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    1 OF 206

    Is the recurrence rate of chronic subdural hematomas dependent on the duration of drainage?
    Neurol Res 2017 Feb 22:1-4. Epub 2017 Feb 22.
    a Faculty of Medicine, Department of Neurosurgery , Bülent Ecevit University , Zonguldak , Turkey.
    Objectives: Chronic subdural hematoma (CSDH) is the most frequent type of intracranial hemorrhage which especially affects the elderly. Various surgical techniques have been reported for CSDH treatment; optimal treatment methods are still controversial. In this study, the effects of long drainage durations on results and recurrences were investigated in patients on whom closed system drainage with burr hole craniotomy was applied due to CSDH. Read More

    Severe head injury in very old patients: to treat or not to treat? Results of an online questionnaire for neurosurgeons.
    Neurosurg Rev 2017 Feb 20. Epub 2017 Feb 20.
    Department of Neurosurgery, Medical University of Innsbruck, 6020, Innsbruck, Austria.
    Due to the aging population, neurosurgeons are confronted with an increasing number of very old patients suffering from traumatic brain injury. Many of these patients present with an acute subdural hematoma. There is a lack of data on neurosurgical decision-making in elderly people. Read More

    Routine placement of subdural drain after burr hole evacuation of chronic and subacute subdural hematoma: a contrarian evidence based approach.
    Neurosurg Rev 2017 Feb 20. Epub 2017 Feb 20.
    Department of Neurological Sciences, Christian Medical College, Vellore, Tamilnadu, 632004, India.
    The objective of this paper was to evaluate whether available evidence supporting placement of subdural drain placement after evacuation of chronic subdural haematoma (CSDH) is applicable to a cohort of patients managed by us. In this observational cohort study, clinical follow-up was obtained in 166 patients who underwent burr hole evacuation of CSDH without placement of subdural drain followed by 3 days of bed rest. The primary outcome studied was recurrence requiring reoperation. Read More

    Idiopathic bilateral chronic subdural hematoma with left internal carotid artery infarct in a 3 months infant: A rare case report.
    J Pediatr Neurosci 2016 Oct-Dec;11(4):364-366
    Department of Neurosurgery, Command Hospital (SC), Wanwadi, Pune, Maharashtra, India.
    Spontaneous chronic subdural hematoma (CSH) in infants is extremely rare. A very limited number of cases are known and reported in literature. The clinical presentation can be myriad varying from asymptomatic cases to gross neurological deficits. Read More

    Subdural hematoma occurred after spinal anesthesia in a human immunodeficiency virus-infected patient.
    Saudi J Anaesth 2017 Jan-Mar;11(1):102-105
    Department of Anesthesiology and Pain Medicine, Ilsan Paik Hospital, Inje University College of Medicine, Seoul, Korea.
    A 25-year-old male patient who was infected with human immunodeficiency virus (HIV) underwent a condyloma excision under spinal anesthesia. The patient complained of suspicious postdural puncture headache. The patient did not respond to conservative management. Read More

    The association of surgical method with outcomes of acute subdural hematoma patients: experience with 643 consecutive patients.
    World Neurosurg 2017 Feb 12. Epub 2017 Feb 12.
    Department of Neurosurgery, Hospital of Lithuanian University of Health Sciences, Kaunas, Lithuania; Neuroscience Institute, Lithuanian University of Health Sciences, Kaunas, Lithuania.
    Objective: Optimal surgical management strategy of acute subdural hematoma (ASDH) patients is challenging. We investigated the association of decompressive craniectomy (DC) and osteoplastic craniotomy (OC) with outcomes in consecutive patients undergoing surgical evacuation of ASDH, and analyzed prognostic indicators.

    Methods: We reviewed prospective institutional database of all adult ASDH patients operated by craniotomy from January, 2009 until January, 2016. Read More

    Epileptic seizures in patients following surgical treatment of acute subdural hematoma - incidence, risk factors, patient outcome and development of a new scoring system for prophylactic antiepileptic treatment (GATE 24-score).
    World Neurosurg 2017 Feb 14. Epub 2017 Feb 14.
    Department of Neurosurgery, University Hospital, Goethe-University, Frankfurt am Main, Germany.
    Object: Clinically evident or subclinical seizures are common manifestation in acute subdural hematoma (aSDH); however, there is a paucity of research investigating the relationship between seizures and aSDH. The purpose of this study is, firstly to determine incidence, predictors of seizures and secondly establish a guideline in patients with aSDH to standardize the decision for prophylactic antiepileptic treatment.

