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Childs Nerv Syst 2022 Jun 23. Epub 2022 Jun 23.

Department of Intensive Care Medicine, Yokohama Rosai Hospital, 3211 Kozukue-cho, Kohoku-ku, Yokohama, Kanagawa, 222-0036, Japan.

Indroduction: Infantile traumatic brain injury (TBI) rarely follows a biphasic clinical course and exhibits a bright tree appearance (BTA) on magnetic resonance imaging (MRI). This is termed infantile traumatic brain injury with a biphasic clinical course and late reduced diffusion (TBIRD). TBIRD has clinical features similar to those of acute encephalopathy with biphasic seizures and late reduced diffusion (AESD). Read More

Childs Nerv Syst 2022 Jun 21. Epub 2022 Jun 21.

Department of Neurosurgery, Kansai Medical University, 2-5-1 Shinmachi, Hirakata City, Osaka, 573-1010, Japan.

Purpose: A rare case of a newborn girl born by a normal vaginal delivery who developed a severe supratentorial subdural hematoma due to a laceration in the tentorium cerebelli is presented.

Methods And Results: The girl, born by normal vaginal delivery at 39 weeks and 4 days of gestation, showed an intermittent decrease in oxygen saturation and bulging of the anterior fontanelle. Computed tomography (CT) and magnetic resonance imaging (MRI) showed a subdural hematoma centered in the left occipital region with a midline shift. Read More

Oper Neurosurg (Hagerstown) 2022 Jul 11;23(1):8-13. Epub 2022 May 11.

Pediatric Neurosurgery Associates at Children's Healthcare of Atlanta, Atlanta, Georgia, USA.

Background: Subdural to peritoneal shunt (SPS) placement is an established treatment option for chronic subdural hematoma (SDH) in the pediatric population. Practice patterns vary between institutions, with some advocating shunt removal while others leave the SPS in place after SDH resolution. There remain a paucity of data to document the safety and outcomes after removal of SPS. Read More

Neurocirugia (Astur : Engl Ed) 2022 Jul-Aug;33(4):199-203

Department of Neurosurgery, Hospital General Universitario Gregorio Marañón, Calle Doctor Esquerdo 46, 28007 Madrid, Spain.

Angiosarcoma is an infrequent tumor among sarcomas, especially presenting as a primary tumor within the central nervous system, which can lead to a rapid neurological deterioration and death in few months. We present a 41-year old man with a right frontal enhancing hemorrhagic lesion. Surgery was performed with histopathological findings suggesting a primary central nervous system angiosarcoma. Read More

Lancet Neurol 2022 Jul;21(7):581-582

Translational Neurosurgery, Department of Clinical Neurosciences, Royal Infirmary of Edinburgh, Edinburgh EH16 4SB, UK. Electronic address:

Interv Neuroradiol 2022 Jun 17:15910199221109044. Epub 2022 Jun 17.

Division of Neuroradiology, Department of Radiology, 6915Mayo Clinic, 200 First St SW, Rochester, MN 55905, USA.

Transvenous Onyx embolization was recently described as an effective treatment of spontaneous intracranial hypotension caused by CSF-venous fistulas. Patients with CSF-venous fistulas can present with a wide spectrum of clinical and imaging findings, sometimes including spontaneous subdural hematomas, subdural hygromas, or a combination of both. Here, we describe four patients with spontaneous intracranial hypotension complicated by subdural fluid collections caused by CSF-venous fistulas. Read More

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

Department of Orthopedics, Mayo Clinic Arizona, USA.

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

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

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

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

Interv Neuroradiol 2022 Jun 7:15910199221107250. Epub 2022 Jun 7.

Department of Radiology, 21614University of Michigan, Ann Arbor, MI 48109, USA.

Middle meningeal artery embolization has become an important treatment option for chronic subdural hematomas. While the treatment is safe, we present a unique case of development of an iatrogenic middle meningeal artery pseudoaneurysm during endovascular embolization with use of a dual-lumen balloon catheter used for injection of a liquid embolic agent. A 62-year-old man on Coumadin for portal vein thrombosis presented to the hospital with headache and supratherapeutic INR. Read More

Surg Neurol Int 2022 20;13:212. Epub 2022 May 20.

Department of Neurosurgery, University of Liège, Liège, Belgium.

Background: The initiation of chronic subdural hematoma (cSDH) is traditionally explained by rupture of bridging veins. Recent descriptions of the embryology and anatomy of the meninges and their vascularization, however, point to the dural vascular plexus (DVP) as a plausible origin of cSDH. This dural plexus is supplied by meningeal arteries. Read More

Surg Neurol Int 2022 20;13:216. Epub 2022 May 20.

