11,819 results match your criteria Subdural Hematoma


Treatment for secondary deterioration in idiopathic normal pressure hydrocephalus in the later course of the disease: a retrospective analysis.

Acta Neurochir (Wien) 2020 Jul 4. Epub 2020 Jul 4.

Department of Neurosurgery, Klinikum Kassel, Moencheberg Str. 41-43, 34125, Kassel, Germany.

Background: Cerebrospinal fluid (CSF) shunting is a highly effective treatment for idiopathic normal pressure hydrocephalus (iNPH). However, secondary deterioration can occur at a later time. Thus, the current study aimed to evaluate the incidence rate and causes of secondary deterioration. Read More

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http://dx.doi.org/10.1007/s00701-020-04475-7DOI Listing

Neuroimaging findings in headache with normal neurologic examination: Systematic review and meta-analysis.

J Neurol Sci 2020 Jun 26;416:116997. Epub 2020 Jun 26.

Centre for Heart Rhythm Disorders, South Australian Health and Medical Research Institute, University of Adelaide and Royal Adelaide Hospital, Adelaide, Australia.

Objective: To determine if pooled estimates of the prevalence of unexpected findings in patients with headache and normal neurologic examination support current expert opinion-based neuroimaging guidelines.

Methods: We searched PubMed and EMBASE for studies reporting neuroimaging findings in patients with headache and normal neurologic examination up to September 30, 2017. The overall and disease-specific prevalence of unexpected findings were pooled through random-effects meta-analysis. Read More

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http://dx.doi.org/10.1016/j.jns.2020.116997DOI Listing

Development of a prognostic scoring system to predict risk of reoperation for contralateral hematoma growth after unilateral evacuation of bilateral chronic subdural hematoma.

J Clin Neurosci 2020 Jun 29. Epub 2020 Jun 29.

Yong Loo Lin School of Medicine, National University of Singapore, 1E Kent Ridge Road, Level 11, Singapore 119228, Singapore; Division of Neurosurgery, Department of Surgery, National University Hospital, National University Health System, 1E Kent Ridge Road, Level 11, Singapore 119228, Singapore. Electronic address:

Bilateral chronic subdural hematoma (bCSDH) is frequently drained unilaterally when the contralateral CSDH is small and asymptomatic. However, reoperation rates for contralateral CSDH growth can be high. We aimed to develop a prognostic scoring system to guide the selection of suitable patients for unilateral drainage of bCSDH. Read More

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http://dx.doi.org/10.1016/j.jocn.2020.06.009DOI Listing

Neuraxial and Perineural Bleeding after Neuraxial Techniques: An Overview of the Last Year.

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

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http://dx.doi.org/10.5152/eurasianjmed.2019.19212DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7311137PMC

Typical subdural contrast effusion secondary to endovascular treatment of a pediatric pial arteriovenous fistula.

Interv Neuroradiol 2020 Jul 1:1591019920938965. Epub 2020 Jul 1.

Department of Neurosurgery, Capital Medical University Sanbo Brain Hospital, Beijing, China.

Subdural contrast effusion secondary to endovascular treatment is exceptionally rare and might be mistaken as subdural hematoma because of similar hyperattenuation on computer tomography. The authors present the case of a 13-month-old girl with a history of increased head circumference and developmental retardation. Cerebral digital subtraction angiography showed a high-flow pial arteriovenous fistula fed by multiple arteries on the right cerebellar surface, with occlusion of the right sigmoid sinus and severe stenosis of the left sigmoid sinus. Read More

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http://dx.doi.org/10.1177/1591019920938965DOI Listing

Spontaneous Bilateral Subdural Hematoma in a Patient with Falciparum Malaria.

J Assoc Physicians India 2020 Apr;68(4):71

JR-2, RNT Medical College, Udaipur, Rajasthan.

A 70-year old female presented with complaints of fever with chills, headache for 15 days and altered sensorium for 7 days. Peripheral blood smear showed ring form of P. falciparum and CT brain revealed bilateral subdural hematoma. Read More

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Identification of factors associated with morbidity and postoperative length of stay in surgically managed chronic subdural haematoma using electronic health records: a retrospective cohort study.

