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World Neurosurg 2019 Apr 12. Epub 2019 Apr 12.

Department of Neurosurgery, Chung Shan Medical University Hospital, Taichung, Taiwan; School of Medicine, College of Medicine, Chung Shan Medical University, Taichung, Taiwan. Electronic address:

Background: Spontaneous spinal subdural hematoma is rare but lead to severe nerve compression. According to symptom, surgery decompression and conservative treatment are justified option. We present a spontaneous spinal SDH case treated by decompression surgery for the lumbar region, and conservative observation for the thoracic region. Read More

World Neurosurg 2019 Apr 1. Epub 2019 Apr 1.

Department of Pathology and Laboratory Medicine, King Abdulaziz Medical City, King Saud bin Abdulaziz University for Health Sciences, King Abdullah International Medical Research Center, Riyadh, Saudi Arabia.

Background: Although meningiomas are considered benign, encapsulated brain tumors, their distinct intracranial location can lead to devastating complications. Despite being a highly vascularized tumor, a rarely reported complication of meningioma is hemorrhage. To the best of our knowledge, only 19 cases of meningioma presenting with a subdural hematoma have been reported in the literature. Read More

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

J Pediatr 2019 Mar 23. Epub 2019 Mar 23.

Pediatric and Emergency Department, University Hospital of Nantes, Nantes, France; Inserm, UMR1153 Epidemiology and Biostatistics Sorbonne Paris Cité Center (CRESS), Obstetrical, Perinatal, and Pediatric Epidemiology Research Team (EPOPé), Paris Descartes University, Paris, France; Epidémiologie Clinique, Centre d'Investigation Clinique (CIC004), University Hospital of Nantes, Nantes, France. Electronic address:

Objective: To investigate a temporal association between vaccination and subdural hematoma, the main feature of abusive head trauma.

Study Design: From a prospective population-based survey carried out in 1 administrative district in France between January 2015 and April 2017, including all infants between 11 and 52 weeks old who underwent a first cerebral imaging (computerized tomography scan or magnetic resonance imaging), we conducted a nested case-control study. Vaccine exposure was compared between cases (infants with subdural hematoma) and 2-3 paired controls, without subdural hematoma or any other imaging findings compatible with abusive head trauma. Read More

BMC Neurol 2019 Mar 21;19(1):43. Epub 2019 Mar 21.

Department of Neurosurgery, The First Hospital of Jilin University, 71 Xinmin Avenue, Changchun, Jilin, 130021, China.

Background: Dural arteriovenous fistula (DAVF) is an uncommon subtype among the intracranial arteriovenous malformations, which is characterized by pathological anastomoses between meningeal arteries and dural venous sinuses, meningeal veins, or cortical veins. While intracerebral hemorrhage accounts for most of the hemorrhagic cases in patients with DAVF, isolated subdural hematoma (SDH) is rarely reported.

Case Presentation: A 45-year-old man was admitted for a progressively worsening headache over 2 weeks. Read More

Medicine (Baltimore) 2019 Mar;98(12):e14598

Department of Orthopedic Surgery, The First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou.

Rationale: Spontaneous spinal subdural hematoma (SSDH) without an underlying pathology is a very rare condition. The treatment protocol for SSDH is early diagnosis and treatment before irreversible damage to neural tissue. However, there is no agreement on the etiopathogenesis, as well as the need for surgery to treat spontaneous SSDH. Read More

N Engl J Med 2019 03;380(12):1186-1187

University of Freiburg, Freiburg, Germany.

Pediatr Emerg Care 2019 Apr;35(4):e76-e78

From the Department of Emergency Medicine, Los Angeles County-University of Southern California, Los Angeles, CA.

Of the multitude of neurologic injuries related to roller-coaster rides, a majority of them are reported about adults. In this case, we present a patient who presented to the pediatric emergency department with new-onset seizure and hemiplegia 2 days after a roller-coaster ride. She was ultimately diagnosed with a subdural hematoma. Read More

Somatosens Mot Res 2019 Mar 14:1-7. Epub 2019 Mar 14.

c Department of Neurology , the Affiliated Hospital of Xuzhou Medical University , Xuzhou , China.

