11,090 results match your criteria Subdural Hematoma


Leakage sign for acute subdural hematoma in clinical treatment.

Acta Neurochir (Wien) 2018 Dec 17. Epub 2018 Dec 17.

Department of Neurosurgery, Kurume University School of Medicine, 67 Asahimachi, Kurume, 830-0011, Japan.

Background: Acute subdural hematoma (ASDH) is a serious traumatic disease, and predictive methods for hematoma growth are necessary to decide whether emergent operation is necessary. This study aimed to evaluate the incidence of "leakage" using computed tomography angiography (CTA) in patients with ASDH and to identify its prognostic value.

Methods: Sixty-seven patients with ASDH were examined using CTA (mean age 64. Read More

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http://dx.doi.org/10.1007/s00701-018-3755-xDOI Listing
December 2018

Intracranial Hemorrhage in Children With Inherited Bleeding Disorders: A Single Center Study in China.

J Pediatr Hematol Oncol 2018 Dec 14. Epub 2018 Dec 14.

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

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http://dx.doi.org/10.1097/MPH.0000000000001358DOI Listing
December 2018

Subdural hematoma and electroconvulsive therapy: A case report and review of the literature.

Neurochirurgie 2018 Dec 13. 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

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http://dx.doi.org/10.1016/j.neuchi.2018.11.001DOI Listing
December 2018

Histological dating of subdural hematoma in infants.

Int J Legal Med 2018 Dec 15. Epub 2018 Dec 15.

Forensic Department, APHM, La Timone, 264 rue St Pierre, 13385, Marseille, Cedex 05, France.

Background: After infant deaths due to non-accidental head injury (NAHI) with subdural hematoma (SDH), the magistrates ask experts to date the traumatic event. To do so, the expert only has tools based on adult series of NAHI. We aimed to develop an SDH dating system applicable to infants aged under 3 years. Read More

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http://dx.doi.org/10.1007/s00414-018-1980-8DOI Listing
December 2018

Association of time to craniectomy with survival in patients with severe combat-related brain injury.

Authors:

Neurosurg Focus 2018 Dec;45(6):E2

OBJECTIVEIn combat and austere environments, evacuation to a location with neurosurgery capability is challenging. A planning target in terms of time to neurosurgery is paramount to inform prepositioning of neurosurgical and transport resources to support a population at risk. This study sought to examine the association of wait time to craniectomy with mortality in patients with severe combat-related brain injury who received decompressive craniectomy. Read More

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http://dx.doi.org/10.3171/2018.9.FOCUS18404DOI Listing
December 2018

Blast-induced traumatic brain injury: the experience from a level I trauma center in southern Thailand.

Authors:

Neurosurg Focus 2018 Dec;45(6):E7

OBJECTIVEIn the ongoing conflict in southern Thailand, the improvised explosive device (IED) has been a common cause of blast-induced traumatic brain injury (bTBI). The authors investigated the particular characteristics of bTBI and the factors associated with its clinical outcome.METHODSA retrospective cohort study was conducted on all patients who had sustained bTBI between 2009 and 2017. Read More

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http://dx.doi.org/10.3171/2018.8.FOCUS18311DOI Listing
December 2018

No Value of Routine Brain Computed Tomography 6 Weeks after Evacuation of Chronic Subdural Hematoma.

Authors:
Mehmet Turgut

Surg J (N Y) 2018 Oct 10;4(4):e235-e236. Epub 2018 Dec 10.

Department of Neurosurgery, Faculty of Medicine, Adnan Menderes University, Aydın, Turkey.

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http://dx.doi.org/10.1055/s-0038-1673341DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6288757PMC
October 2018

Social media for dissemination and public engagement in neurosurgery-the example of Brainbook.

Acta Neurochir (Wien) 2018 Dec 10. Epub 2018 Dec 10.

Department of Neurosurgery, The Royal London Hospital, London, UK.