    Method: The author analyzed 139 patients with aSDH treated from 2007 until 2015. Read More

    Titanium Clamps for a Simple Low-Profile Autologous Osteosynthesis in the Reconstruction of Posttraumatic Craniofacial Convexital Skeletal Disruption.
    Craniomaxillofac Trauma Reconstr 2017 Mar 17;10(1):29-34. Epub 2016 Oct 17.
    Department of Neurological Surgery, University College Hospital, Ibadan, Nigeria.
    Attempts at reconstruction of posttraumatic craniofacial defects (PTCDs) can be a challenge in low-resource practice areas of the world where the needed biomaterials are logistically beyond reach. A simple low-profile technique of autologous osteosynthesis for PTCD using the titanium clamps is presented in this report. In addition, a 6-year prospective database on a consecutive cohort of patients who underwent this procedure was analyzed for clinical, functional, and aesthetic outcomes, both in-hospital and at midterm follow-up. Read More

    [Emergency Decompressive Craniotomy in the Emergency Room was Effective in Severe Acute Subdural Hematoma Treatment:Two Case Reports].
    No Shinkei Geka 2017 Feb;45(2):155-160
    Department of Emergency and Critical Care Medicine, Saiseikai Shiga Hospital.
    The outcome of severe acute subdural hematoma is unfavorable. In particular, patients with levels of consciousness of Glasgow Coma Scale(GCS)3 or 4 tend to be refractory to treatment. Decompressive craniotomy should be promptly performed to remove hematoma. Read More

    Cervical spine imaging for young children with inflicted trauma: Expanding the injury pattern.
    J Pediatr Surg 2017 Jan 30. Epub 2017 Jan 30.
    Division of Pediatric Neurosurgery, Loma Linda University Children's Hospital, Loma Linda, CA.
    Aim: The purpose of this study was to document the incidence and pattern of cervical spine (c-spine) injuries in children below 36months with inflicted trauma.

    Methods: An IRB approved, prospective cohort study was performed between July 2011 and January 2016. Inclusion criteria were: age below 36months, loss of consciousness after inflicted trauma, and one initial head computed tomography finding: a subdural, intraventricular, intraparenchymal, subarachnoid hemorrhage, diffuse axonal injury, hypoxic injury, or cerebral edema. Read More

    Subdural hematoma as a major determinant of short-term outcomes in traumatic brain injury.
    J Neurosurg 2017 Feb 10:1-14. Epub 2017 Feb 10.
    Warren Alpert Medical School of Brown University.
    OBJECTIVE Early radiographic findings in patients with traumatic brain injury (TBI) have been studied in hopes of better predicting injury severity and outcome. However, prior attempts have generally not considered the various types of intracranial hemorrhage in isolation and have typically not excluded patients with potentially confounding extracranial injuries. Therefore, the authors examined the associations of various radiographic findings with short-term outcome to assess the potential utility of these findings in future prognostic models. Read More

    Coexistence of Subdural Hematoma and a Rare Cardiopathy in an Infant: Etiological and French Medicolegal Discussion.
    J Forensic Sci 2017 Feb 10. Epub 2017 Feb 10.
    Department of Forensic Pathology, Assistance Publique-Hôpitaux de Marseille (APHM), CHU Timone, 13385, Marseille Cedex 5, France.
    During legal proceedings following the unexpected death of an infant, the magistrate calls on an expert to clarify the causes of death and to decide on the course to be taken. A report was made following the death of a 7-month-old baby girl after recovery from cardiac arrest when investigations of the cause revealed a subdural hematoma (SDH). We discuss the interconnection of these two entities and their role in the lethal process. Read More

    Refractory Spontaneous Chronic Subdural Hematoma: A Rare Presentation of an Intracranial Arteriovenous Fistula.
    J Cerebrovasc Endovasc Neurosurg 2016 Dec 31;18(4):373-378. Epub 2016 Dec 31.
    Department of Neurosurgery, Dongsan Medical Center, Keimyung University School of Medicine, Daegu, Korea.
    The author has encountered a 67-year-old man with dural arteriovenous fistula (AVF) presenting as a non-traumatic chronic subdural hematoma (CSDH). This previously healthy patient was hospitalized due to progressive headache with subacute onset. He underwent burr-hole surgery twice for evacuating the left CSDH that was thickest at the posterior temporal area. Read More