BMJ Open 2020 Jun 30;10(6):e037385. Epub 2020 Jun 30.

Neurocritical Care Department and Department of Anaesthesia, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.

Introduction: Chronic subdural haematoma (cSDH) tends to occur in older patients, often with significant comorbidity. The incidence and effect of medical complications as well as the impact of intraoperative management strategies are now attracting increasing interest.

Objectives: We used electronic health record data to study the profile of in-hospital morbidity and examine associations between various intraoperative events and postoperative stay. Read More

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http://dx.doi.org/10.1136/bmjopen-2020-037385DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7328896PMC

Clinical features associated with the development of hydrocephalus following TBI in the paediatric age group.

Childs Nerv Syst 2020 Jun 29. Epub 2020 Jun 29.

Department of Neurosurgery, University Hospital Wales, 4th Floor, Heath Park Way, Cardiff, CF14 4XW, UK.

Introduction: Predictive factors for post-traumatic hydrocephalus (PTH) in adults have been elucidated but remain uncertain for children. We aimed to identify the prevalence of PTH in paediatric patients and identify clinical/radiological factors which may increase the probability of children developing PTH.

Methods: This was a retrospective study of all patients < 16 years old admitted to our unit with traumatic brain injury (TBI) between March 2013 and June 2018, 108 patients in total. Read More

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http://dx.doi.org/10.1007/s00381-020-04764-7DOI Listing

Transradial middle meningeal artery embolization for chronic subdural hematoma using Onyx: case series.

J Neurointerv Surg 2020 Jun 29. Epub 2020 Jun 29.

Neurosurgery, Gates Vascular Institute, Buffalo, New York, USA

Background: Middle meningeal artery (MMA) embolization is an emerging therapy for the resolution of subacute or chronic subdural hematoma (CSDH). CSDH patients are often elderly and have several comorbidities. We evaluated our experience with transradial access (TRA) for MMA embolization using predominantly Onyx under conscious sedation. Read More

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http://dx.doi.org/10.1136/neurintsurg-2020-016185DOI Listing

Hemoglobin Concentration May Affect the Effect of Atorvastin on Chronic Subdural Hematoma After Burr-Hole Drainage at High Altitude.

Front Neurosci 2020 12;14:503. Epub 2020 Jun 12.

Department of Neurosurgery, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, China.

Objective: Chronic subdural hematoma (CSDH) is a common disease. Atorvastatin calcium can increase CSDH absorption. However, whether atorvastatin can increase hematoma absorption and reduce recurrence at high altitudes is not clear. Read More

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http://dx.doi.org/10.3389/fnins.2020.00503DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7303463PMC

The Danish Chronic Subdural Hematoma Study-comparison of hematoma age to the radiological appearance at time of diagnosis.

Acta Neurochir (Wien) 2020 Jun 27. Epub 2020 Jun 27.

Department of Neurosurgery, Rigshospitalet, 2092, Blegdamsvej 9, 2100, Copenhagen Ø, DK, Denmark.

Introduction: Chronic subdural hematomas (CSDH) show different radiological characteristics on CT scans at the time of diagnosis. The reason for this is largely unknown. We hypothesize that the imaging characteristics reflect a time-linked pathophysiological evolution. Read More

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http://dx.doi.org/10.1007/s00701-020-04472-wDOI Listing

Mortality and functional outcome after surgical evacuation of traumatic acute subdural hematomas in octa- and nonagenarians.

Eur J Trauma Emerg Surg 2020 Jun 27. Epub 2020 Jun 27.

Department of Neurosurgery, University Hospital Heidelberg, University of Heidelberg, INF 400, 69120, Heidelberg, Germany.

Purpose: The incidence of acute subdural hematomas (aSDH) is rising. However, beneficial effects of surgery for the oldest aSDH patients remain unclear. We hence describe the postoperative outcome of octa- and nonagenarians with aSDH in comparison to a younger patient cohort. Read More

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http://dx.doi.org/10.1007/s00068-020-01419-9DOI Listing

Updates in Chronic Subdural Hematoma: Epidemiology, Etiology, Pathogenesis, Treatment and Outcome.

World Neurosurg 2020 Jun 25. Epub 2020 Jun 25.

Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD. Electronic address:

Chronic subdural hematoma (CSDH) is a complex disease with an overall incidence of 1.7-20.6 per 100,000 persons per year and is more commonly encountered in the elderly population. Read More

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http://dx.doi.org/10.1016/j.wneu.2020.06.140DOI Listing

Drain type and technique for subdural insertion after burr hole evacuation of chronic subdural hematoma.

Acta Neurochir (Wien) 2020 Jun 25. Epub 2020 Jun 25.

Department of Neurosurgery, Rigshospitalet, Blegdamsvej 9, 2100, Copenhagen, Denmark.

Strengths and limitations of subdural versus subperiosteal drain location after burr hole evacuation of chronic subdural hematoma (CSDH) are currently debated. The safety of subdural placement of a drain has been questioned in a recent study by Soleman et al. from 2019, showing a misplacement rate of 17%, and these results have been further highlighted by the same authors, with a slightly lower misplacement rate of 15. Read More

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http://dx.doi.org/10.1007/s00701-020-04473-9DOI Listing

Spontaneous Intracranial Hypotension with a Reversible Splenial Lesion after Swimming.

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

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http://dx.doi.org/10.2169/internalmedicine.4971-20DOI Listing

Simultaneous subdural, subarachnoideal and intracerebral haemorrhage after rupture of a peripheral middle cerebral artery aneurysm.

Ideggyogy Sz 2020 05;73(05-06):213-216

Department of Neurosurgery, Szent János Hospital, Budapest.

The cause of intracerebral, subarachnoid and subdural haemorrhage is different, and the simultaneous appearance in the same case is extremely rare. We describe the case of a patient with a ruptured aneurysm on the distal segment of the middle cerebral artery, with a concomitant subdural and intracerebral haemorrhage, and a subsequent secondary brainstem (Duret) haemorrhage. The 59-year-old woman had hypertension and diabetes in her medical history. Read More

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http://dx.doi.org/10.18071/isz.73.0213DOI Listing

[Severe Traumatic Brain Injury due to Repeated Minor Head Injury while Snowboarding:A Report of Two Cases].

No Shinkei Geka 2020 Jun;48(6):521-526

Department of Neurosurgery, Iwate Medical University School of Medicine.

Second impact syndrome occurrs when a patient who has sustained an initial head injury, most often a concussion, sustains a second head injury before the symptoms associated with the first have fully resolved, leading to rapid brain swelling and herniation. However, the underlying pathophysiology remains unclear. We report two cases in which acute subdural hematoma with rapid malignant brain swelling developed after repeated head traumas while snowboarding. Read More

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http://dx.doi.org/10.11477/mf.1436204222DOI Listing

Factors Associated with Poor Outcomes in Patients with Mild or Moderate Acute Subdural Hematomas.

Neurol Med Chir (Tokyo) 2020 Jun 22. Epub 2020 Jun 22.

Department of Legal Medicine, Shiga University of Medical Science.

The factors influencing the outcomes of mild/moderate acute subdural hematoma (ASDH) are still unclear. Retrospective analyses were performed to identify such factors. The medical records of all patients who were admitted to Saiseikai Shiga Hospital with mild (Glasgow Coma Scale [GCS] score of 14-15) or moderate (GCS score of 9-13) ASDH between April 2008 and March 2017 were reviewed. Read More

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http://dx.doi.org/10.2176/nmc.oa.2020-0030DOI Listing

Finnish study of intraoperative irrigation versus drain alone after evacuation of chronic subdural haematoma (FINISH): a study protocol for a multicentre randomised controlled trial.

BMJ Open 2020 Jun 21;10(6):e038275. Epub 2020 Jun 21.

Department of Neurosurgery, University of Helsinki and Helsinki University Hospital, Helsinki, Uusimaa, Finland.

Introduction: Chronic subdural haematomas (CSDHs) are one of the most common neurosurgical conditions. The goal of surgery is to alleviate symptoms and minimise the risk of symptomatic recurrences. In the past, reoperation rates as high as 20%-30% were described for CSDH recurrences. Read More

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http://dx.doi.org/10.1136/bmjopen-2020-038275DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7311024PMC

Outcomes and Clinical Characteristics of Intracranial Hemorrhage in Patients with Hematological Malignancies: A Systematic Literature Review.