Objective: To investigate clinical and imaging features of 40 patients with spontaneous intracranial hypotension (SIH).

Methods: 40 cases of spontaneous intracranial hypotension (SIH) diagnosed in our hospital from June 2013 to September 2017 were collected and retrospectively analyzed.

Results: In our study, the male to female ratio was 2:3. Read More

World Neurosurg 2019 Mar 9. Epub 2019 Mar 9.

Department of Neurosurgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan.

Background: Angiosarcoma often arises as a cutaneous disease in the scalp and the face; however, subdural hematoma (SDH) associated with angiosarcoma is extremely rare.

Case Description: A 72-year-old woman, who had visited our hospital with gait disorder and progressive consciousness disturbance approximately 3 months after a minor head injury. Initially, on reviewing the results of imaging studies, she was diagnosed with traumatic chronic SDH. Read More

Fetal Diagn Ther 2019 Mar 12:1-11. Epub 2019 Mar 12.

The Fetal Medicine Centre, Birmingham Women's and Children's Foundation Trust, Birmingham, United Kingdom.

Background: Fetal subdural haematoma (SDH) is associated with poor prognosis.

Objective: The conflicting evidence from the literature presents a challenge in prenatal counselling. We present a case study and systematic review of the literature for the management and outcome of fetal SDH. Read More

J Comput Assist Tomogr 2019 Feb 28. Epub 2019 Feb 28.

Department of Radiology, Xin Hua Hospital affiliated to Shanghai Jiao Tong University School of Medicine, Yangpu District, Shanghai, China.

Objective: The aims of this study were to describe the brain magnetic resonance imaging (MRI) features of methylmalonic aciduria and homocystinuria and to evaluate the additional value of H-MRS.

Patients And Methods: Twenty-eight children with methylmalonic aciduria and homocystinuria were included in this study. The control group included 21 healthy children. Read More

World Neurosurg 2019 Feb 28. Epub 2019 Feb 28.

Department of Neurosurgery, Nara Medical University, Nara, Japan.

Objective: Chronic subdural hematoma (CSDH) is generally treated by burr-hole irrigation, but it can recur despite repeating these procedures. Embolization of the middle meningeal artery (MMA) has recently been proposed as a curative treatment for CSDH, but evidence for the indication and timing of MMA embolization is not definitive. The present study retrospectively analyzed the effects and safety of MMA embolization among patients with persistent CSDH recurrence. Read More

Top Companion Anim Med 2019 Mar 15;34:47-50. Epub 2018 Sep 15.

The Ohio State University Veterinary Medical Center, Department of Clinical Sciences, Columbus, OH, USA.

A 10-year-old spayed female Bichon Frise presented to the neurology service for back pain and pelvic limb weakness for approximately 2 months duration. Neurologic examination revealed T3-L3 and L4-S3 myelopathies with multifocal spinal pain. Magnetic resonance imaging of the vertebral column revealed multiple mild disc protrusions but no obvious cause for the neurologic deficits. Read More

AJR Am J Roentgenol 2019 Feb 26:1-7. Epub 2019 Feb 26.

3 Department of Radiology, SMG-SNU Boramae Medical Center, Seoul National University College of Medicine, Seoul, Korea.

Objective: Spontaneous intracranial hypotension (SIH) shows various characteristic MRI findings. We evaluated the usefulness of straight sinus distention compared with transverse sinus distention and also evaluated other MRI findings of SIH.

Materials And Methods: Forty-three consecutive patients (28 female and 15 male patients) treated for SIH and 43 age- and sex-matched control subjects at two institutions from 2012 through 2014 were included in this study. Read More

World Neurosurg 2019 Feb 16. Epub 2019 Feb 16.

