12,353 results match your criteria Subdural Hematoma


Mismatch between midline shift and hematoma thickness as a prognostic factor of mortality in patients sustaining acute subdural hematoma.

Trauma Surg Acute Care Open 2021 21;6(1):e000707. Epub 2021 May 21.

Department of Neurology, University of São Paulo, São Paulo, Brazil.

Background: Acute subdural hematoma (ASDH) is a traumatic lesion commonly found secondary to traumatic brain injury. Radiological findings on CT, such as hematoma thickness (HT) and structures midline shift (MLS), have an important prognostic role in this disease. The relationship between HT and MLS has been rarely studied in the literature. Read More

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Letter to the editor: Vascular endothelial growth factor in the pathogenesis of chronic spontaneous subdural hematoma.

Clin Neurol Neurosurg 2021 Jun 2:106718. Epub 2021 Jun 2.

Colombian Clinical Research Group in Neurocritical Care, School of Medicine, University of Cartagena, Cra. 50 #24-120, Cartagena, Colombia. Electronic address:

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Mind Diet Adherence and Cognitive Performance in the Framingham Heart Study.

J Alzheimers Dis 2021 Jun 1. Epub 2021 Jun 1.

The Framingham Heart Study, Framingham, MA, USA.

Background: Adherence to the Mediterranean-DASH for Neurodegenerative Delay (MIND) diet has previously been associated with cognitive decline and dementia. To our knowledge, no prior study has investigated the association between the MIND diet and measures of brain volume, silent brain infarcts (SBIs), or brain atrophy.

Objective: We evaluated whether adherence to the MIND diet associated with superior cognitive function, larger brain volumes, fewer SBIs, and less cognitive decline in the community-based Framingham Heart Study. Read More

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Endoscope-assisted techniques for evacuation of acute subdural haematoma in the elderly: The lesser of two evils? A scoping review of the literature.

Clin Neurol Neurosurg 2021 May 29;207:106712. Epub 2021 May 29.

Department of Neurosurgery, University Hospital of Wales, Cardiff, UK. Electronic address:

Introduction: Surgical evacuation of acute subdural haematoma (ASDH) in the elderly remains a point of contention due to the significant associated mortality. Therefore, there is a dire need for alternative treatment options. Endoscope-assisted techniques (EAT) have been increasingly reported over the last decade with variable outcomes. Read More

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A Novel Protocol for Reducing Intensive Care Utilization After Craniotomy.

Neurosurgery 2021 Jun 5. Epub 2021 Jun 5.

Department of Neurosurgery, Stanford University, Stanford, California, USA.

Background: There is a growing body of evidence suggesting not all craniotomy patients require postoperative intensive care.

Objective: To devise and implement a standardized protocol for craniotomy patients eligible to transition directly from the operating room to the ward-the Non-Intensive CarE (NICE) protocol.

Methods: We preoperatively identified patients undergoing elective craniotomy for simple neurosurgical procedures with age <65 yr and American Society of Anesthesiologists (ASA) class of 1, 2 or 3. Read More

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Impact of time to resumption of antithrombotic therapy on outcomes after surgical evacuation of chronic subdural hematoma: A multicenter cohort study.

J Clin Neurosci 2021 Jul 1;89:389-396. Epub 2021 Jun 1.

Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Division of Neurosurgery, Department of Surgery, National University Hospital, National University Health System, Singapore.

Background: The decision to resume antithrombotic therapy after surgical evacuation of chronic subdural hematoma (CSDH) requires judicious weighing of the risk of bleeding against that of thromboembolism. This study aimed to investigate the impact of time to resumption of antithrombotic therapy on outcomes of patients after CSDH drainage.

Methods: Data were obtained retrospectively from three tertiary hospitals in Singapore from 2010 to 2017. Read More

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Immediate postoperative MRI findings after lumbar decompression surgery: Correlation of imaging features with clinical outcome.

J Clin Neurosci 2021 Jul 2;89:365-374. Epub 2021 Jun 2.

Department of Radiology, Seoul National University Bundang Hospital, Seongnam-si, Gyeonggi-do, South Korea.

An understanding of the common MRI findings observed after decompression surgery is important. However, to date, no study addressing this has been published. The aim of this study was to analyze and describe the immediate postoperative MRI findings after lumbar decompression surgery. Read More

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Chronic subdural hematoma in patients over 65 years old: Results of using a postoperative cognitive evaluation to determine whether to permit return to driving.

