11,164 results match your criteria Subdural Hematoma


Spontaneous Subdural Hematoma in a Patient with Polycythemia Vera.

World Neurosurg 2019 Feb 16. Epub 2019 Feb 16.

Department of Neurosurgery, Albany Medical Center, Albany, NY, USA.

Polycythemia vera (PV) is a myeloproliferative disorder usually characterized by an increase tendency towards thromboembolic events. Spontaneous hemorrhage/bleeding in PV patients is seldom reported in Neurosurgical literature. We report the case of a 76 year-old male with PV who developed a spontaneous subdural hematoma requiring surgical evacuation. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.01.258DOI Listing
February 2019

Metastatic Subdural Hematoma with Dural Metastasis Secondary to Poorly Differentiated Adenocarcinoma of Unknown Origin.

World Neurosurg 2019 Feb 16. Epub 2019 Feb 16.

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

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

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http://dx.doi.org/10.1016/j.wneu.2019.01.271DOI Listing
February 2019

Natural history of ventriculomegaly in adults: a cluster analysis.

J Neurosurg 2019 Feb 8:1-8. Epub 2019 Feb 8.

OBJECTIVEChronic ventriculomegaly in the absence of raised intracranial pressure (ICP) is a known entity in adult hydrocephalus practice. The natural history and indication for treatment is, however, poorly defined. A highly heterogeneous group, some adults with ventriculomegaly are asymptomatic, while others have life-threatening deteriorations. Read More

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http://dx.doi.org/10.3171/2018.8.JNS18119DOI Listing
February 2019
4 Reads

CT Attenuation of Acute Subdural Hematomas in Patients with Anemia.

J Neuroimaging 2019 Feb 16. Epub 2019 Feb 16.

Diagnostic Radiology Department, Lahey Hospital and Medical Center, Burlington, MA.

Background And Purpose: Isodense and hypodense acute subdural hematomas have been reported in the literature in anemic patients. The purpose of this study is to see if there is a statistically significant difference between the Hounsfield unit measurements of acute subdural hematomas in anemic and nonanemic patients.

Methods: A total of 109 patients were analyzed. Read More

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http://dx.doi.org/10.1111/jon.12608DOI Listing
February 2019
1 Read

Remote cerebellar hemorrhage: A case report.

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

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

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

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http://dx.doi.org/10.1016/j.radcr.2018.12.006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6360913PMC
March 2019
1 Read

Burr-Hole Evacuation of Chronic Subdural Hematoma: Biophysically and Evidence-Based Technique Improvement.

J Neurosci Rural Pract 2019 Jan-Mar;10(1):113-118

Department of Natural Sciences, Faculty of Biomedical Engineering, Czech Technical University, Prague, Czech Republic.

Chronic subdural hematoma (CSDH) is one of the most common neurosurgical conditions. Despite ongoing efforts, recurrence and reoperation rates after surgical treatment remain high. We synthesize scientific evidence on the treatment of CSDH with biophysical principles and then propose a simple and effective surgical technique aiming to reduce the recurrence rate. Read More

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http://dx.doi.org/10.4103/jnrp.jnrp_167_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6337972PMC
February 2019
1 Read

Reversal and Resumption of Antithrombotic Therapy in LVAD- Associated Intracranial Hemorrhage.

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

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

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

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

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http://dx.doi.org/10.1016/j.athoracsur.2019.01.016DOI Listing
February 2019
1 Read

Postoperative subdural hematoma with blood flow from an epidural hematoma through a tear at the suture point of an artificial dura substitute.

Acta Neurochir (Wien) 2019 Feb 14. Epub 2019 Feb 14.

Department of Neurosurgery, Cerebrovascular Research Institute, Eisyokai Yoshida Hospital, Daikai-dori9-2-6, Hyogo-ku, Kobe, 652-0803, Japan.

Objective: We have recently seen cases of postoperative epidural and subdural hematomas after duraplasty with an artificial dura substitute. In these cases, the epidural hematoma flowed into the subdural space through a tear at the suture point of the artificial dura substitute. In this study, whether such hematomas are specific to a certain artificial dura substitute was investigated, and the cause and risk factors were examined. Read More

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http://dx.doi.org/10.1007/s00701-019-03830-7DOI Listing
February 2019
1 Read

Idiopathic cervical spinal subdural haematoma: a case report and literature review.