World Neurosurg 2020 Jun 18. Epub 2020 Jun 18.

Department of Neurological Surgery, University Hospitals Cleveland Medical Center, Cleveland Ohio.

Background: Many clinical and demographic factors can influence survival of patients with hematological malignancies who have intracranial hemorrhages. Understanding the influence of these factors on patient survival can guide treatment decisions and may inform prognostic discussions. We conducted a systematic literature review to determine survival of patients with intracranial hemorrhages and concomitant hematologic malignancy. Read More

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http://dx.doi.org/10.1016/j.wneu.2020.06.091DOI Listing

Moyamoya disease and moyamoya syndrome in Ireland: patient demographics, mode of presentation and outcomes of EC-IC bypass surgery.

Ir J Med Sci 2020 Jun 19. Epub 2020 Jun 19.

National Neurosurgical Centre, Beaumont Hospital, Dublin, Ireland.

Background: There are no previously published reports regarding the epidemiology and characteristics of moyamoya disease or syndrome in Ireland.

Aims: To examine patient demographics, mode of presentation and the outcomes of extracranial-intracranial bypass surgery in the treatment of moyamoya disease and syndrome in Ireland.

Methods: All patients with moyamoya disease and syndrome referred to the National Neurosurgical Centre during January 2012-January 2019 were identified through a prospective database. Read More

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http://dx.doi.org/10.1007/s11845-020-02280-wDOI Listing

Spontaneous resolution of large subdural hematoma with midline shift: a case report.

Childs Nerv Syst 2020 Jun 20. Epub 2020 Jun 20.

Departments of Pediatric Surgery and Neurosurgery, McGovern Medical School, University of Texas Health Science Center at Houston, Houston, TX, USA.

Subdural hematomas with mass effect and midline shift are typically offered urgent surgical evacuation. The authors report a 6-month-old baby who was referred for macrocephaly and found to have a large subdural hematoma with midline shift. Given her lack of symptoms and normal neurological examination, the patient was observed without neurosurgical intervention. Read More

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http://dx.doi.org/10.1007/s00381-020-04733-0DOI Listing

Low risk of traumatic intracranial hematoma expansion with factor Xa inhibitors without andexanet reversal.

World Neurosurg 2020 Jun 16. Epub 2020 Jun 16.

Division of Neurosurgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA. Electronic address:

Background: Andexanet alfa, a novel anticoagulation reversal agent for Factor Xa inhibitors, was recently approved. Traumatic intracranial hemorrhage presents a prime target for this drug. The ANNEXA-4 study established the efficacy of andexanet alfa in reversing Factor Xa inhibitors. Read More

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http://dx.doi.org/10.1016/j.wneu.2020.06.069DOI Listing

Craniectomy size for subdural haematomas and the impact on brain shift and outcomes.

Acta Neurochir (Wien) 2020 Jun 18. Epub 2020 Jun 18.

Department of Neurosurgery, The National Hospital for Neurology and Neurosurgery, London, W1B 3GG, UK.

Background: Midline shift in trauma relates to the severity of head injury. Large craniectomies are thought to help resolve brain shift but can be associated with higher rates of morbidity. This study explores the relationship between craniectomy size and subtemporal decompression for acute subdural haematomas with the resolution of brain compression and outcomes. Read More

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http://dx.doi.org/10.1007/s00701-020-04448-wDOI Listing

Spinal dural arteriovenous fistula masquerading as subdural hematoma.

Surg Neurol Int 2020 6;11:142. Epub 2020 Jun 6.

Department of Neurological Surgery, Ohio State University Wexner Medical Center, Ohio, United States.

Background: This case highlights an angiographically occult spinal dural AVF presenting with a spinal subdural hematoma. While rare, it is important that clinicians be aware of this potential etiology of subdural hematomas before evacuation.

Case Description: A 79-year-old female presented with acute lumbar pain, paraparesis, and a T10 sensory level loss. Read More

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http://dx.doi.org/10.25259/SNI_160_2020DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7294149PMC

[Scalp-recorded cortical spreading depolarizations (CSDs) of EEG with time constant of 2 seconds in a patient with acute traumatic brain injury].