Background: Public engagement has become one of the most effective tools in gaining feedback and perspectives from members of the public, involving patients with decisions, and inspiring young people to carry the medical profession forwards. Brainbook is a multi-platform, social media-based resource that was created specifically to enhance public engagement in neurosurgery and results from one of its case discussions will be reported in this paper.

Methods: A Brainbook case was created in collaboration with the NIHR Global Health Research Group on Neurotrauma and presented over 3 days (23-25 February 2018). Read More

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http://dx.doi.org/10.1007/s00701-018-3757-8DOI Listing
December 2018

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

Neurosurgery 2018 Dec 11. Epub 2018 Dec 11.

Toshiba Stroke and Vascular Research Center, Department of Neurosurgery, Department of Radiology, University at Buffalo, State University of New York, Buffalo, New York.

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http://dx.doi.org/10.1093/neuros/nyy587DOI Listing
December 2018

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

Epileptic Disord 2018 Dec 10. Epub 2018 Dec 10.

Department of Neurology, Mayo Clinic, Rochester, Minnesota, USA.

Seizures and other electrophysiological disturbances are an under-recognized cause of coma, focal deficits, and prolonged encephalopathy following subdural hematoma evacuation. In these patients, it is possible that seizures remain unrecognized on scalp EEG. It has been shown that a high burden of seizures and other electrophysiological disturbances exist following surgical evacuation and underlie the encephalopathy commonly seen in this patient population, predisposing them to medical complications and confounding estimates of prognosis. Read More

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http://dx.doi.org/10.1684/epd.2018.1015DOI Listing
December 2018

Carotid Artery Stenting for Symptomatic Internal Carotid Artery Stenosis Associated with Moyamoya Syndrome.

World Neurosurg 2018 Dec 5. Epub 2018 Dec 5.

Department of Neurosurgery, Kyoto University Graduate School of Medicine, 54 Kawaramachi, Shogoin, Sakyo-ku, Kyoto City, Kyoto 606-8507, JAPAN.

Background: The surgical intervention in a case of internal carotid artery stenosis with Moyamoya vessels has not been well described. We present such a case with detailed description about its procedure and perioperative management.

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

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http://dx.doi.org/10.1016/j.wneu.2018.11.204DOI Listing
December 2018

Use of Anti-coagulation Agents after Traumatic Intracranial Hemorrhage.

World Neurosurg 2018 Dec 5. Epub 2018 Dec 5.

Vivian L. Smith Department of Neurosurgery, University of Texas Health Science Center at Houston, Texas USA. Electronic address:

Objectives: Anticoagulant therapy (ACT) after traumatic intracranial hemorrhage may lead to progression of hemorrhage, but in the presence of thromboembolic events the clinician must decide if the benefits outweigh the risks. Currently, no data exist to guide therapy in the acute setting.

Patients And Methods: We retrospectively identified all patients admitted to our institution with traumatic intracranial hemorrhage that received intravenous heparin, full dose enoxaparin, or warfarin during their initial hospitalization over a three-year period. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.10.173DOI Listing
December 2018

[Application of modified brain protection double-lumen drainage tube in external drainage of chronic subdural hematoma].

Zhonghua Yi Xue Za Zhi 2018 Dec;98(45):3681-3685

Department of Neurosurgery, the First Affiliated Hospital of Bengbu Medical College, Bengbu 233004, China.

To compare the clinical effects of modified double-lumen drainage tube and traditional silicone tube in external drainage of chronic subdural hematoma. Selected 49 patients suffering from chronic subdural hematoma hospitalized in the Department of Neurosurgery, the First Affiliated Hospital of Bengbu Medical College between July 2016 and June 2018 who underwent external drainage, and divided them randomly into experimental groups (using modified brain protection double lumen drainage tube in 23 cases) and control group (using traditional silicone drainage tube in 26 cases). Comparison of postoperative hematoma residual volume, the tube indwelling time, the numbers of drainage tube contact with brain tissue and arachnoid membrane, the numbers of infections, the numbers of postoperative epilepsy cases, and changes in Modified Rankin Scale scores between the two groups. Read More

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December 2018

Influence of antiplatelet and anticoagulant drug use on outcomes following chronic subdural hematoma drainage.