    Statins in conditions other than hypocholesterolemic effects for chronic subdural hematoma therapy, old drug, new tricks?
    Oncotarget 2017 Jan 4. Epub 2017 Jan 4.
    Department of Hepatobiliary Surgery, Zhejiang Provincial People's Hospital, Hangzhou, China.
    Chronic subdural hematoma (CSDH) is one of the most common intracranial hematomas worldwide with a high incidence in the general population. However, the optimum treatment for CSDH is Burr-hole drainage with or without rinse Considering the poor outcomes of CSDH in aged patients, and ambiguous prediction of recurrence in many sides of recurrent CSDHs who have been analyzed, new effective therapies are needed for those CSDHs who are predicated to have poor prognosis for surgery and/or have a higher risk of recurrence. Statins, which is the first-line treatment for patients with high cholesterol and coronary heart disease. Read More

    Chronic Subdural Hematoma Associated with Thrombocytopenia in a Patient with Human Immunodeficiency Virus Infection in Cameroon.
    Case Rep Neurol Med 2017 10;2017:5395829. Epub 2017 Jan 10.
    Buea Regional Hospital, Southwest Region, Cameroon.
    Hematological abnormalities including thrombocytopenia are common in patients living with HIV infection. Patients with HIV infection related thrombocytopenia present generally with only minor bleeding problems. But cases of subdural hematoma are very rare. Read More

    Anatomical complications of epidural anesthesia: A comprehensive review.
    Clin Anat 2017 Feb 6. Epub 2017 Feb 6.
    Epidural anesthesia is a versatile technique widely used in treating lumbar spinal pain syndromes. Complications during these procedures can arise either from needle placement or from administration of medication. Potential risks include infection, hematoma, intravascular or subdural injections of medication, direct nerve trauma, air embolism, entry into a disc space, urinary retention, radiation exposure, and hypersensitivity reactions. Read More

    Present epidemiology of chronic subdural hematoma in Japan: analysis of 63,358 cases recorded in a national administrative database.
    J Neurosurg 2017 Feb 3:1-7. Epub 2017 Feb 3.
    Department of Neurosurgery, Kawasaki Medical School, Kurashiki, Okayama.
    OBJECTIVE Aging of the population may lead to epidemiological changes with respect to chronic subdural hematoma (CSDH). The objectives of this study were to elucidate the current epidemiology and changing trends of CSDH in Japan. The authors analyzed patient information based on reports using a Japanese administrative database associated with the diagnosis procedure combination (DPC) system. Read More

    Pituitary gland trauma in fatal nonsurgical closed traumatic brain injury.
    Brain Inj 2017 Feb 3:1-4. Epub 2017 Feb 3.
    b Department of Pathology and Forensic medicine , Lagos State University College of Medicine and Lagos State University Teaching Hospital , Ikeja , Lagos , Nigeria.
    Background: Traumatic injury to pituitary gland can lead to significant endocrine dysfunctions. The aim of this study is to define the frequency of pituitary gland injury in patients with fatal nonsurgical closed traumatic brain injury (TBI), and to correlate if any, the type of craniocerebral injury associated with the pituitary gland injury.

    Methods: The study is a prospective autopsy review of 30 adult patients with fatal closed TBI. Read More

    CT of the head for acute stroke: Diagnostic performance of a tablet computer prior to intravenous thrombolysis.
    J Med Imaging Radiat Oncol 2017 Feb 3. Epub 2017 Feb 3.
    Department of Radiology, Cork University Hospital, Cork, Ireland.
    Introduction: The authors propose that tablet computers could benefit patients with acute stroke in the remote care setting, where time to and accuracy of CT interpretation greatly influences patient outcome.

    Methods: One hundred and fifty consecutive patients who presented to the Emergency Department of a tertiary referral neurosciences centre within a time window suitable for intravenous thrombolytic therapy were included. Images were wirelessly transmitted to a tablet computer (iPad 3rd Generation, model = A1430, Apple, Cupertino, CA) and were reviewed by radiologists with three levels of experience for signs of intracranial haemorrhage, large vessel occlusion and parenchymal infarction. Read More

    Intraoperative indocyanine green (ICG)-based cortical perfusion assessment in patients suffering from severe traumatic brain injury.
    World Neurosurg 2017 Jan 27. Epub 2017 Jan 27.
    Department of Neurosurgery, Medical Faculty, Heinrich-Heine-University, Düsseldorf, Moorenstraße 5, D-40225 Düsseldorf, Germany.
    The pathophysiology of traumatic brain injury (TBI) largely involves the brains vascular structural integrity. We analyzed the value of an intraoperative cortical ICG-angiography in patients with severe TBI and acute subdural hematoma who underwent decompressive craniectomy. Indocyanine green (ICG)-derived fluorescence curves of cortex and cerebral vessels were recorded using a software integrated into a surgical microscope in 10 patients. Read More