J Int Med Res 2019 Feb 14:300060519829666. Epub 2019 Feb 14.

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

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

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http://dx.doi.org/10.1177/0300060519829666DOI Listing
February 2019
2 Reads

Spontaneous Spinal Intradural Haematoma in an Anticoagulated Woman.

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

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

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

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http://dx.doi.org/10.12890/2018_000951DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6346889PMC
October 2018
1 Read

Patient Safety Incidents Describing Patient Falls in Critical Care in North West England Between 2009 and 2017.

J Patient Saf 2019 Feb 9. Epub 2019 Feb 9.

University of Manchester Medical School, Manchester, United Kingdom.

Aim: The aim of the study was to review reported falls in critical care units to see whether the causes and results were different from those described in a general hospital population.

Methods: We reviewed and classified patient safety incidents describing falls from critical care units in the North West of England between 2009 and 2017. The classification reviewed patient and staff factors contributing to the fall, the environment of the fall, and the reported consequences. Read More

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http://dx.doi.org/10.1097/PTS.0000000000000574DOI Listing
February 2019
3 Reads

Spontaneous Intracranial and Lumbar Subdural Hematoma Presenting as Vaginal Pain.

J Emerg Med 2019 Feb 8. Epub 2019 Feb 8.

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

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

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http://dx.doi.org/10.1016/j.jemermed.2018.12.032DOI Listing
February 2019
2 Reads

Acute idiopathic spinal subdural hematoma: What to do in an emergency?

Neurochirurgie 2019 Feb 8. Epub 2019 Feb 8.

Department of neurosurgery, Sainte Anne Military Hospital, France. Electronic address:

Acute spinal cord compression usually results from trauma, infection, or cancer. Spinal subdural hematoma is an uncommon cause of spinal cord compression that occurs after spine trauma or spinal invasive procedure, especially in context of coagulopathy. In the following reported case, an 82-year-old woman with a history of rapidly progressive paraparesis after a sudden middle back pain, with no previous trauma or coagulopathy, due to an acute spontaneous spinal subdural hematoma. Read More

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http://dx.doi.org/10.1016/j.neuchi.2018.10.009DOI Listing
February 2019
1 Read

Traumatic cerebrovascular injury: Prevalence and risk factors.

Am J Emerg Med 2019 Jan 31. Epub 2019 Jan 31.

Neurosurgery Unit, Department of Surgery, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, 90110, Thailand.

Background: Traumatic cerebrovascular injury (TCVI) is uncommon in traumatic brain injury (TBI). Although TCVI is a rare condition, this complication is serious. A missed or delayed diagnosis may lead to an unexpected life-threatening hemorrhagic event or persistent neurological deficit. Read More

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http://dx.doi.org/10.1016/j.ajem.2019.01.055DOI Listing
January 2019
1 Read
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Antiplatelet Medication and Operative Subdural Hematomas: A Retrospective Cohort Study Evaluating Reoperation Rates.

World Neurosurg 2019 Feb 5. Epub 2019 Feb 5.

Department of Neurosurgery, Geisinger, Danville, PA; Research Institute of Neurointervention, Paracelsus Medical University, Salzburg, Austria.

Background: Antiplatelet therapy is common and complicates the operative management of subdural hematomas (SDH). The risk of reoperation inferred by antiplatelet medication and the ability of platelet transfusion to reduce hemorrhagic complications in patients presenting with antiplatelet associated SDHs is poorly defined.

Methods: We performed a retrospective review of consecutive patients treated with craniotomy or craniectomy for evacuation of an acute or mixed density SDH between 2012-2017 at two academic institutions. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750193025
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http://dx.doi.org/10.1016/j.wneu.2019.01.151DOI Listing
February 2019
4 Reads

[PET/CT to Assess Prognosis after a Brain Injury].

Z Orthop Unfall 2019 Feb 5. Epub 2019 Feb 5.

Ethikkomitee, Klinikum Landshut gGmbH.

In a comatose patient with acute subdural haematoma, the polytrauma spiral indicated pulmonary metastasising renal carcinoma, which limited therapeutic possibilities. Whole-body positron-emission tomography/computer tomography (PET/CT) was performed with fluorodesoxyglucose. Renal carcinoma with pulmonary, nodal and parotidal metastases was proved. Read More

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http://dx.doi.org/10.1055/a-0774-8209DOI Listing
February 2019
1 Read

Early diagnosis of traumatic intracranial hematomas.