Rinsho Shinkeigaku 2020 Jun 13. Epub 2020 Jun 13.

Department of Epilepsy, Movement Disorders and Physiology, Kyoto University Graduate School of Medicine.

An 82-year-old female suffered from head trauma, and developed acute consciousness disturbance 6 days after the event. Head CT showed the acute subdural hematoma in the left temporooccipital area and the patient underwent emergency hematoma evacuation and decompression. However, her consciousness disturbance became worse after surgery. Read More

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http://dx.doi.org/10.5692/clinicalneurol.60.cn-001421DOI Listing

Collagen fibre orientation in human bridging veins.

Biomech Model Mechanobiol 2020 Jun 13. Epub 2020 Jun 13.

Department of Neurosurgery, University Hospital Gasthuisberg, KU Leuven, Leuven, Belgium.

Bridging veins (BVs) drain the blood from the cerebral cortex into dural sinuses. BVs have one end attached to the brain and the other to the superior sagittal sinus (SSS), which is attached to the skull. Relative movement between these two structures can cause BV to rupture producing acute subdural haematoma, a head injury with a mortality rate between 30 and 90%. Read More

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http://dx.doi.org/10.1007/s10237-020-01349-wDOI Listing

A Rare Cohort of Two Rhnull Individuals.

Lab Med 2020 Jun 13. Epub 2020 Jun 13.

Immunohematology Reference Laboratory-Cypress Creek, OneBlood, Inc., Ft. Lauderdale, Florida.

Objective: A 77 year old female was admitted with a subdural hematoma requiring 1 unit of apheresis platelets. She was a study subject in the 1960s and was found to be Rhnull, along with another individual who previously served as a directed donor for her.

Methods: Serologic testing performed by the immunohematology reference laboratory (IRL) confirmed that the patient was Rhnull and expressed anti-Rh29 antibodies. Read More

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http://dx.doi.org/10.1093/labmed/lmaa009DOI Listing

High fibrin/fibrinogen degradation product value as a risk factor for progressive remote traumatic intracranial haemorrhage following neurosurgery.

Br J Neurosurg 2020 Jun 12:1-4. Epub 2020 Jun 12.

Department of Neurosurgery, University of Tsukuba, Tsukuba, Japan.

Remote traumatic intracranial haemorrhage (RTIH) may develop after neurosurgery. Recognition of the risk factors for RTIH before surgery might be of great value. The purpose of this study was to verify if the fibrin/fibrinogen degradation product (FDP) value may be a risk factor for RTIH. Read More

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http://dx.doi.org/10.1080/02688697.2020.1775788DOI Listing

Warfarin-associated intracranial haemorrhage in pregnant woman with double mechanical valve replacement: a case presentation.

BMC Cardiovasc Disord 2020 Jun 11;20(1):286. Epub 2020 Jun 11.

Department of Radiology, Koc University, Istanbul, Turkey.

Background: Management of warfarin-associated major haemorrhage in prosthetic valve diseases is difficult as there is a fine line between haemorrhage and thrombosis. An individual's propensity towards thrombosis, such as pregnancy, makes this situation even more complicated. Cases like these are very rare in the literature. Read More

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http://dx.doi.org/10.1186/s12872-020-01547-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7291738PMC

Analysis of Brain Natriuretic Peptide Serum Levels in Patients with Symptomatic Chronic Subdural Hematoma: A Potential Reliable Biomarker.

J Neurotrauma 2020 Jun 25. Epub 2020 Jun 25.

Department of Neurosurgery and Spine Surgery, University Hospital Essen, Germany.

The purpose of this study was to analyze brain natriuretic peptide (BNP) serum levels of patients with chronic subdural hematoma (cSDH) and their clinical implication. Patients with cSDH who underwent surgery in our department between November 2016 and October 2019 were eligible for enrollment in the study. Patients with recurrent bleedings, traumatic brain injury, cSDH associated with other intracranial pathologies, and those with a history of congestive heart failure, renal or endocrine disease were excluded. Read More

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http://dx.doi.org/10.1089/neu.2020.7110DOI Listing

Chronic subdural hematoma-incidence, complications, and financial impact.