Surg Neurol Int 2021 10;12:212. Epub 2021 May 10.

Department of Rehabilitation, Kesennuma City Hospital, Kesennuma, Miyagi, Japan.

Background: Chronic subdural hematoma (CSDH) is usually associated with good recovery with burr hole irrigation and postoperative drainage under local anesthesia. In Japan, traffic accidents by the elderly drivers over 65 years old are severely increasing, and there is no consensus on whether or not to return to driving after CSDH treatment. We perform a postoperative cognitive assessment. Read More

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Acute nontraumatic subdural hematoma from ruptured accessory meningeal artery pseudoaneurysm.

Surg Neurol Int 2021 26;12:186. Epub 2021 Apr 26.

Department of Neurosurgery, Oregon Health and Science University, Portland, Oregon, United States.

Background: Cerebral angiography including internal and external carotid artery injections is crucial in young patients with a spontaneous subdural hematoma.

Case Description: We present the first reported case of an accessory meningeal artery aneurysm in a 46-year-old male with a history of hypertension that led to a spontaneous nontraumatic acute subdural hematoma. A PubMed review of the literature was performed using a keyword search to identify cases examining nontraumatic spontaneous intracranial hematomas related to meningeal artery aneurysms. Read More

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Chronic subdural hematoma presenting as reversible Parkinson-like symptoms and bladder and bowel dysfunction in a patient with schizophrenia.

Indian J Psychiatry 2021 Jan-Feb;63(1):110-112. Epub 2021 Feb 15.

Department of Psychiatry, Teaching Hospital, Ratnapura, Sri Lanka. E-mail:

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February 2021

Low yield of head CT in cirrhotic patients presenting with hepatic encephalopathy.

BMJ Open Gastroenterol 2021 Jun;8(1)

Gastroenterology and Hepatology, William Beaumont Hospital, Royal Oak, Michigan, USA.

Goals And Background: The utility of routine head CT (HCT) in hepatic encephalopathy (HE) evaluation is unclear. We investigated HCT yield in detecting acute intracranial abnormalities in cirrhotic patients presenting with HE.

Study: Retrospective review of cirrhotic patient encounters with HE between 2016 and 2018 at Beaumont Health, in Michigan was performed. Read More

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Extra-axial haemorrhage in a patient with Alport syndrome after epidural anaesthesia.

BMJ Case Rep 2021 Jun 3;14(6). Epub 2021 Jun 3.

Department of Obstetrics & Gynaecology, Ipswich Hospital, Ipswich, Queensland, Australia.

Extra-axial haemorrhage following epidural anaesthesia is extremely rare. We present the case of an 18-year-old G1P0 woman with Alport syndrome who had a ventouse delivery for failure to progress that was complicated by a postpartum tonic-clonic seizure. Clinically, and confirmed radiologically, the patient was found to have experienced an extra-axial haemorrhage (extradural and subdural haemorrhage) secondary to a cerebrospinal fluid leak caused by a dural puncture during epidural anaesthesia. Read More

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Bilateral arachnoid cyst-associated subdural fluid collections in an infant following TBI.

J Forensic Leg Med 2021 May 21;81:102189. Epub 2021 May 21.

Department of Pediatrics, Harbor-UCLA Medical Center, Torrance, CA, United States.

Introduction: arachnoid cyst-associated subdural fluid collections have been documented in children and adults following traumatic brain injury (TBI). However, this phenomenon has not been previously demonstrated in infants less than 12 months of age. We present a case of an infant with bilateral arachnoid cyst-associated subdural fluid collections identified after TBI. Read More

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Spontaneous Intracranial Hypotension.

Authors:
Shuu-Jiun Wang

Continuum (Minneap Minn) 2021 06;27(3):746-766

Purpose Of Review: Spontaneous intracranial hypotension is a disorder caused by spinal CSF leakage. This article reviews the clinical presentation, diagnosis, and treatment of spontaneous intracranial hypotension.

Recent Findings: The hallmark symptom of spontaneous intracranial hypotension is acute orthostatic headache; however, clinical presentations can be heterogeneous. Read More

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Acute Subdural Hematoma in High School Rugby Players in Japan: The Importance of Playing Experience for Injury Prevention.

World Neurosurg 2021 May 24. Epub 2021 May 24.

Faculty of Liberal Arts, Tokyo City University, Tokyo, Japan.