Department of Neurosurgery, Dokkyo Medical University Saitama Medical Center, Koshigaya-Shi, Saitama-Ken, Japan.

Background: Cribriform plate dural arteriovenous fistulas (dAVFs) are rarely encountered. Here, we report a case of cribriform plate dAVF with a rare complication after endovascular therapy.

Case Description: A 60-year-old man presented with severe sudden headache. Read More

Emerg Med Australas 2022 Jun 4. Epub 2022 Jun 4.

Child Protection Unit, Mater Children's Hospital, Brisbane, Queensland, Australia.

Objectives: To compare the characteristics of subdural haematoma (SDH) in children under the age of 2 years, between inflicted, otherwise known as abusive head trauma (AHT), and non-inflicted aetiologies.

Methods: This was a retrospective cohort study of 37 cases of SDH in children under the age of 2 years presenting to the ED at an Australian tertiary children's hospital between January 2009 and December 2012 and been assessed by the Child Protection Unit. SDH aetiology was classified into AHT and non-inflicted groups, based on child protection interagency outcome. Read More

Dtsch Arztebl Int 2022 Mar;119(11):200

World Neurosurg 2022 May 30. Epub 2022 May 30.

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

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

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

Turk Neurosurg 2022 Apr 6. Epub 2022 Apr 6.

Zonguldak Ataturk State Hospital.

Aim: Chronic subdural hematoma (CSDH) is one of the most common forms of intracranial bleeding encountered in neurosurgical practice. Recurrence of CSDH is a significant problem, and recurrence rates can be as high as 33%. In the last 20 years, the insertion of postoperative drains into the cavity has become a common strategy owing to its reduction of the risk of recurrence. Read More

World Neurosurg 2022 May 27. Epub 2022 May 27.

Department of Neurosurgery, Medical University of South Carolina, Charleston, SC. Electronic address:

Purpose: Benign Enlargement of the Subarachnoid Spaces in Infancy (BESSI) is a common finding during work-up for progressive macrocephaly. BESSI has been associated with slightly higher prevalence of subdura l (SD) spaces and a risk for developing subdural hematoma. This study utilizes fast brain magnetic resonance imaging to investigate the prevalence of visible SD spaces in BESSI. Read More

Stroke 2022 May 26:101161STROKEAHA122039482. Epub 2022 May 26.

Department of Medical Imaging, University of Toronto, ON, Canada. (D.M.).

Korean J Neurotrauma 2022 Apr 25;18(1):12-21. Epub 2022 Apr 25.

Neurotrauma Clinical Practice Guidelines Committee of the Korean Neurotraumatology Society (KNTS-NCPGC), Seoul, Korea.

Chronic subdural hematoma (CSDH), which generally occurs in elderly patients, is a frequently diagnosed condition in neurosurgical departments. Computed tomography (CT) and magnetic resonance imaging (MRI) are the most preferred diagnostic modalities for CSDH assessment. With early diagnosis and adequate management, CSDH may show favorable prognosis in majority of the patients; however, recurrence after surgery can occur in a significant number of patients. Read More

Surg Neurol Int 2022 15;13:156. Epub 2022 Apr 15.

Department of Neurosurgery, Ibn Sina Hospital, Kuwait.

Background: Arachnoid cysts (ACs) are benign, congenital, fluid-filled collection between two layers of the arachnoid membrane accounting for about 1% of all the intracranial space occupying lesions. These lesions are usually asymptomatic and detected incidentally by magnetic resonance imaging (MRI) or computed tomography scan imaging (CT). However, these lesions can present as spontaneous chronic subdural hematoma (CSDH) causing neurological deficits that require neurosurgical intervention. Read More

Clin Neurol Neurosurg 2022 06 19;217:107258. Epub 2022 Apr 19.

Department of Neurosurgery, Kirsehir Ahi Evran University Faculty of Medicine, Kirsehir, Turkey. Electronic address:

Objective: Determining the bleeding time in intracranial hemorrhage patients is one of the most critical parameters in determining the surgical or medical treatment method. Since these are trauma patients, they are essential patients in forensic medicine. In patients where the bleeding time cannot be determined, HU value measurements in CT scans can provide quantitative data. Read More

Ugeskr Laeger 2022 Apr;184(17)

Neuroradiologisk Afdeling, Københavns Universitetshospital - Rigshospitalet-Glostrup.

Spontaneous intracranial hypotension is a rare condition, but due to increased awareness and better diagnostics it is more frequently reported. This is a case report of a 52-year-old male with sudden onset of vertigo and orthostatic headache. Initial workup was negative, but over the following six months symptoms progressed and bilateral hygromas were identified. Read More

BMJ Case Rep 2022 Apr 26;15(4). Epub 2022 Apr 26.