Department of Neurosurgery, Hofstra Northwell School of Medicine, Manhasset, NY. Electronic address:

Background: Metastatic subdural hematoma with dural metastasis in the setting of an underlying malignancy is a rare condition that is difficult to diagnose and associated with a poor prognosis. Knowledge of this rare entity is of a paramount importance to neurosurgeons as its diagnosis may affect the management plan and overall survival. Here, we report a rare case of atraumatic subdural hematoma with dural metastasis in a patient with poorly differentiated adenocarcinoma of unknown origin. Read More

Radiol Case Rep 2019 Mar 3;14(3):385-389. Epub 2019 Jan 3.

Department of Radiology, Harlem Hospital Center, 506 Lenox Ave, New York, NY 10037, USA.

Remote Cerebellar Hemorrhage is a rare entity that manifests spontaneously after supratentorial craniotomy and spinal surgeries. We present a 53-year-old male who was admitted due to subdural hematoma along the left frontoparietotemporal convexity. After treatment of the subdural hematoma with craniotomy and evacuation, he developed remote cerebellar hemorrhage 1 week later. Read More

Ann Thorac Surg 2019 Feb 11. Epub 2019 Feb 11.

Cerebrovascular Center, Neurological Institute, Cleveland Clinic, Cleveland, Ohio; Department of Neurology, NYU School of Medicine, New York, NY. Electronic address:

Background: Little data exists regarding reversal and resumption of antithrombotics following left ventricular assist device (LVAD)-associated intracranial hemorrhage (ICH).

Methods: Prospectively collected data of LVAD patients with ICH was reviewed. Coagulopathy reversal agents, antithrombotic regimens and thrombotic (venous thromboembolism, ischemic stroke, myocardial infarction) and hemorrhagic (recurrent ICH, gastrointestinal bleed, anemia requiring transfusion) complications were recorded. Read More

J Int Med Res 2019 Mar 14;47(3):1365-1372. Epub 2019 Feb 14.

1 Department of Orthopaedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province, China.

This report describes a case of idiopathic cervical spinal subdural haematoma (SSDH) in which the haematoma was spontaneously absorbed without any treatment. A 68-year-old male patient presented with persistent neck pain and no obvious cause. Magnetic resonance imaging (MRI) revealed a space-occupying lesion at the C4-T1 levels. Read More

Eur J Case Rep Intern Med 2018 24;5(10):000951. Epub 2018 Oct 24.

Neurology Department, Centro Hospitalar do Médio Tejo, Abrantes, Portugal.

A 57-year-old woman, with a history of deep venous thrombosis and medicated with warfarin, presented at the hospital with acute back pain with paraplegia, headache, high blood pressure and vomiting. Imaging of the spine showed an acute intradural extramedullary haemorrhage with blood clot formation. The patient underwent surgery and received intensive post-surgical physiotherapy but remains paraplegic. Read More

J Emerg Med 2019 Apr 8;56(4):e43-e46. Epub 2019 Feb 8.

Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, Maryland.

Background: Spontaneous spinal and intracranial subdural hematomas are rarely reported, especially occurring simultaneously. Anticoagulation use has been associated with spontaneous hemorrhages. Prompt diagnosis is required to prevent permanent neurological sequelae. Read More

J Neurosurg Pediatr 2019 02 1:1-6. Epub 2019 Feb 1.

1Department of Neurosurgery, University of Arkansas for Medical Sciences; and.

OBJECTIVE Various surgical techniques have been described to treat subdural fluid collections in infants, including transfontanelle aspiration, burr holes, subdural drain, subduroperitoneal shunt, and minicraniotomy. The purpose of this study was to describe a modification of the minicraniotomy technique that avoids the implantation of external drainage catheters and potentially carries a higher success rate. METHODS In this retrospective study, the authors describe 11 cases involving pediatric patients who underwent parietal minicraniotomies for the evacuation of subdural fluid collections. Read More

Childs Nerv Syst 2019 Mar 28;35(3):403-409. Epub 2019 Jan 28.

Department of Paediatric Neurosurgery, University Hospital of Wales, Cardiff, UK.