    Burr-Hole Drainage for Chronic Subdural Hematoma under Low-Dose Acetylsalicylic Acid: a Comparative Risk Analysis Study.
    World Neurosurg 2017 Jan 27. Epub 2017 Jan 27.
    Department of Neurosurgery, University Hospital of Basel, Basel, Switzerland.
    Background: Chronic subdural hematoma (cSDH) is one of the most common neurosurgical diseases typically affecting elderly people. Many of these patients present with coronary artery disease (CAD) and receive antiplatelet therapy, usually Acetylsalicylic acid (ASA). Despite growing clinical relevance, there is still a lack of data focusing on the perioperative management of such patients. Read More

    Diagnosis in subdural myeloid sarcoma.
    Neuroradiol J 2017 Jan 1:1971400916689343. Epub 2017 Jan 1.
    1 Brizbrain and Spine, Brisbane, Australia.
    Introduction A 74-year-old man presented to hospital with a headache, thrombocytopaenia and an acute deterioration in cognition on a background of acute monocytic leukaemia in remission. Method This is a case report with computed tomography (CT), magnetic resonance (MR) and histopathology imaging. Results Preoperative CT and limited MR demonstrated a subdural lesion with marked midline shift. Read More

    Insufficient evidence for 'shaken baby syndrome' - a systematic review.
    Acta Paediatr 2017 Jan 27. Epub 2017 Jan 27.
    Department of Community Medicine and Rehabilitation, Forensic Medicine, Umeå University, Umeå, Sweden.
    Shaken baby syndrome has typically been associated with findings of subdural haematoma, retinal haemorrhages and encephalopathy, which are referred to as the triad. During the last decade, however, the certainty with which the triad can indicate that an infant has been violently shaken has been increasingly questioned. The aim of this study was to determine the diagnostic accuracy of the triad in detecting that an infant had been shaken. Read More

    Traumatic subdural hematoma: Is there a weekend effect?
    Clin Neurol Neurosurg 2017 Jan 22;154:67-73. Epub 2017 Jan 22.
    University of Kansas Medical Center, Department of Neurology MS 2012, 3599 Rainbow Blvd, Kansas City, KS 66160, USA. Electronic address:
    Objective: Traumatic subdural hematoma (TSDH) is a surgical emergency. The effect of weekend admission on surgery and in-hospital outcomes in TSDH is not known.

    Methods: We queried the Nationwide Inpatient Sample from 2002 to 2011 and used ICD-9-CM codes to identify all non-elective admissions with a primary diagnosis of TSDH. Read More

    Initial Experience With Minimally Invasive Surgical Exclusion of the Left Atrial Appendage With an Epicardial Clip.
    Innovations (Phila) 2017 Jan/Feb;12(1):28-32
    From the Mercy Hospital and Kendall Regional Medical Center, Florida Heart and Vascular Care, Miami, FL USA; and Aventura Medical Center, Aventura, FL USA.
    Objective: Atrial fibrillation (AF) is the primary cardiac abnormality associated with ischemic stroke. Atrial fibrillation affects 2.7 million people with a stroke rate of 3. Read More

    Clinical Observation of Treatment of Chronic Subdural Hematoma With Novel Double Needle Minimally Invasive Aspiration Technology.
    J Craniofac Surg 2017 Jan 23. Epub 2017 Jan 23.
    *Department of Neurosurgery, Suzhou Kowloon Hospital Affiliated With Shanghai Jiao Tong University School of Medicine †Department of Neurosurgery, The First People's Hospital of Kunshan Affiliated With Jiangsu University, Suzhou, China.
    Objective: The aim of the present study was to explore the clinical effects, including the prevention of complications, of the treatment of chronic subdural hematoma with double needle aspiration.

    Methods: The clinical data of 31 patients with chronic subdural hematoma treated by double YL-1 needle double skull drilling and 31 controls treated by traditional drilling and drainage were analyzed retrospectively.