J Neurotrauma 2018 Dec 10. Epub 2018 Dec 10.

Western General Hospital, 59892, Department of Clinical Neuroscience, Edinburgh, United Kingdom of Great Britain and Northern Ireland.

We aim to describe the outcomes following CSDH management in a large cohort of patients on antithrombotic drugs, either antiplatelets or anticoagulants, at presentation and to inform clinical decision making on the timing of surgery and recommencement of these drugs. We used data from a previous UK-based multicenter prospective cohort study. Outcomes included recurrence within 60 days, functional outcome at discharge, and thromboembolic event during hospital stay. Read More

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http://dx.doi.org/10.1089/neu.2018.6080DOI Listing
December 2018

Left Atrial Appendage Closure Device Implantation in Patients with Prior Intracranial Hemorrhage.

Heart Rhythm 2018 Nov 19. Epub 2018 Nov 19.

Section of Cardiac Pacing and Electrophysiology, Heart and Vascular Institute, Cleveland Clinic Foundation, Cleveland, OH. Electronic address:

Background: The Watchman™ device (Boston Scientific, MN), used for left atrial appendage closure (LAAC) was approved for stroke prevention in patients with atrial fibrillation (AF) and an appropriate rationale to avoid long-term oral anticoagulation. Patients with AF and prior intracranial hemorrhage (ICH) were excluded from clinical trials due to perceived risks of peri-operative anticoagulation.

Objective: We studied the efficacy and safety of LAAC using Watchman™ in patients with AF and prior ICH. Read More

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http://dx.doi.org/10.1016/j.hrthm.2018.11.022DOI Listing
November 2018
2 Reads

Spontaneous Acute Subdural Hematoma Associated with Arachnoid Cyst and Intra-cystic Hemorrhage.

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

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http://dx.doi.org/10.7759/cureus.3383DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6263493PMC
September 2018
1 Read

Langerhans cell histiocytosis of the skull in the burr-hole site covered with hydroxyapatite material: a case report.

World Neurosurg 2018 Nov 29. Epub 2018 Nov 29.

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

Background: We present a case report of a male patient with Langerhans cell histiocytosis (LCH), which occurred in a burr-hole site for chronic subdural hematoma covered with hydroxyapatite material. LCH is a rare dendritic histiocytic disorder that affects the bones, especially the skull. Until now, the association with foreign-body reaction has rarely been reported by any author. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750183275
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http://dx.doi.org/10.1016/j.wneu.2018.11.198DOI Listing
November 2018
5 Reads

Dexamethasone for adult patients with a symptomatic chronic subdural haematoma (Dex-CSDH) trial: study protocol for a randomised controlled trial.

Trials 2018 Dec 4;19(1):670. Epub 2018 Dec 4.

Department of Clinical Neurosciences, University of Cambridge, Cambridge Biomedical Campus, Cambridge, CB2 0QQ, UK.

Background: Chronic subdural haematoma (CSDH) is a common neurosurgical condition, typically treated with surgical drainage of the haematoma. However, surgery is associated with mortality and morbidity, including up to 20% recurrence of the CSDH. Steroids, such as dexamethasone, have been identified as a potential therapy for reducing recurrence risk in surgically treated CSDHs. Read More

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http://dx.doi.org/10.1186/s13063-018-3050-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6280536PMC
December 2018
1 Read

Infective endocarditis complicated with nonobstructive ST elevation myocardial infarction related to septic embolism with intracranial hemorrhage: A case report.

Medicine (Baltimore) 2018 Nov;97(48):e13089

Division of Cardiology, Department of Internal Medicine, Kaohsiung Medical University Hospital.