Acta Neurochir (Wien) 2020 Jun 10. Epub 2020 Jun 10.

Department of Neurosurgery, Tampere University Hospital and Tampere University, Tampere, Finland.

Objective: To examine the population-based incidence, complications, and total, direct hospital costs of chronic subdural hematoma (CSDH) treatment in a neurosurgical clinic during a 26-year period. The aim was also to estimate the necessity of planned postoperative follow-up computed tomography (CT).

Methods: A retrospective cohort (1990-2015) of adult patients living in Pirkanmaa, Finland, with a CSDH was identified using ICD codes and verified by medical records (n = 1148, median age = 76 years, men = 65%). Read More

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http://dx.doi.org/10.1007/s00701-020-04398-3DOI Listing
June 2020
1.788 Impact Factor

Acute deterioration in a patient with bilateral chronic subdural hematomas associated with intracranial hypotension treated with an epidural blood patch: A case report.

World Neurosurg 2020 Jun 6. Epub 2020 Jun 6.

Department of Neurosurgery, Kochi Medical School, Kochi University, Kochi, Japan.

Background: Intracranial hypotension due to cerebrospinal fluid (CSF) leak is often associated with secondary chronic subdural hematoma (CSDH). Although epidural blood patch (EBP) treatment for the CSF leak site has been reported to result in spontaneous regression of the CSDH in most cases, it is still debatable whether blocking CSF leak first in the patients with intracranial hematoma is always safe.

Case Description: A 72-year-old woman presented with orthostatic headache after a head injury and was diagnosed with intracranial hypotension. Read More

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http://dx.doi.org/10.1016/j.wneu.2020.05.254DOI Listing

Burr hole trepanation and insertion of a subperiosteal drain for chronic subdural haematoma: how I do it.

Acta Neurochir (Wien) 2020 Jun 9. Epub 2020 Jun 9.

Department of Neurosurgery, University Hospital of Basel, Basel, Switzerland.

Background: Burr hole trepanation (BHT) is the most commonly used surgical method for the treatment of chronic subdural haematoma (cSDH).

Method: We give a brief overview on the indication for surgical treatment of cSDH, the surgical technique of BHT, and specific perioperative considerations. In particular, we emphasise on the technique of a subperiosteal drain placement. Read More

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http://dx.doi.org/10.1007/s00701-020-04442-2DOI Listing

Middle Meningeal Artery Embolization for Chronic Subdural Hematoma: Current State and Future Directions.

World Neurosurg 2020 May 8. Epub 2020 May 8.

Department of Neurological Surgery, Mount Sinai Health System, New York, New York, USA.

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http://dx.doi.org/10.1016/j.wneu.2020.05.010DOI Listing

Practice variation in the conservative and surgical treatment of chronic subdural hematoma.

Clin Neurol Neurosurg 2020 May 20;195:105899. Epub 2020 May 20.

Department of Neurosurgery, Leiden University Medical Center, University Neurosurgical Center Holland (UNCH), Leiden, the Netherlands. Electronic address:

Objective: Chronic subdural hematoma (CSDH) is a condition that is frequently seen in the neurological and neurosurgical practice. Surgical treatment is overall preferred; however, conservative treatment is also an option. Both surgical and conservative treatment of CSDH vary across neurosurgeons. Read More

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http://dx.doi.org/10.1016/j.clineuro.2020.105899DOI Listing

Need for ensuring care for neuro-emergencies-lessons learned from the COVID-19 pandemic.

Acta Neurochir (Wien) 2020 Jun 8. Epub 2020 Jun 8.

Department of Neurosurgery and Center for Stroke Research Berlin (CSB), Charité - Universitätsmedizin Berlin, Charitéplatz 1, 10117, Berlin, Germany.

Background: To investigate whether patients with critical emergency conditions are seeking or receiving the medical care that they require, we characterized the reality of care for patients presenting with neuro-emergencies during the first phase of the COVID-19 pandemic.