J Biomed Opt 2019 Feb;24(5):1-10

Infrascan Inc., Philadelphia, Pennsylvania, United States.

Timing of the intervention for intracranial hematomas is critical for its success, specifically since expansion of the hemorrhage can result in debilitating and sometimes fatal outcomes. Led by Britton Chance, we and an extended team from University of Pennsylvania, Baylor and Drexel universities developed a handheld brain hematoma detector for early triage and diagnosis of head trauma victims. After obtaining de novo Food and Drug Administration clearance, over 200 systems are deployed in all Marine battalion aid stations around the world. Read More

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https://www.spiedigitallibrary.org/journals/journal-of-biome
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http://dx.doi.org/10.1117/1.JBO.24.5.051411DOI Listing
February 2019
3 Reads

Biomechanics of acute subdural hematoma in the elderly: A fluid-structure interaction study.

J Neurotrauma 2019 Feb 4. Epub 2019 Feb 4.

Division of Neuronic Engineering, Royal Institute of Technology (KTH), Huddinge, Sweden ;

Acute subdural hematoma (ASDH) due to bridging vein (BV) rupture is a frequent and lethal head injury, especially in the elderly. Brain atrophy has been hypothesized to be a primary pathogenesis associated with the increased risk of ASDH in the elderly. Though decades of biomechanical endeavours have been made to elucidate the potential mechanisms, a thorough explanation for this hypothesis appears lacking. Read More

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https://www.liebertpub.com/doi/10.1089/neu.2018.6143
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http://dx.doi.org/10.1089/neu.2018.6143DOI Listing
February 2019
4 Reads

Minicraniotomy with a subgaleal pocket for the treatment of subdural fluid collections in infants.

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

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

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

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http://dx.doi.org/10.3171/2018.11.PEDS18322DOI Listing
February 2019
1 Read

A comparative study of chronic subdural hematoma in three age ranges: Below 40 years, 41-79 years, and 80 years and older.

Clin Neurol Neurosurg 2019 Mar 29;178:63-69. Epub 2019 Jan 29.

Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China; China National Clinical Research Center for Neurological Diseases, Beijing, China; Neurological Center, Ningxia People's Hospital, Ningxia, China. Electronic address:

Objective: To investigate clinical characteristics and outcomes of chronic subdural hematomas (CSDHs) in different age ranges.

Patients And Methods: A retrospective collection of data from CSDH patients ≤40 years, 41-79 years, and ≥80 years of age between August 2011 and May 2017 was performed. The differences and similarities of clinical data and outcomes among three groups were analyzed. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S03038467193002
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http://dx.doi.org/10.1016/j.clineuro.2019.01.018DOI Listing
March 2019
5 Reads

Treatment of obstetric post-dural puncture headache. Part 1: conservative and pharmacological management.

Int J Obstet Anesth 2018 Dec 21. Epub 2018 Dec 21.

Department of Anaesthetics, Queen Charlotte's and Chelsea Hospital, Imperial College Healthcare NHS Trust, London, UK.

The 2009-12 MBRRACE-UK report highlighted the deaths of two women in whom dural puncture had occurred during insertion of a labour epidural catheter. One woman received an epidural blood patch, the other did not, but both suffered with chronic headaches following discharge from hospital. Neither woman was adequately followed-up. Read More

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http://dx.doi.org/10.1016/j.ijoa.2018.12.006DOI Listing
December 2018
1 Read

Treatment of obstetric post-dural puncture headache. Part 2: epidural blood patch.

Int J Obstet Anesth 2018 Dec 22. Epub 2018 Dec 22.

Department of Anaesthetics, Queen Charlotte's and Chelsea Hospital, Imperial College Healthcare NHS Trust, London, UK.

The 2009-12 MBRRACE-UK report highlighted the deaths of two women in whom dural puncture had occurred during insertion of a labour epidural catheter. Despite suffering long-term headaches, neither woman was adequately followed-up after discharge from hospital. Death resulted from a cerebral vein thrombosis in one case and a subdural haematoma in the other. Read More

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http://dx.doi.org/10.1016/j.ijoa.2018.12.005DOI Listing
December 2018
1 Read

Multilevel Spinal Combined Subdural/Subarachnoid Hemorrhage Resulting in Paraplegia: An Unusual Complication of Kyphoplasty.