Rationale: Infective endocarditis (IE) complicated with obstructive ST elevation myocardial infarction (STEMI) has been reported in the literature and which were mostly related to coronary artery embolism, obstruction, or compression. However, there has been no reported case discussing about IE complicated with nonobstructive STEMI.

Patient Concerns: In this report, we report a 38-year-old female suffering from intermittent fever and was later diagnosed as IE. Read More

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http://dx.doi.org/10.1097/MD.0000000000013089DOI Listing
November 2018
4 Reads
5.723 Impact Factor

Autologous bone dust technique for one burr hole surgery to prevent severe skin depression.

Clin Neurol Neurosurg 2018 Nov 26;176:41-43. Epub 2018 Nov 26.

Department of Neurosurgery, Shizuoka City Shimizu Hospital, Shizuoka, Japan.

Objective: One burr hole surgery is a common treatment modality for initial chronic subdural hematoma and stereotactic hematoma surgery, but severe skin depression is often a postoperative complication. We report the autologous bone dust technique, which uses autogenous bone dust generated during burr hole creation to prevent cosmetic deformity.

Patients And Methods: The autologous bone dust technique was performed for 51 sides on which burr hole surgery was conducted mainly for chronic subdural hematoma and stereotactic hematoma removal. Read More

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http://dx.doi.org/10.1016/j.clineuro.2018.11.019DOI Listing
November 2018
2 Reads

Contralateral progression after unilateral evacuation of bilateral chronic subdural hematomas: the volume relation ratio as prognostic factor?

Authors:

J Neurosurg 2018 Nov 1:1-8. Epub 2018 Nov 1.

OBJECTIVEUnilateral evacuation of bilateral chronic subdural hematomas (bcSDHs) is associated with higher retreatment rates than an initial bilateral intervention. One reason for that is a possible progression in the size of the contralateral side after unilateral treatment. Thus, the authors focused their study on finding predictors of the need for contralateral retreatment. Read More

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http://dx.doi.org/10.3171/2018.6.JNS18467DOI Listing
November 2018
1 Read

A retrospective analysis of chronic subdural haematoma recurrence rates following burr hole trephination versus minicraniotomy.

J Clin Neurosci 2018 Nov 26. Epub 2018 Nov 26.

Department of Neurosurgery, John Hunter Hospital, New Lambton, NSW 2305, Australia.

The aim of this study was to determine the subdural haematoma recurrence rate in patients with symptomatic chronic subdural haematomas (CSDH) treated with either burr hole trephination (BHT) or minicraniotomy (MC) and to determine whether a statistically significant difference exists between the two techniques. A retrospective analysis of all consecutive patients with symptomatic CSDH treated with BHT or MC at the John Hunter Hospital Neurosurgery Department between July 2004 and July 2016 was performed. After inclusion/exclusion criteria were applied, 368 patients with 439 CSDHs were eligible. Read More

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http://dx.doi.org/10.1016/j.jocn.2018.11.009DOI Listing
November 2018
1 Read

How to Treat Chronic Subdural Hematoma? Past and Now.

Authors:
Kyeong-Seok Lee

J Korean Neurosurg Soc 2018 Nov 30. Epub 2018 Nov 30.

Department of Neurosurgery, Soonchunhyang University Chonan Hospital, Chonan, Korea.

Treatment of chronic subdural hematoma (CSDH) is relatively straightforward, however, there is still some debate regarding the best strategy for treatment. The most practical recommendations of up to date were identified by a review of literature. The author reviewed the literature on CSDH management from the past to now to identify the best methods. Read More

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http://dx.doi.org/10.3340/jkns.2018.0156DOI Listing
November 2018
1 Read

Riskier-than-expected occlusive treatment of ruptured posterior communicating artery aneurysms: treatment and outcome of 620 consecutive patients.

Authors:

J Neurosurg 2018 Oct 1:1-9. Epub 2018 Oct 1.