Purpose: Subdural haematoma (SDH) is a recognised complication of forceps-assisted delivery (FAD). There are no guidelines regarding its management. This study aims to provide a better insight into the management and outcomes of neonatal SDH post-FAD. Read More

World Neurosurg 2019 Jan 10. Epub 2019 Jan 10.

Division of Clinical Neurosciences, Department of Neurosurgery, Turku University Hospital and University of Turku, Turku, Finland; Neurovascular Surgery Program, Section of Neurosurgery, University of Chicago Medicine and Biological Sciences, Chicago, Illinois, USA. Electronic address:

Objective: The development of postcraniotomy hematoma (PCH) after surgery for acute traumatic subdural hematoma (aSDH) has been associated with an increased risk of a poor outcome. The risk factors contributing to PCH remain poorly understood. Our aim was to study the potential risk factors for PCH in a consecutive series of surgically evacuated patients with aSDH. Read More

Radiol Case Rep 2019 Mar 4;14(3):396-399. Epub 2019 Jan 4.

Department of Radiology and Biomedical Imaging, Yale School of Medicine, New Haven, CT, USA.

The leakage of contrast material into the subdural space following intra-arterial or intravenous administration can present as hyperattenuating subdural collections on noncontrast head computed tomography (CT) scan, mimicking subdural hematomas. Such a finding can potentially initiate erroneous intervention or hinder thromboprophylaxis treatment. We report the time course of attenuation changes in enhancing subdural collections of a patient with suspected stroke following percutaneous coronary intervention. Read More

World Neurosurg 2019 Jan 3. Epub 2019 Jan 3.

Department of Neurosurgery, Aso Iizuka hospital, 3-83 Yoshio-machi, Iizuka, Fukuoka, Japan.

Background: Chronic subdural hematoma (CSDH) is the most common disease encountered in neurosurgery. Diagnoses of CSDH are usually made based on computed tomography (CT) images. In the present report, we discuss the case of a patient with meningioma whose findings instead suggested CSDH. Read More

J Neurosurg 2019 Jan 4:1-7. Epub 2019 Jan 4.

1Department of Neurosurgery, Faculty of Medicine, Fukuoka University Hospital and School of Medicine, Fukuoka University, Fukuoka.

OBJECTIVESubdural hygroma has been reported as a causative factor in the development of a chronic subdural hematoma (CSDH) following a head trauma and/or neurosurgical procedure. In some CSDH cases, the presence of a 2-layered space delineated by the same or similar density of CSF surrounded by a superficial, residual hematoma is seen on CT imaging after evacuation of the hematoma. The aims of the present study were to test the hypothesis that the double-crescent sign (DCS), a unique imaging finding described here, is associated with the postoperative recurrence of CSDH, and to investigate other factors that are related to CSDH recurrence. Read More

World Neurosurg 2019 Jan 2. Epub 2019 Jan 2.

Department of Neurosurgery, Showa General Hospital, Kodaira, Tokyo, Japan.

Background: Although chronic subdural hematoma (CSDH) has a good prognosis after classical minimally invasive drainage surgery, severe complications still occur at a substantial rate. In particular, cerebral hyperperfusion syndrome (CHS), which is a common severe complication after carotid endarterectomy or carotid artery stenting for cervical carotid artery stenosis, is rare after drainage surgery for a CSDH.

Case Description: We describe the case of an 82-year-old woman who presented with ipsilesional symptoms including contralateral hemiparesis and dysarthria, progressively worsening consciousness, and status epilepticus after a burr hole drainage surgery for CSDH. Read More

Surg Neurol Int 2018 28;9:238. Epub 2018 Nov 28.

Department of Pediatric Neurosurgery, Dana Children's Hospital, Tel-Aviv Medical Center, Tel-Aviv, Israel.

Background: Ventriculoperitoneal shunting (VPS) is considered a risk factor for developing subdural hematomas (SDH). Treating cases of acute SDH (aSDH) in shunted normal-pressure hydrocephalus (NPH) patients can be challenging, and data in this field are scarce. We report our experience treating shunted NPH patients presenting with aSDH. Read More

World Neurosurg 2018 Dec 27. Epub 2018 Dec 27.

