therapy. A 47-year-old woman was admitted to our emergency room due to severe neck pain and rapid onset hemiparesis after a car accident. Plain cervical radiographs and computed tomography scan did not reveal any abnormality. Read More

Ned Tijdschr Geneeskd 2019 10 29;163. Epub 2019 Oct 29.

Medisch Spectrum Twente, afd. Neurologie, Enschede.

CT scan reveals traumatic intracranial abnormalities in fewer than 10% of patients following mild traumatic brain injury (mTBI). Management policy in these patients is not clear. Clinical or radiological deterioration occurs in 10-20% of this risk group, usually within 24 hours and often without neurosurgical consequences. Read More

World Neurosurg 2020 Feb 1;134:e631-e635. Epub 2019 Nov 1.

Department of Neurosurgery, West China Hospital of Sichuan University, Chengdu, Sichuan Province, People's Republic of China. Electronic address:

Objective: To evaluate whether the postoperative neutrophil-to-lymphocyte ratio (NLR) is a prognostic marker for patients with intracerebral hemorrhage (ICH) undergoing surgical hematoma evacuation.

Methods: This retrospective cohort study was conducted to identify patients with ICH who underwent hematoma evacuation between January 2013 and December 2018. Data on demographics, clinical features, laboratory tests (admission and postoperative), and imaging information were collected. Read More

World Neurosurg 2020 Feb 24;134:e460-e468. Epub 2019 Oct 24.

Department of Neurological Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.

Background: Surgical closed suction drain (SCSDs) are used in a variety of surgical disciplines to prevent postoperative fluid collections. Use of SCSDs has not been well studied in the neurosurgical literature. Practice patterns have varied within our institution with respect to SCSDs after craniotomies for neurotrauma. Read More