OBJECTIVEOcclusive treatment of posterior communicating artery (PCoA) aneurysms has been seen as a fairly uncomplicated procedure. The objective here was to determine the radiological and clinical outcome of patients after PCoA aneurysm rupture and treatment and to evaluate the risk factors for impaired outcome.METHODSIn a retrospective clinical follow-up study, data were collected from 620 consecutive patients who had been treated for ruptured PCoA aneurysms at a single center between 1980 and 2014. Read More

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http://dx.doi.org/10.3171/2018.4.JNS18145DOI Listing
October 2018
1 Read

Management of hydrocephalus in infants with severe hemophilia A: report of 2 cases.

Authors:

J Neurosurg Pediatr 2018 Oct 1:1-5. Epub 2018 Oct 1.

The authors report on the clinical course of two infants with severe hemophilia A (HA) and concomitant progressive hydrocephalus that required management with a ventriculoperitoneal shunt. The first child, with known HA, presented with a spontaneous intracranial hemorrhage and acquired hydrocephalus. He underwent cerebrospinal fluid diversion with a temporary external ventricular drain, followed by placement of a ventriculoperitoneal shunt. Read More

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https://thejns.org/view/journals/j-neurosurg-pediatr/aop/art
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http://dx.doi.org/10.3171/2018.8.PEDS18409DOI Listing
October 2018
3 Reads

North American survey on the post-neuroimaging management of children with mild head injuries.

Authors:

J Neurosurg Pediatr 2018 Oct 1:1-9. Epub 2018 Oct 1.

OBJECTIVEThere remains uncertainty regarding the appropriate level of care and need for repeating neuroimaging among children with mild traumatic brain injury (mTBI) complicated by intracranial injury (ICI). This study's objective was to investigate physician practice patterns and decision-making processes for these patients in order to identify knowledge gaps and highlight avenues for future investigation.METHODSThe authors surveyed residents, fellows, and attending physicians from the following pediatric specialties: emergency medicine; general surgery; neurosurgery; and critical care. Read More

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https://thejns.org/view/journals/j-neurosurg-pediatr/aop/art
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http://dx.doi.org/10.3171/2018.7.PEDS18263DOI Listing
October 2018
4 Reads

Middle Meningeal Artery Embolization for Chronic Subdural Hematoma: Meta-Analysis and Systematic Review.

World Neurosurg 2018 Nov 24. Epub 2018 Nov 24.

Departments of Neurosurgery. Electronic address:

Background: Chronic subdural hematoma (CSDH) is one of the most common diseases in neurosurgery. Though conventional surgical methods like burr-hole irrigation have been the mainstay of treatment, middle meningeal artery (MMA) embolization has recently emerged as a promising adjunctive or alternative treatment. We present the first meta-analysis and systematic review on this topic. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750183272
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http://dx.doi.org/10.1016/j.wneu.2018.11.167DOI Listing
November 2018
8 Reads
2.417 Impact Factor

First-in-Man Clinical Experience Using a High-Definition 3-Dimensional Exoscope System for Microneurosurgery.

Oper Neurosurg (Hagerstown) 2018 Nov 26. Epub 2018 Nov 26.

Department of Neurosurgery, Lenox Hill Hospital, Zucker School of Medicine at Hofstra/Northwell, New York, New York.

Background: During its development and preclinical assessment, a novel, 3-dimensional (3D), high-definition (4K-HD) exoscope system was formerly shown to provide an immersive surgical experience, while maintaining a portable, low-profile design.

Objective: To assess the clinical applicability of this 3D 4K-HD exoscope via first-in-man surgical use.

Methods: The operative workflow, functionality, and visual haptics of the 3D 4K-HD exoscope were assessed in a variety of microneurosurgical cases at 2 US centers. Read More

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https://academic.oup.com/ons/advance-article/doi/10.1093/ons
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http://dx.doi.org/10.1093/ons/opy320DOI Listing
November 2018
7 Reads

The current status of decompressive craniectomy in traumatic brain injury.