Department of Neurosurgery, Qinghai Provincial People's Hospital, Xining, Qinghai, China.

Objective: By extracting clinical and computed tomography imaging data of patients with acute subdural hematoma (ASDH), factors that were significantly associated with poor prognosis were screened and a nomogram model was established and validated.

Methods: All patients with ASDH who underwent subdural hematoma removal and decompressive craniectomy from January 2014 to March 2018 in Qinghai Provincial People's Hospital were continuously collected. Finally, 124 patients were included in the study. Read More

World Neurosurg 2019 Mar 24;123:343-347. Epub 2018 Dec 24.

Department of Radiology, School of Medicine Udayana University, Sanglah General Hospital, Kasih Ibu General Hospital, Bali, Indonesia.

Background: Spinal subdural hematoma (SDH) concomitant with cranial SDH is extremely rare. Although some theories have been proposed, the pathophysiology underlying this condition remains unclear. We present a case of traumatic subacute spinal SDH followed by symptomatic subacute cranial SDH. Read More

J Neurosurg 2018 Dec 21:1-8. Epub 2018 Dec 21.

1Computational Neuroscience Outcomes Center (CNOC), Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.

OBJECTIVEThe value of CT scanning after burr hole surgery in chronic subdural hematoma (CSDH) patients is unclear, and practice differs between countries. At the Brigham and Women's Hospital (BWH) in Boston, Massachusetts, neurosurgeons frequently order routine postoperative CT scans, while the University Medical Center Utrecht (UMCU) in the Netherlands does not have this policy. The aim of this study was to compare the use of postoperative CT scans in CSDH patients between these hospitals and to evaluate whether there are differences in clinical outcomes. Read More

No Shinkei Geka 2018 Dec;46(12):1081-1086

Department of Neurosurgery, Iwate Medical University School of Medicine.

Early and late images of ¹²³I-iomazenil(IMZ)single-photon emission computed tomography(SPECT)reflect distributions of cerebral blood flow and those of cortical benzodiazepine receptor binding potential, respectively. Crossed cerebellar diaschisis reflects left-to-right asymmetry of metabolism in the cerebral hemispheres. We present a case of a 67-year-old woman who developed transient aphasia 3 days after the onset of a mild acute subdural hematoma. Read More

J Pediatr Hematol Oncol 2019 Apr;41(3):207-209

Department of Pediatrics, Nanfang Hospital, Southern Medical University, Guangzhou, China.

Background: Intracranial hemorrhage (ICH) is a life-threatening condition in children. Inherited bleeding disorders (IBD) have high risk of ICH.

Aim: This single center study aims to identify the incidence, risk factors, and neurological outcome of ICH in children who suffer from IBD. Read More

Neurochirurgie 2019 Feb 13;65(1):40-42. Epub 2018 Dec 13.

Department of neurosurgery, Hospices civils de Lyon, Hospital for neurology and neurosurgery Pierre Wertheimer, 69003, Lyon, France; Université de Lyon, Université Claude-Bernard, 69003, Lyon, France; Inserm U1127, CNRS 7225, Brain and spine institute, 75006, Paris, France; Sorbonne Universités, université Pierre et Marie Curie, 75005, Paris, France.

Background And Case Presentation: Electroconvulsive therapy (ECT) is a common therapeutic procedure in psychiatry associated with a low rate of complications. We report a rare case of subdural hematoma (SDH) associated with ECT.

Clinical Presentation: a 64 year old woman, with a medical history of persistent depression which required ECT six years previously, underwent ECT following a new acute episode. Read More

World Neurosurg 2019 Mar 5;123:76-80. Epub 2018 Dec 5.

Department of Neurosurgery, Kyoto University Graduate School of Medicine, Kyoto, Japan.

Background: Surgical intervention in a case of internal carotid artery stenosis with moyamoya vessels has not been well described. We present a case with detailed description of the surgical procedure and perioperative management.