Victor Horsley Department of Neurosurgery, National Hospital for Neurology and Neurosurgery, London, UK

Bilaterally fixed and dilated pupils (BFDP) in traumatic acute subdural haematoma (ASDH) patients represent an ominous sign that portends irreversible brainstem injury and death. Whether patients with spontaneous ASDH and BFDP follow similar outcomes is unknown. We present a mid-60s man, found unconscious, with a Glasgow Coma Scale (GCS) of 4 following 8 days of headaches. Read More

Front Neurol 2022 1;13:815226. Epub 2022 Apr 1.

Fuzong Clinical Medical College of Fujian Medical University, Fuzhou, China.

Context: Acute subdural hematoma (ASDH) has a high incidence and high mortality. During surgery for ASDH, brain tissue sometimes rapidly swells and protrudes into the bone window during or after removal of the hematoma. This phenomenon, known as acute intraoperative brain bulge, progresses rapidly and can cause ischemic necrosis of brain tissue or even mortality. Read More

Geroscience 2022 Jun 23;44(3):1353-1371. Epub 2022 Apr 23.

Department of Neurosurgery, Medical School Hannover, MHH, Hannover, Germany.

Chronic subdural hematoma (CSH) affects mostly elderly subjects. Previously, pathophysiological concepts suggested that CSH is secondary to degradation of subdural collections of blood and its products exerting merely a mass effect on the underlying brain. During the last decades, however, new insights into the pathogenetic mechanisms urge us to reconsider such a simplistic view. Read More

Neurosurg Rev 2022 Apr 23. Epub 2022 Apr 23.

Department of Neurosurgery, RWTH Aachen University Hospital, Pauwelsstrasse 30, 52074, Aachen, Germany.

Chronic subdural hematomas (cSDHs) constitute one of the most prevalent intracranial disease entities requiring surgical treatment. Although mostly taking a benign course, recurrence after treatment is common and associated with additional morbidity and costs. Aim of this study was to develop hematoma-specific characteristics associated with risk of recurrence. Read More

Comput Biol Med 2022 Jul 18;146:105530. Epub 2022 Apr 18.

Department of Radiology, Faculty of Medicine, Chiang Mai University, Chiang Mai, 50200, Thailand. Electronic address:

The most common cause of long-term disability and death in young adults is a traumatic brain injury. The decision for surgical intervention for craniotomy is dependent on the injury type and the patient's neurologic exam. The potential subtypes of intracranial hemorrhage that may necessitate surgical intervention include subdural hemorrhage, epidural hemorrhage, and intraparenchymal hemorrhage. Read More

AJNR Am J Neuroradiol 2022 05 7;43(5):764-768. Epub 2022 Apr 7.

From the Edward B. Singleton Department of Radiology (G.O., S.F.K., N.K.D., T.A.G.M.H.).

Background And Purpose: Abusive head trauma is the leading cause of morbidity and mortality in young children. Radiology provides valuable information for this challenging diagnosis, but no single neuroimaging finding is independently diagnostic of abusive head trauma. Our purposes were to describe the prevalence of brain and spine neuroimaging findings and to analyze the association of neuroimaging findings with clinical factors to determine which neuroimaging findings may be used as prognostic indicators. Read More

Interv Neuroradiol 2022 04 7;28(2):131. Epub 2022 Apr 7.

Department of Neurosurgery and Radiology, Mayo Clinic, Rochester, USA.

PLoS One 2022 5;17(4):e0265636. Epub 2022 Apr 5.

Department of Psychiatry, Okaya City Hospital, Okaya, Japan.

Introduction: Cognitive function is an important factor that affects functional recovery after hip fracture (HipFx) surgery. The literature on the pathophysiology of dementia in HipFx patients is scarce. We performed a differential diagnosis of dementia in HipFx patients using clinical and brain MRI findings. Read More

J Neurosurg Sci 2022 Apr 5. Epub 2022 Apr 5.

Department of Neurosurgery, Fondazione Policlinico Universitario A. Gemelli IRCSS, Rome, Italy -

Background: Elderly patients operated for an acute subdural hematoma (ASDH) frequently have a poor outcome, with a high frequency of death, vegetative status, or severe disability (Glasgow Outcome Score, GOS, 1-3). Minicraniotomy has been proposed as a minimally invasive surgical treatment to reduce the impact of surgery in the elderly population. The present study aimed to compare the influence of the size of the craniotomy on the functional outcome in patients undergoing surgical treatment for ASDH. Read More