Methods: In this observational, longitudinal cohort study, all neurosurgical admissions that presented to our department between February 1 and April 15 during the COVID-19 pandemic and during the same time period in 2019 were identified and categorized according to the presence of a neuro-emergency, the route of admission, management, and the category of disease. Further, the clinical course of patients with aneurysmal subarachnoid hemorrhage (aSAH) and chronic subdural hematoma (cSDH) was investigated representatively for severe vascular and semi-urgent traumatic conditions that present with a wide variety of symptoms. Read More

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http://dx.doi.org/10.1007/s00701-020-04437-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7276655PMC

Posterior fossa subdural hematoma in a neonate with cleidocranial dysostosis after a spontaneous vaginal delivery: a case report.

Childs Nerv Syst 2020 Jun 5. Epub 2020 Jun 5.

Department of Neurosurgery, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahatanishi-ku, Kitakyushu, Fukuoka, 807-8555, Japan.

Background: Cleidocranial dysostosis (CCD) is an anomaly characterized by delayed closure of the cranial sutures, midface hypoplasia, moderately short stature, hypoplastic or aplastic clavicles, dental abnormalities, and other complications.

Case Presentation: We report a case of posterior fossa subdural hematoma (PFSDH) after vaginal delivery in a neonate with CCD, which presented with several clinical symptoms such as apnea, vomiting, and bradycardia. Our patient, who had a family history of CCD, developed apnea and vomiting shortly after birth; PFSDH was detected by head computed tomography, and the patient recovered well following standard medical treatment. Read More

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http://dx.doi.org/10.1007/s00381-020-04689-1DOI Listing

Polycystic subdural hygroma associated with immunoglobulin G4-related intracranial hypertrophic pachymeningitis: a case report.

BMC Neurol 2020 Jun 4;20(1):228. Epub 2020 Jun 4.

Department of Neurology, Saitama Medical University, 38 Morohongo Moroyama, Iruma-gun, Saitama, 350-0495, Japan.

Background: Recent studies have examined hypertrophic pachymeningitis as an IgG4-RD. However, there are no reports of immunoglobulin G4 (IgG4)-related hypertrophic pachymeningitis with polycystic subdural hygroma.

Case Presentation: A 56-year-old man presented to the hospital with complaints of a persistent, pulsatile, occipital headache and general malaise. Read More

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http://dx.doi.org/10.1186/s12883-020-01815-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7271496PMC

The impact of time from injury to surgery in functional recovery of traumatic acute subdural hematoma.

BMC Neurol 2020 Jun 4;20(1):226. Epub 2020 Jun 4.

Neurosurgical Department, Ditmanson Medical Foundation Chia-Yi Christian Hospital, No. 539, Zhongxiao Rd, Chia-Yi City, Taiwan, 60002.

Background: The time from injury to surgery (TIS) is critical in the functional recovery of individuals with traumatic acute subdural hematoma (TASDH). However, only few studies have confirmed such notion.

Methods: The data of TASDH patients who were surgically treated in Chia-Yi Christian Hospital between January 2008 and December 2015 were collected. Read More

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http://dx.doi.org/10.1186/s12883-020-01810-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7271514PMC

Burr hole drainage without irrigation for chronic subdural hematoma.

Surg Neurol Int 2020 2;11:89. Epub 2020 May 2.

Department of Neurosurgery, Osaka City University Graduate School of Medicine, 1-4-3 Asahimachi, Abenoku.

Background: Chronic subdural hematoma (CSDH) is one of the most common neurosurgical conditions, with different strategies for treatment. Most recent trials favor the use of drainage to reduce the recurrence rate. However, few reports have discussed the efficacy of burr hole drainage without irrigation for treating CSDH. Read More

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http://dx.doi.org/10.25259/SNI_550_2019DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7265465PMC

Arachnoid Plasty to Prevent and Reduce Chronic Subdural Hematoma after Clipping Surgery for Unruptured Intracranial Aneurysm : A Meta-Analysis.

J Korean Neurosurg Soc 2020 Jun 4. Epub 2020 Jun 4.

Department of Neurosurgery, Chung-Ang University Hospital, Chung-Ang University College of Medicine, Seoul, Korea.

Objective: Recent studies have reported that arachnoid plasty (ARP) using gelatin sponges with fibrin glue reduced the occurrence of chronic subdural hematoma (CSDH) following clipping surgery for unruptured intracranial aneurysm (UIA). This metaanalysis was conducted to collate further evidence for the efficacy of ARP in preventing postoperative CSDH.