    Results: In the YL-1 needle group, only 1 patient was with hematoma recurrence, 1 patient was with intracranial pneumocephalus, and the remaining patients who were followed up for 3 months achieved a clinical cure. Read More

    Subdural Hematoma: A Rare Adverse Complication From Bone-Anchored Hearing Aid Placement.
    Otol Neurotol 2017 Mar;38(3):360-363
    Ear, Nose and Throat Surgery, University Hospital Lewisham, Lewisham and Greenwich NHS Trust, London, United Kingdom.
    Objective: Bone-anchored hearing aids (BAHA) are bone conduction hearing aids commonly implantated by Ear, Nose, and Throat surgeons. We present the first documented case of a subdural hematoma secondary to primary fixation of a BAHA.

    Patient: We present a 65-year-old male patient undergoing a left sided BAHA for bilateral chronic ear infections and difficulty wearing conventional hearing aids. Read More

    Mathematical formulae to estimate chronic subdural haematoma volume. Flawed assumption regarding ellipsoid morphology.
    J Clin Neurosci 2017 Jan 19. Epub 2017 Jan 19.
    Department of Neurosurgery, The Townsville Hospital, Douglas, Townsville 4810, Queensland, Australia; School of Medicine and Dentistry, James Cook University, Douglas, Townsville 4810, Queensland, Australia.
    Mathematical formulae are commonly used to estimate intra-cranial haematoma volume. Such formulae tacitly assume an ellipsoid geometrical morphology. Recently, the 'XYZ/2' formula has been validated and recommended for chronic subdural haematoma (CSDH) volumetric estimation. Read More

    Twist drill procedure for chronic subdural hematoma evacuation - an analysis of predictors for treatment success.
    World Neurosurg 2017 Jan 18. Epub 2017 Jan 18.
    Department of Neurosurgery, RWTH Aachen University, Pauwelsstr. 30, 52074 Aachen, Germany.
    Background: Twist drill craniostomy (TDC) is a "minimally invasive" and cost-effective technique to treat chronic subdural hematomas (CSDH). Predictors for treatment success such as imaging characteristics, hematoma volume, and drainage volume - are not established, thus they are purpose of this analysis.

    Material And Methods: We retrospectively evaluated all data of CSDH patients undergoing TDC in our institution between January 2010 and December 2013. Read More

    The efficacy and risk of cerebrospinal fluid drainage for thoracoabdominal aortic aneurysm repair: a retrospective observational comparison between drainage and non-drainage†.
    Interact Cardiovasc Thorac Surg 2017 Jan 20. Epub 2017 Jan 20.
    Department of Cardiac Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, Aichi, Japan.
    Objectives: We reviewed our experiences with thoracoabdominal aortic aneurysm (TAAA) repair to assess the efficacy of cerebrospinal fluid drainage (CSFD) to prevent the neurological deficits and complications associated with CSFD.

    Methods: Between 2002 and 2015, 118 patients underwent TAAA repair. Seventy-eight patients underwent CSFD for 2. Read More

    Membrane surface-area:volume ratio in Chronic Subdural Haematomas.'Critical size' and potential post-operative target.
    World Neurosurg 2017 Jan 17. Epub 2017 Jan 17.
    Department of Marine & Tropical Biology, James Cook University, Douglas, Townsville 4810, Queensland, Australia.
    Background: It is unknown why some chronic subdural haematomas (CSDH) grow and require surgery, whilst others spontaneously resolve. Although a relatively small CSDH volume (V) reduction may induce resolution, V% reduction is often unreliable in predicting resolution. Whilst CSDH evolve distinctive inner and outer neo- membranes (IM and OM), the OM likely dominates the dynamic growth-resorption equilibrium. Read More

    Rapid Spontaneously Resolving Acute Subdural Hematoma.
    J Craniofac Surg 2017 Jan 18. Epub 2017 Jan 18.
    *Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu †Department of Neurosurgery, First Affiliated Hospital of Kunming Medical University, Kunming ‡Department of Radiology, West China Hospital, Sichuan University, Chengdu, China.
    Introduction: This study reports a rare patient of a rapid spontaneously resolving acute subdural hematoma. In addition, an analysis of potential clues for the phenomenon is presented with a review of the literature.