Case Description: A 58-year-old man with symptomatic internal carotid artery stenosis had concurrent moyamoya vessels intracranially. Read More

Cureus 2018 Sep 28;10(9):e3383. Epub 2018 Sep 28.

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

Arachnoid cysts (ACs) are congenital, extra-axial lesions containing fluid similar to the composition of cerebrospinal fluid. Usually found incidentally, these lesions are observed with serial imaging to document their growth patterns and stability, and are then followed conservatively until clinical symptoms develop. Surgical options for symptomatic arachnoid cysts include cyst aspiration, cyst evacuation with fenestration into the subarachnoid space, and shunt procedures including cysto-peritoneal and cysto-ventricular shunts. Read More

World Neurosurg 2019 Feb 29;122:632-637. Epub 2018 Nov 29.

Department of Neurosurgery, Ebina General Hospital, Kanagawa, Japan.

Background: Langerhans cell histiocytosis (LCH) is a rare dendritic histiocytic disorder that affects the bones, especially the skull. Langerhans cell histiocytosis (LCH) developing in a burr hole site for chronic subdural hematoma is extremely rare.

Case Description: A 53-year-old man underwent a burr hole irrigation for chronic subdural hematoma, and the burr hole was covered with a burr hole button made of hydroxyapatite. Read More

World Neurosurg 2019 Feb 24;122:613-619. Epub 2018 Nov 24.

Department of Neurosurgery, Baylor College of Medicine, Houston, Texas, USA. Electronic address:

Background: Chronic subdural hematoma is a very common neurosurgical condition. Although conventional surgical methods, such as burr hole irrigation, have been the mainstay of treatment, middle meningeal artery (MMA) embolization has emerged as a promising adjunctive or alternative treatment. The aim of this article was to present a meta-analysis and systematic review of this topic. Read More

Radiographics 2019 Jan-Feb;39(1):213-228. Epub 2018 Nov 23.

From the Department of Radiological Sciences, University of Oklahoma Health Sciences Center, PO Box 26901, Garrison Tower, Suite 4G4250, Oklahoma City, OK 73126 (D.G., B.O.C., S.J., A.M.A.); and Department of Radiology, Stanford University School of Medicine, Palo Alto, Calif (H.M.D.).

Infants and children under 2 years of age are at greatest risk for devastating neurologic complications following nonaccidental trauma. While a subdural hematoma (SDH) is the most common finding and is often enough to raise suspicion for abuse, no single injury is pathognomonic for abusive head trauma (AHT). Rather, the combination of imaging and physical findings and the clinical presentation help confirm the diagnosis of AHT. Read More

World Neurosurg 2019 Feb 19;122:495-499. Epub 2018 Nov 19.

Department of Neurosurgery, Kobe University Graduate School of Medicine, Kobe, Hyogo, Japan.

Background: A small number of reports have described subarachnoid hemorrhage resulting from a ruptured aneurysm embedded within a prolactinoma. To the best of our knowledge, no reports have described an embedded carotid cavernous fistula. We report a patient with carotid cavernous fistula secondary to a ruptured internal carotid artery aneurysm embedded within a prolactinoma. Read More

J Craniofac Surg 2019 Jan;30(1):196-199

Department of Neurosurgery, Tobu Hospital, Yokohama, Japan.

Background: In primary intracerebral hemorrhage, several studies showed that contrast extravasation (CEV) is reported to be an indicator of delayed hematoma expansion, emergent hematoma removal and poor prognosis. On the contrary in head trauma, few researches validated the effectiveness of CEV because of other influences such as subarachnoid hemorrhage (SAH), contusion or brain swelling. The authors experienced a patient showing diffuse SAH caused by traumatic mechanism with acute subdural hematoma (ASDH). Read More

World Neurosurg 2019 Feb 25;122:24-27. Epub 2018 Oct 25.