Curr Trauma Rep 2018 Sep;4(4):326-332

Division of Neurosurgery, Department of Clinical Neurosciences, Addenbrooke's Hospital & University of Cambridge, Cambridge, UK.

Purpose: This review describes the evidence base that has helped define the role of decompressive craniectomy (DC) in the management of patients with traumatic brain injury (TBI).

Recent Findings: The publication of two randomized trials (DECRA and RESCUEicp) has strengthened the evidence base. The DECRA trial showed that neuroprotective bifrontal DC for moderate intracranial hypertension is not helpful, whereas the RESCUEicp trial found that last-tier DC for severe and refractory intracranial hypertension can significantly reduce the mortality rate but is associated with a higher rate of disability. Read More

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http://dx.doi.org/10.1007/s40719-018-0147-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6244550PMC
September 2018
1 Read

Neuroendoscopic hematoma removal with a small craniotomy for acute subdural hematoma.

J Clin Neurosci 2018 Nov 21. Epub 2018 Nov 21.

Department of Neurosurgery, Shizuoka City Shimizu Hospital, Shizuoka, Japan.

The present study evaluated the safety and effectiveness of neuroendoscopic hematoma removal with a small craniotomy for the treatment of acute subdural hematoma (ASDH). Five patients (4 men and 1 woman) with ASDH underwent neuroendoscopic surgery with a small-size craniotomy between October 2016 and June 2018. The mean age was 87. Read More

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http://dx.doi.org/10.1016/j.jocn.2018.11.043DOI Listing
November 2018
6 Reads

Pediatric Central Nervous System Imaging of Nonaccidental Trauma: Beyond Subdural Hematomas.

Radiographics 2018 Nov 23:180084. 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

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http://dx.doi.org/10.1148/rg.2019180084DOI Listing
November 2018
3 Reads

Direct Carotid Cavernous Fistula Due to Rupture of a Cavernous Carotid Aneurysm Embedded within a Prolactinoma after Cabergoline Administration.

World Neurosurg 2018 Nov 19. Epub 2018 Nov 19.

Department of Neurosurgery, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe, Hyogo 650-0017, Japan.

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

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http://dx.doi.org/10.1016/j.wneu.2018.11.071DOI Listing
November 2018
5 Reads

Extradural Hematoma Following Decompressive Craniectomy for Acute Subdural Hematoma: Two Case Reports Illustrating Different Mechanisms.

Asian J Neurosurg 2018 Oct-Dec;13(4):1213-1215

Department of Neurosurgery, Sultan Qaboos University Hospital, Al Khaud, Muscat, Oman.

The occurrence of extradural hematoma (EDH) after decompressive craniectomy (DC) for traumatic brain injury is uncommon. We report two cases, one developing ipsilateral EDH and another developing contralateral simultaneous EDH and subdural hematoma after DC. The strategies to anticipate the occurrence of such concurrent hematomas (CH) are highlighted. Read More

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http://dx.doi.org/10.4103/ajns.AJNS_87_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6208202PMC
November 2018
2 Reads

Armored Brain Associated with Secondary Craniostenosis Development at 7-year following Ventriculoperitoneal Shunt Surgery during Infancy: Extremely Unusual Association and Review.

Asian J Neurosurg 2018 Oct-Dec;13(4):1175-1178

Department of Forensic Medicine, AIIMS, New Delhi, India.

Calcification is uncommon in chronic subdural hematoma and popularly known as calcified chronic subdural hematoma (CSSDH), and about hundred cases are reported in the form of isolated cases report. The calcified inner membrane of chronic subdural hematoma gets adherent to underlying cerebral cortex preventing re-expansion of the brain and producing mass effect. Calcification can develop in chronic subdural hematoma of traumatic origin or postmeningitic effusion or extremely rarely after shunt surgery. Read More

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http://dx.doi.org/10.4103/ajns.AJNS_263_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6208233PMC
November 2018
3 Reads

The Optimal Operative Timing of Traumatic Intracranial Acute Subdural Hematoma Correlated with Outcome.