J Neurol Surg A Cent Eur Neurosurg 2019 Feb 1. Epub 2019 Feb 1.

Department of Neurosurgery, Georg August University of Göttingen, Medical Center, Göttingen, Germany.

Background:  Paraplegia due to spinal combined subdural/subarachnoid hemorrhage is an extremely rare complication following percutaneous spinal augmentation procedures.

Methods:  A 63-year-old male patient presented with severe neurologic decline (paraplegia with sensory and autonomic dysfunction) resulting from a multilevel spinal subarachnoid hemorrhage shortly after bilateral kyphoplasty.

Results:  Reduction of intrathecal pressure via multiple dural and arachnoidal incisions and removal of the hematoma resulted in a good neurologic recovery with surgical decompression even though evacuation was performed with a significant delay after the onset of neurologic worsening. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1676594
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http://dx.doi.org/10.1055/s-0038-1676594DOI Listing
February 2019
3 Reads

Oreongsan, an herbal medicine prescription developed as a new alternative treatment in patients with chronic subdural hematoma: a narrative review.

Integr Med Res 2019 Mar 24;8(1):26-30. Epub 2018 Nov 24.

Department of Cardiology and Neurology, College of Korean Medicine, Kyung Hee University, Seoul, Republic of Korea.

Oreongsan (ORS), which is composed of Polyporus, Alismatis Rhizoma, Atractylodis Rhizoma, Poria (Hoelen), and Cinnamomi Cortex Spissus, has been used as treatment in patients with various symptoms such as thirst, diminished urination, edema, hangover, and diarrhea. ORS is the representative prescription of the () effect (translated from Korean as "induce diuresis"), which traditionally means the effect of controlling the water balance. Advancement of modern science has enabled the determination of the action mechanism of herbal medicine complexes. Read More

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http://dx.doi.org/10.1016/j.imr.2018.11.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6348234PMC
March 2019
1 Read

[Posttraumatic seizures: a prospective cohort study].

Zh Nevrol Psikhiatr Im S S Korsakova 2018 ;118(10. Vyp. 2):3-8

Moscow Research and Clinical Center for Neuropsychiatry of the Healthcare Department, Moscow, Russia; Pirogov Russian National Research Medical University, Moscow, Russia.

Aim: To evaluate the incidence and risk factors for posttraumatic seizures (PTS).

Material And Methods: The authors conducted a prospective study of 237 patients with TBI of varying severity. The patients were hospitalized and examined in Moscow neurosurgery departments. Read More

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http://dx.doi.org/10.17116/jnevro20181181023DOI Listing
January 2018

New or Blossoming Hemorrhagic Contusions After Decompressive Craniectomy in Traumatic Brain Injury: Analysis of Risk Factors.

Front Neurol 2018 15;9:1186. Epub 2019 Jan 15.

Department of Neurosurgery, Umberto I General Hospital, Università Politecnica delle Marche, Ancona, Italy.

The development or expansion of a cerebral hemorrhagic contusion after decompressive craniectomy (DC) for traumatic brain injury (TBI) occurs commonly and it can result in an unfavorable outcome. However, risk factors predicting contusion expansion after DC are still uncertain. The aim of this study was to identify the factors associated with the growth or expansion of hemorrhagic contusion after DC in TBI. Read More

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http://dx.doi.org/10.3389/fneur.2018.01186DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6340989PMC
January 2019
1 Read

A natural language processing algorithm to extract characteristics of subdural hematoma from head CT reports.

Emerg Radiol 2019 Jan 28. Epub 2019 Jan 28.

Center for Health Information Partnerships, Northwestern University Feinberg School of Medicine, 625 N Michigan Ave., Chicago, IL, 60611, USA.

Purpose: Subdural hematoma (SDH) is the most common form of traumatic intracranial hemorrhage, and radiographic characteristics of SDH are predictive of complications and patient outcomes. We created a natural language processing (NLP) algorithm to extract structured data from cranial computed tomography (CT) scan reports for patients with SDH.

Methods: CT scan reports from patients with SDH were collected from a single center. Read More

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http://dx.doi.org/10.1007/s10140-019-01673-4DOI Listing
January 2019
1 Read

Subdural haematoma in neonates following forceps-assisted delivery: case series and review of the literature.