Objectives: Acute subdural hematoma (ASDH) is known to be devasting sport-related head injury but it is relatively rare in rugby compared with other contact sports. Certain cases of ASDH have happened in high school rugby players in Japan. To prevent them from the injury we report a background of the players. Read More

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Re-evaluation of medical findings in alleged shaken baby syndrome and abusive head trauma in Norwegian courts fails to support abuse diagnoses.

Acta Paediatr 2021 May 27. Epub 2021 May 27.

Department of Radiology, Uppsala University, Uppsala, Sweden.

Aim: The criteria for diagnosing abusive head trauma (AHT) are not well defined and this condition might be diagnosed on failing premises. Our aim was to review criminal AHT cases in Norwegian courts by scrutinising the underlying medical documentation.

Methods: Cases were identified in the data registry for Norwegian courts from 2004 to 2015. Read More

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Clinical Deterioration and Neurocritical Care Utilization in Pediatric Patients With Glasgow Coma Scale Score of 9-13 After Traumatic Brain Injury: Associations With Patient and Injury Characteristics.

Pediatr Crit Care Med 2021 May 12. Epub 2021 May 12.

1 Department of Critical Care Medicine, University of Pittsburgh, Pittsburgh, PA. 2 Department of Pediatrics, University of Pittsburgh, Pittsburgh, PA. 3 Safar Center for Resuscitation Research, Department of Critical Care Medicine, University of Pittsburgh, Pittsburgh, PA. 4 Brain Care Institute, Children's Hospital of Pittsburgh, Pittsburgh, PA. 5 Department of Pediatrics, Division of Critical Care Medicine, Vanderbilt University School of Medicine, Nashville, TN. 6 Department of Neurosurgery, University of Texas at Austin, Austin, TX. 7 Department of Surgery, University of Pittsburgh, Pittsburgh, PA. 8 Children's Neuroscience Institute, Pittsburgh, PA. 9 Department of Environmental and Occupational Health, University of Pittsburgh, Pittsburgh, PA.

Objectives: To define the clinical characteristics of hospitalized children with moderate traumatic brain injury and identify factors associated with deterioration to severe traumatic brain injury.

Design: Retrospective cohort study.

Setting: Tertiary Children's Hospital with Level 1 Trauma Center designation. Read More

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Do statins reduce the rate of revision surgery after chronic subdural hematoma drain?

Acta Neurochir (Wien) 2021 Jul 25;163(7):1843-1848. Epub 2021 May 25.

Department of Neurosurgery, University Hospital Carl Gustav Carus, Technische Universität Dresden, Fetscherstrasse 74, 01307, Dresden, Germany.

Background: With chronic subdural hematoma (CSDH), surgery is the therapeutic mainstay for large or symptomatic cases. Statins are reported to be effective as the primary therapy of CSDH to obviate the need for surgery. However, the effect of statins on the postoperative course of CSDH is largely unclear. Read More

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Predictive factors of 30-day mortality in patients with traumatic subdural hematoma.

Exp Ther Med 2021 Jul 13;22(1):757. Epub 2021 May 13.

Department of Neurosurgery, Faculty of Medicine, 'Iuliu Hațieganu' University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania.

In the present study, we aimed to assess and analyze the predictive factors of 30-day mortality in patients with acute subdural hematoma (ASDH) who underwent surgical intervention after traumatic brain injury (TBI). We conducted a retrospective study, which included a cohort of 135 consecutive patients diagnosed with ASDH who required surgical evacuation. We assessed the demographic and clinical data, the imaging data of the hematoma described by preoperative computed tomography (CT) and the type of neurosurgical intervention for hematoma evacuation via either craniectomy or craniotomy. Read More

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Cerebrovascular diseases in two patients with entire NSD1 deletion.

Hum Genome Var 2021 May 24;8(1):20. Epub 2021 May 24.

Department of human genetics, Yokohama City University Graduate School of Medicine, Yokohama, Kanagawa, Japan.

We describe two patients with NSD1 deletion, who presented with early-onset, or recurrent cerebrovascular diseases (CVDs). A 39-year-old female showed developmental delay and abnormal gait in infancy, and developed slowly-progressive intellectual disability and movement disorders. Brain imaging suggested recurrent parenchymal hemorrhages. Read More

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The Mini-Craniotomy for cSDH Revisited: New Perspectives.

Front Neurol 2021 6;12:660885. Epub 2021 May 6.

Department of Neurological Surgery, University of California, Irvine, Orange, CA, United States.