Methods: Data of patients who underwent clipping surgery were extracted from PubMed, EMBASE, and Cochrane Central Register of Controlled Trials by two independent reviewers. Read More

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http://dx.doi.org/10.3340/jkns.2020.0036DOI Listing

Use of siphon irrigation during burr-hole craniostomy to evacuate chronic subdural hematoma: A retrospective cohort comparison study.

Medicine (Baltimore) 2020 May;99(21):e20291

Department of Neurosurgery, Fujian Medical University Union Hospital, Fuzhou, Fujian, China.

Burr-hole craniostomy (BHC) is a widely accepted treatment for chronic subdural hematomas (CSDHs). This study adopted siphon irrigation to evacuate CSDHs and investigated its efficacy and safety as compared with the traditional irrigation used in BHC.A retrospective cohort study was conducted at a center between January 2017 and December 2018. Read More

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http://dx.doi.org/10.1097/MD.0000000000020291DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7249861PMC

Successful dabigatran reversal after subdural hemorrhage using idarucizumab in a mobile stroke unit: A case report.

Medicine (Baltimore) 2020 May;99(21):e20200

Division of Neurology, University of Alberta Hospital, Alberta, Canada.

Rationale: Idarucizumab is a specific reversal agent for patients with bleeding related to the anticoagulant dabigatran. There are no prior descriptions of Idarucizumab administration in the prehospital setting for intracranial hemorrhage.

Patient Concerns: An 82-year-old woman treated with dabigatran for atrial fibrillation developed acute focal weakness. Read More

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http://dx.doi.org/10.1097/MD.0000000000020200DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7249931PMC
May 2020
5.723 Impact Factor

Expression of high mobility group B1 and toll-like receptor-nuclear factor κB signaling pathway in chronic subdural hematomas.

PLoS One 2020 1;15(6):e0233643. Epub 2020 Jun 1.

Department of Neurological Surgery, Aichi Medical University Nagakute, Aichi, Japan.

Chronic subdural hematoma (CSDH) is an angiogenic and inflammatory disease. Toll-like receptors (TLRs) transduce intracellular signals, resulting in the activation of nuclear factor κB (NF-κB), which leads to the production of inflammatory cytokines. High-mobility group box 1 (HMGB1) functions as a mediator of inflammatory responses through TLRs. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0233643PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7263617PMC

Expression of Angiopoietins and Angiogenic Signaling Pathway Molecules in Chronic Subdural Hematomas.

J Neurotrauma 2020 Jun 26. Epub 2020 Jun 26.

Department of Neurosurgery and Aichi Medical University, Nagakute, Aichi, Japan.

Chronic subdural hematoma (CSDH) is an angiogenic disease that is involved with many inflammatory mediators. Tie2 is predominantly expressed in the embryonic endothelium and plays an important role in the maturation and stabilization of the vasculature. Angiopoietin (Ang)1 and Ang2 are well-known ligands of the Tie2 receptor. Read More

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http://dx.doi.org/10.1089/neu.2020.7042DOI Listing

Influence of Antithrombotic Medication on the Risk of Chronic Subdural Hematoma Recurrence after Burr-Hole Surgery.

J Korean Neurosurg Soc 2020 May 27. Epub 2020 May 27.

Department of Neurosurgery, Wonju Severance Christian Hospital, Yonsei University Wonju College of Medicine, Wonju, Korea.

Objective: Chronic subdural hematoma (CSDH) is one of the most common intracranial hemorrhages. It can be managed with a simple surgical treatment such as burr-hole trephination and drainage. However, it has a relatively high recurrence rate. Read More

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http://dx.doi.org/10.3340/jkns.2019.0194DOI Listing

Letter: Middle Meningeal Artery Embolization for Chronic Subdural Hematoma: A Series of 60 Cases.

Neurosurgery 2020 May 26. Epub 2020 May 26.

Department of Neurosurgery BHT Clinic Tema Istanbul Hospital Istanbul, Turkey.

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http://dx.doi.org/10.1093/neuros/nyaa216DOI Listing