Department of Neurosurgery, Sir Run Run Shaw Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang, China. Electronic address:

Background: Contralateral acute subdural hematoma (ASDH) is an uncommon but devastating complication during craniotomy and hematoma evacuation. It can lead to extremely poor outcomes if not treated properly and promptly.

Case Description: We present a case of a 49-year-old male who suffered contralateral ASDH during surgical evacuation of ASDH on the left side. Read More

Open Med (Wars) 2018 22;13:520-527. Epub 2018 Oct 22.

Acibadem University School of Medicine, Department of Neurosurgery, Acibadem Adana Hospital, Adana, Turkey.

Chronic subdural hematoma is a frequent type of hemorrhage, which terminates with mortality if not diagnosed and treated early. The aim of this clinical study is to evaluate the patients with unilateral and bilateral recurrent chronic subdural hematoma. The study group consisted of 13 cases with unilateral and bilateral recurrent chronic subdural hematomas who underwent aggressive wide craniotomy, duraectomy, inner and outer membranectomy, dural border coagulation, incision through cortical vein trace and hang up of dural edge, between 2009 - 2016. Read More

Neurosurgery 2018 Nov 9. Epub 2018 Nov 9.

Department of Neurosurgery, Weill Cornell Medical Institution New York Presbyterian Hospital, New York, New York.

Background: Chronic subdural hematoma (SDH) is a particularly challenging pathology due to high recurrence rates (2%-37%) and complex medical comorbidities that tend to afflict the patient population. Recently, there have been several case series published describing the use of middle meningeal artery (MMA) embolization as an alternative to surgery for treatment of new or recurrent chronic SDH.

Objective: To describe our first 60 cases of MMA embolization for chronic SDH. Read More

Pediatr Neurol 2019 Jan 6;90:31-36. Epub 2018 Oct 6.

Division of Physical Medicine & Rehabilitation, University of Utah, Salt Lake City, Utah. Electronic address:

Objective: The aims of this study were: (1) to characterize mild traumatic brain injury (mTBI), mTBI with skull fracture, and complicated mTBI in school-aged children seen at a Level I pediatric trauma center and (2) to examine the nature of imaging findings seen in children with mTBI with skull fracture and those with complicated mTBI.

Methods: A total of 1777 pediatric patients (male: 1193 or 67.1%; age = 11. Read More

World Neurosurg 2019 Feb 5;122:e924-e932. Epub 2018 Nov 5.

Department of Neurosurgery, Tokai University, Kanagawa, Japan.

Objective: The number of patients with chronic subdural hematoma (CSDH) showing comorbidities and/or impaired activities of daily living (ADL) before the onset of CSDH has increased with the recent aging of society. The purposes of this study were to evaluate ADL worsening by comparing premorbid ADL and ADL at discharge and to investigate the effects of pre-existing comorbidity-related clinical factors on the outcomes.

Methods: A total of 570 patients with CSDH admitted from 2006 to 2016 were studied retrospectively. Read More

Br J Radiol 2019 Mar 27;92(1095):20180532. Epub 2018 Nov 27.

1 Department of Radiology, Mater Misericordiae University Hospital , Dublin , Ireland.

Spinal haematoma is a rare occurrence, however has the potential to cause significant spinal injury and morbidity. MRI is the gold-standard of investigation, and urgent imaging is required for early diagnosis and treatment to ensure best patient outcomes. We present a pictorial review demonstrating the imaging features of spinal haematoma based on meningeal space assignment; epidural, subdural, subarachnoid, intramedullary and a combination of these locations. Read More

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

Korean J Neurotrauma 2018 Oct 31;14(2):134-137. Epub 2018 Oct 31.

Department of Neurosurgery, Kyungpook National University Hospital, Kyungpook National University School of Medicine, Daegu, Korea.

We report the case of a patient with organized chronic subdural hematoma (OCSH) that was treated with craniotomy. A 72-year-old man was admitted with a complaint of a drowsy mental status after a generalized tonic-clonic seizure. A brain computed tomography scan acquired at a local hospital revealed a large chronic subdural hematoma (CSDH) in the left frontoparietal lobe. Read More