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

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

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

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http://dx.doi.org/10.1007/s00381-018-04043-6DOI Listing
March 2019
1 Read

Hypertensive emergency presenting with acute spontaneous subdural hematoma.

J Cardiol Cases 2019 Jan 16;19(1):25-28. Epub 2018 Oct 16.

Cardiovascular Department at Mount Sinai Heart, New York, NY, USA.

Hypertensive crisis is a serious medical condition defined as severely elevated blood pressure; typically the systolic blood pressure is above 180 mmHg, and/or the diastolic blood pressure is above 120 mmHg. Hypertensive crises are divided into two categories: hypertensive urgency and hypertensive emergency. Hypertensive urgency is asymptomatic while hypertensive emergency presents with end-organ damage requiring more aggressive blood-pressure lowering. Read More

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http://dx.doi.org/10.1016/j.jccase.2018.09.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6342702PMC
January 2019
1 Read

Spontaneous Hemorrhage followed by paraparesis in a patient with a Spinal Meningioma.

World Neurosurg 2019 Jan 23. Epub 2019 Jan 23.

Maimonides Medical Center, Division of Neurosurgery, 948 48th St, Brooklyn, NY 11219, Brooklyn, New York, USA. Electronic address:

Background: Although rare, spinal meningiomas may cause motor and sensory deficits or difficulty with bladder or bowel function due to spinal cord compression. While hemorrhage of intracranial meningiomas is well documented, there are very few cases of hemorrhage or hematoma associated with spinal meningiomas in the literature. Spinal meningiomas have been reported to be associated with subdural, epidural, intratumoral, and subarachnoid hemorrhage and usually in the setting of inciting event such as lumbar puncture or anti-coagulation therapy. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.01.031DOI Listing
January 2019
2 Reads

Is Delayed Speech Development a Long-Term Sequela of Birth-Related Subdural Hematoma?

AJNR Am J Neuroradiol 2019 Feb 24;40(2):E10. Epub 2019 Jan 24.

Department of Community Medicine and Rehabilitation, Forensic Medicine Umeå University Umeå, Sweden.

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http://dx.doi.org/10.3174/ajnr.A5890DOI Listing
February 2019
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In Reply to the Letter to the Editor Regarding "Middle Meningeal Artery Embolization for Chronic Subdural Hematoma: Meta-Analysis and Systematic Review".

World Neurosurg 2019 Jan 21. Epub 2019 Jan 21.

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

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http://dx.doi.org/10.1016/j.wneu.2019.01.019DOI Listing
January 2019
2 Reads

Spontaneous spinal subdural haematoma in a patient on apixaban.

BMJ Case Rep 2019 Jan 22;12(1). Epub 2019 Jan 22.

Accident and Emergency, Bedford Hospital NHS Trust, Bedford, UK.

A 68-year-old man on apixaban presented to the emergency department with back pain following a long-haul flight. Investigations for pulmonary embolus and aortic dissection were negative and he was discharged with analgesia for mechanical back pain. He presented three more times with worsening back pain, third time with urinary retention and the fourth time with lower limb weakness and loss of coordination. Read More

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http://dx.doi.org/10.1136/bcr-2018-227311DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6347922PMC
January 2019
3 Reads

Palliative approach in acute neurological events: a five-year study.

Rev Assoc Med Bras (1992) 2018 Sep;64(9):833-836

. Graduate Assistant in Internal Medicine, Coordinator of the In-hospital Team for Palliative Care Support of the Santo António Hospital, Porto Hospital Centre, Porto, Portugal.

Introduction: Acute neurological illness often results in severe disability. Five-year life expectancy is around 40%; half the survivors become completely dependent on outside help.

Objective: Evaluate the symptoms of patients admitted to a Hospital ward with a diagnosis of stroke, subarachnoid hemorrhage or subdural hematoma, and analyze the role of an In-Hospital Palliative Care Support Team. Read More

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http://dx.doi.org/10.1590/1806-9282.64.09.832DOI Listing
September 2018
2 Reads

Reoperations after surgery for acute subdural hematoma: reasons, risk factors, and effects.

Eur J Trauma Emerg Surg 2019 Jan 23. Epub 2019 Jan 23.

Department of Neurosurgery, Faculty of Medicine, St. Anne's Hospital Brno, Masaryk University, Pekařská 53, 656 91, Brno, Czech Republic.