Asian J Neurosurg 2018 Oct-Dec;13(4):1158-1164

Department of Surgery, Neurosurgery Unit, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand.

Objective: Acute subdural hematoma (ASDH) has been associated with mortality in traumatic brain injury. The timing of surgical evacuation for ASDH has still been controversial. The object of this study was to determine the temporal and clinical factors associated with outcome following surgery for ASDH. Read More

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http://dx.doi.org/10.4103/ajns.AJNS_199_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6208231PMC
November 2018
2 Reads

Proposal of Treatment Strategies for Bilateral Chronic Subdural Hematoma Based on Laterality of Treated Hematoma.

Asian J Neurosurg 2018 Oct-Dec;13(4):1134-1139

Department of Neurosurgery, Soka Municipal Hospital, Soka, Saitama, Japan.

Background: Chronic subdural hematoma (CSDH) is a disorder that is commonly seen in routine neurosurgery. Although risk factors for recurrence have been studied, the findings are inconsistent. Furthermore, bilateral CSDHs are operated unilaterally or bilaterally depending on symptoms or hematoma volume. Read More

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http://dx.doi.org/10.4103/ajns.AJNS_124_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6208213PMC
November 2018
1 Read

The Role of Medical Treatment in Chronic Subdural Hematoma.

Asian J Neurosurg 2018 Oct-Dec;13(4):976-983

Department of Neurosurgery, NRI Academy of Sciences, Guntur, Andhra Pradesh, India.

Surgery is the standard treatment for chronic subdural hematoma (CSDH), one of the common problems in neurosurgical practice. Although medical treatment was used by some authors and found some positive results, it is not accepted by many authors. The aim of this review is to give overall view of the medical management of CSDH. Read More

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http://dx.doi.org/10.4103/ajns.AJNS_13_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6208261PMC
November 2018
6 Reads

[A Case of Successful Drug Management with Dabigatran and Idarucizumab to Address Embolic and Hemorrhagic Complications for Asymptomatic and Traumatic Subdural Hematoma with Non-valvular Atrial Fibrillation].

No Shinkei Geka 2018 Nov;46(11):983-988

Department of Neurosurgery, Fukuoka University Chikushi Hospital.

A 93-year-old woman incurred a head bruise 5 days prior to presentation, and head CT revealed right subacute subdural hematoma. As she was on direct oral anti-coagulant(DOAC)treatment for non-valvular atrial fibrillation(NVAF), the DOAC administration was stopped temporarily to prevent an increase in the size of the hematoma. Dabigatran treatment was initiated after the confirmation of no change in hematoma size and the follow-up CT revealed a reduction in the hematoma. Read More

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http://dx.doi.org/10.11477/mf.1436203852DOI Listing
November 2018
5 Reads

Delayed Acute Subdural Hematoma in a Young Patient in the Setting of Trauma with No Head Injury.

Am Surg 2018 Apr;84(4):e120-e122

Division of Trauma and Acute Care Surgery, New York Medical College, Westchester Medical, Center, Valhalla, New York, USA.

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April 2018
2 Reads

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

Authors:

Neurosurg Focus 2018 Nov;45(5):E2

OBJECTIVEModern surgical planning and prognostication requires the most accurate outcomes data to practice evidence-based medicine. For clinicians treating children following traumatic brain injury (TBI) these data are severely lacking. The first aim of this study was to assess published CT classification systems in the authors' pediatric cohort. Read More

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https://thejns.org/view/journals/neurosurg-focus/45/5/articl
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http://dx.doi.org/10.3171/2018.8.FOCUS17773DOI Listing
November 2018
3 Reads

[Clinical Experience of Aortic Valve Replacement Using the New Stentless Bioprosthesis].

Kyobu Geka 2018 Nov;71(12):983-988

Second Department of Surgery, Yamagata University Faculty of Medicine, Yamagata, Japan.