    Patient Presentation: A 1-year-and-2-month-old boy fell from a height of approximately 2 m. Read More

    Treatment of chronic subdural hematomas with subdural evacuating port system placement in the intensive care unit: evolution of practice and comparison with bur hole evacuation in the operating room.
    J Neurosurg 2017 Jan 20:1-6. Epub 2017 Jan 20.
    Department of Neurosurgery, Kaiser Permanente, Redwood City.
    OBJECTIVE The aims of this study were to evaluate a multiyear experience with subdural evacuating port system (SEPS) placement for chronic subdural hematoma (cSDH) in the intensive care unit at a tertiary neurosurgical center and to compare SEPS placement with bur hole evacuation in the operating room. METHODS All cases of cSDH evacuation were captured over a 7-year period at a tertiary neurosurgical center within an integrated health care delivery system. The authors compared the performance characteristics of SEPS and bur hole placement with respect to recurrence rates, change in recurrence rates over time, complications, length of stay, discharge disposition, and mortality rates. Read More

    Timing of anticoagulant re-initiation following intracerebral hemorrhage in mechanical heart valves: Survey of neurosurgeons and thrombosis experts.
    Clin Neurol Neurosurg 2017 Jan 16;154:23-27. Epub 2017 Jan 16.
    Division of Hematology, Department of Medicine, Ottawa, Canada; The Ottawa Hospital Research Institute, Ottawa, Canada.
    Background: While oral anticoagulation (OAC) is universally indicated for patients with mechanical heart valves (MHVs), OAC resumption following anticoagulant-associated intracerebral hemorrhage (ICH) is an area of uncertainty. We sought to determine the practice preferences of North American neurosurgeons and thrombosis experts on optimal timing of OAC re-initiation.

    Methods: A cross-sectional survey was disseminated to North American members of the American Association of Neurological Surgeons and the International Society for Thrombosis and Haemostasis. Read More

    The conservative and pharmacological management of chronic subdural haematoma.
    Swiss Med Wkly 2017 Jan 19;147:w14398. Epub 2017 Jan 19.
    Department of Neurosurgery, University Hospital of Basel, Basel, Switzerland.
    Chronic subdural haematoma (cSDH), one of the most common neurosurgical entities, occurs typically in elderly patients. The incidence is expected to double by the year 2030, owing to the continuous aging of the population. Surgery is usually the treatment of choice, but conservative treatment may be a good alternative in some situations. Read More

    [A case of idiopathic hypertrophic cranial pachymeningitis presenting as chronic subdural hematoma].
    Zhejiang Da Xue Xue Bao Yi Xue Ban 2016 May;45(5):540-543
    Clinical Pathology Diagnosis Center, Ningbo 315031, China.
    A 26-year-old male presented with a 6-day history of paroxysmal headache which was worsen with nausea and vomiting for 1 day. Head CT on admission revealed left chronic subdural hematoma with midline shift. An emergency Burr hole drainage for hematoma was performed. Read More

    Spontaneous subdural haemorrhage due to meningioma in the post-partum setting.
    J Clin Neurosci 2017 Jan 11. Epub 2017 Jan 11.
    Department of Cancer Imaging, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia; Monash Imaging, Monash Health, Clayton, Victoria, Australia. Electronic address:
    An acute presentation of a meningioma with spontaneous haemorrhage is rare, with mechanisms of haemorrhage remaining unclear. Here, we present a case of a meningioma causing spontaneous intra-tumoural and subdural haemorrhage in the post-partum setting, to our knowledge not previously described, with review of pertinent literature. Read More

    Spontaneous Intracranial Hypotension With Site of Leak Detected Only After 111In-DTPA Cisternogram.
    Clin Nucl Med 2017 Jan 10. Epub 2017 Jan 10.
    From the Departments of *Radiology, and †Nuclear Medicine, University of Washington, Seattle, WA.
    A 54-year-old man with a 3-week history of orthostatic headache and acute on chronic subdural hematoma presented with imaging findings suggestive of spontaneous intracranial hypotension. Three myelograms were negative for leak, and nontargeted epidural blood patches did not result in symptom relief. A cerebrospinal fluid leak study using In-DTPA with SPECT/CT demonstrated a focal area of asymmetric activity at the left C2 nerve root. Read More

    Clinical audit effectively bridges the evidence-practice gap in chronic subdural haematoma management.
    Acta Neurochir (Wien) 2017 Jan 11. Epub 2017 Jan 11.
    Department of Neurosurgery, King's College Hospital, Denmark Hill, London, SE5, UK.
    Background: Placement of a subdural drain after drainage of chronic subdural haematoma (CSDH) has been shown to reduce the rate of recurrence in several randomised controlled trials (RCT). The most recently published RCT was from Cambridge, UK, in 2009. Despite class I evidence for the use of subdural drains, it is unclear whether these results have been translated into clinical practice. Read More

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