Chronic subdural hematomas (cSDH) are increasingly prevalent worldwide with the increased aging population and anticoagulant use. Different surgical, medical, and endovascular treatments have had varying success rates. Primary neurosurgical interventions include burr hole drainage of the cSDH and mini-craniotomies/craniotomies with or without fenestration of the inner membrane. Read More

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Perioperative prophylactic middle meningeal artery embolization for chronic subdural hematoma: a series of 44 cases.

J Neurosurg 2021 May 21:1-9. Epub 2021 May 21.

Objective: Chronic subdural hematoma (cSDH) is a common and challenging pathology to treat due to both the historically high recurrence rate following surgical evacuation and the medical comorbidities inherent in the aging patient population that it primarily affects. Middle meningeal artery (MMA) embolization has shown promise in the treatment of cSDHs, most convincingly to avoid surgical evacuation in relatively asymptomatic patients. Symptomatic patients requiring surgical evacuation may also benefit from perioperative MMA embolization to prevent cSDH recurrence. Read More

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Outcome and its predictors in traumatic brain injury in elderly population: Institutional study from Northern India.

J Family Med Prim Care 2021 Jan 30;10(1):289-294. Epub 2021 Jan 30.

Department of Neurosurgery, Dayanand Medical College and Hospital, Ludhiana, Punjab, India.

Introduction: Traumatic brain injury (TBI) is a leading cause of death and disability worldwide. Survival and functional outcome is significantly poor in the elderly population. There is a need to develop better geriatric specific prognostic models and evidence-based geriatric traumatic brain injury management protocols for better treatment, rehabilitation, and prevention. Read More

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January 2021

The utility of routine post-hospitalization CT imaging in patients with non-operative mild to moderate traumatic brain injury.

Brain Inj 2021 May 16:1-5. Epub 2021 May 16.

Department of Neurosurgery, University of Florida College of Medicine, Gainesville, Florida, USA.

The purpose of this study was to determine the utility of CT imaging in patients with non-operative mild-moderate TBI with respect to changes in management. We conducted a retrospective analysis for 191 patients over a 5-year interval to examine whether follow-up CT initiated a change in management. We created a logistic regression model to incorporate different variables contributing to change in management. Read More

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Improving Neurosurgery Education Using Social Media Case-Based Discussions: A Pilot Study.

World Neurosurg X 2021 Jul 31;11:100103. Epub 2021 Mar 31.

Department of Neurosurgery, The Royal London Hospital, Barts Health NHS Trust, London, United Kingdom.

Background: The increasing shift toward a more generalized medical undergraduate curriculum has led to limited exposure to subspecialties, including neurosurgery. The lack of standardized teaching may result in insufficient coverage of core learning outcomes. Social media (SoMe) in medical education are becoming an increasingly accepted and popular way for students to meet learning objectives outside formal medical school teaching. Read More

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Dural Metastasis from Breast Carcinoma Mimicking Sub-acute Subdural Hematoma: a Case Report.

Indian J Surg Oncol 2021 Apr 1;12(Suppl 1):197-200. Epub 2021 Feb 1.

Department of Neurosurgery, Hospital Universitari de Girona Doctor Josep Trueta, Avinguda de França S/N, 17007 Girona, Spain.

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Republished: Resolution of an enlarging subdural haematoma after contralateral middle meningeal artery embolisation.

J Neurointerv Surg 2021 May 13. Epub 2021 May 13.

Department of Neurosurgery, Barrow Neurological Institute, St Joseph's Hospital and Medical Center, Phoenix, Arizona, USA

A man in his 50s presented 1 month after an automobile accident with worsening headaches and an enlarging chronic left subdural haematoma (SDH). He underwent left middle meningeal artery (MMA) embolisation. Due to tortuosity at its origin, we were unable to catheterise the MMA distally. Read More

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Usefulness of Diffusion Tensor Imaging in Unexplained Ipsilateral Hemiplegia.

Korean J Neurotrauma 2021 Apr 18;17(1):61-66. Epub 2021 Mar 18.

Department of Rehabilitation Medicine, Kwangju Christian Hospital, Gwangju, Korea.

Ipsilateral hemiparesis is a rare and challenging sign in clinical neurological practice. Although the etiology of this manifestation is poorly understood, recent studies have attempted to probe the pathomechanism of this sign with advanced radiological techniques. Additional knowledge about the lesion and unraveling the pathomechanisms causing neurological impairments are important to predict the prognosis and clinical course and to aid in rehabilitation. Read More

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