Background: The SOLO SMART valve is a bovine pericardial stentless bioprosthesis which shows superior hemodynamic performance compared to the stented valves. It is designed for supraannular and subcoronary implantation. We report our surgical experience and results in patients undergoing aortic valve replacement(AVR) with this new bioprosthesis. Read More

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November 2018
10 Reads

Treatment-refractory Escherichia coli subdural empyema caused by infection of a chronic subdural hematoma in an infant.

Childs Nerv Syst 2018 Nov 16. Epub 2018 Nov 16.

Division of Pediatric Neurosurgery, Department of Neurosurgery, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Introduction: Subdural empyema (SDE) is a neurosurgical emergency that is typically treated with surgical drainage, either by burr hole or by craniotomy. Escherichia coli is an uncommon cause of SDE and is associated with infection of a pre-existing subdural hematoma.

Case Report: We report the case of an otherwise healthy, immunocompetent 4-month-old infant girl with an E. Read More

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http://dx.doi.org/10.1007/s00381-018-4003-7DOI Listing
November 2018
4 Reads

Redistribution of acute traumatic infratentorial subdural hematoma to the spinal subdural space.

Soud Lek 2018 ;63(3):25-28

Spinal subdural hematoma is a rare and potentionally life-threatening condition associated with trauma and other pathological conditions. In this paper we report the autopsy findings of a 64 year old male who was repeatedly hospitalized with traumatic head injuries in the past. In this case spinal subdural hematoma was diagnosed post-mortem and later comfirmed by ante-mortem CT scan revaluation. Read More

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January 2018
2 Reads

The Diffuse and Severe Traumatic Subarachnoid Hemorrhage Being Hard to Distinguish to Aneurysmal Subarachnoid Hemorrhage.

J Craniofac Surg 2018 Nov 15. Epub 2018 Nov 15.

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

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http://dx.doi.org/10.1097/SCS.0000000000004908DOI Listing
November 2018
6 Reads

Chronic subdural hematoma - review article.

Rozhl Chir 2018 ;97(6):253-257

Introduction: Chronic subdural hematoma (ChSDH) is, by definition, a subdural collection of blood older than 21 days. It is not exceptional that ChSDH is diagnosed in regional hospitals and thus we believe that basic knowledge on this topic is relevant for every general surgeon. Below, we summarize information on ChSDH and present simple clinical management guidelines. Read More

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January 2018
7 Reads

Osteogenesis Imperfecta and Extra-/Intradural Hematomas: A Case Report and Review of the Literature.

J Pediatr Genet 2018 Dec 14;7(4):185-190. Epub 2018 Jun 14.

Department of Neurosurgery, Ankara University School of Medicine, Ibni Sina Hospital, Ankara, Turkey.

Osteogenesis imperfecta, also named as brittle bone disease, is characterized by fragile bones and short stature caused by mutations in the collagen gene. Subdural and intraparenchymal hematomas are defined and associated with trauma, vascular causes, and systemic bleeding diathesis. Skull fragility may lead to epidural hematoma, which is a life-threatening situation. Read More

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http://dx.doi.org/10.1055/s-0038-1660826DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6234040PMC
December 2018
2 Reads

Contralateral Subdural Hematoma Following Surgical Evacuation of Acute Subdural Hematoma: Super-Early Intervention and Clinical Implications.

World Neurosurg 2018 Oct 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

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https://linkinghub.elsevier.com/retrieve/pii/S18788750183240
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http://dx.doi.org/10.1016/j.wneu.2018.10.106DOI Listing
October 2018
5 Reads
2.420 Impact Factor

Recurrent Chronic Subdural Hematoma: Report of 13 Cases.

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

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http://www.degruyter.com/view/j/med.2018.13.issue-1/med-2018
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http://dx.doi.org/10.1515/med-2018-0076DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6227846PMC
October 2018
4 Reads

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

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

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https://academic.oup.com/neurosurgery/advance-article/doi/10
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http://dx.doi.org/10.1093/neuros/nyy521DOI Listing
November 2018
9 Reads