Purpose: To analyze the reasons and patient-related and injury-related risk factors for reoperation after surgery for acute subdural hematoma (SDH) and the effects of reoperation on treatment outcome.

Methods: Among adult patients operated on for acute SDH between 2013 and 2017, patients reoperated within 14 days after the primary surgery were identified. In all patients, parameters were identified that related to the patient (age, anticoagulation, antiplatelet, and antiepileptic treatment, and alcohol intoxication), trauma (Glasgow Coma Score, SDH thickness, midline shift, midline shift /hematoma thickness rate, other surgical lesion, primary surgery-trephination, craniotomy, or decompressive craniotomy), and Glasgow Outcome Score (GOS). Read More

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http://dx.doi.org/10.1007/s00068-019-01077-6DOI Listing
January 2019
2 Reads

Low-dose aspirin and burr-hole drainage of chronic subdural hematoma: study protocol for a randomized controlled study.

Trials 2019 Jan 21;20(1):70. Epub 2019 Jan 21.

Department of Neurosurgery, University Hospital of Basel, Spitalstrasse 21, 4053 CH, Basel, Switzerland.

Background: Low-dose acetylsalicylic acid (ASA) in patients with chronic subdural hematoma (cSDH) represents a significant neurosurgical challenge. While continuation of ASA during the perioperative phase might increase recurrence and bleeding rates, discontinuation increases the risk of thromboembolic events. The aim of this study is to compare the postoperative recurrence and cardiovascular complication rates of patients undergoing burr-hole trepanation for cSDH with and without discontinuation of ASA. Read More

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http://dx.doi.org/10.1186/s13063-018-3064-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6341728PMC
January 2019
2 Reads

Efficacy of antiseizure prophylaxis in chronic subdural hematoma: a cohort study on routinely collected health data.

J Neurosurg 2019 Jan 18:1-5. Epub 2019 Jan 18.

1Department of Surgery, Division of Neurosurgery, CHU de Québec-Université Laval, Quebec City.

OBJECTIVEChronic subdural hematoma (CSDH) is a common neurosurgical condition that can result in significant morbidity. The incidence of epileptic events associated with CSDH reported in the literature varies considerably and could potentially increase morbidity and mortality rates. The effectiveness of antiepileptic prophylaxis for this indication remains unclear. Read More

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http://dx.doi.org/10.3171/2018.9.JNS182092DOI Listing
January 2019
1 Read

Chronic Distal Sensory Polyneuropathy is a Major Contributor to Balance Disturbances in Persons Living with HIV.

J Acquir Immune Defic Syndr 2019 Jan 3. Epub 2019 Jan 3.

VA San Diego Healthcare System, 3350 La Jolla Village Dr, San Diego, CA 92161, USA.

Background: Medical comorbidities accumulate in older persons living with HIV (PLWH), causing disability and reduced quality of life. Sensory neuropathy and polypharmacy may contribute to balance difficulties and falls. The contribution of neuropathy is understudied. Read More

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http://dx.doi.org/10.1097/QAI.0000000000001953DOI Listing
January 2019
1 Read

Rates of Repeated Operation for Isolated Subdural Hematoma Among Older Adults.

JAMA Netw Open 2018 Oct 5;1(6):e183737. Epub 2018 Oct 5.

Department of Neurology, Weill Cornell Medical College, New York, New York.

Importance: Elderly patients who undergo surgery for an isolated nontraumatic subdural hematoma (SDH) are at major risk for SDH reaccumulation, which can cause further injury and disability. Few population-based studies have examined how often nontraumatic SDH reaccumulates and necessitates repeated operation.

Objective: To determine the rate of repeated operation after evacuation of nontraumatic SDH. Read More

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http://dx.doi.org/10.1001/jamanetworkopen.2018.3737DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6324600PMC
October 2018
5 Reads

Management and outcomes of isolated interhemispheric subdural hematomas associated with falx syndrome.

J Neurosurg 2019 Jan 11:1-6. Epub 2019 Jan 11.

OBJECTIVELarge interhemispheric subdural hematomas (iSDHs) causing falx syndrome are rare; therefore, a paucity of data exists regarding the outcomes of contemporary management of iSDH. There is a general consensus among neurosurgeons that large iSDHs with neurological deficits represent a particular treatment challenge with generally poor outcomes. Thus, radiological and clinical outcomes of surgical and nonsurgical management for iSDH bear further study, which is the aim of this report. Read More

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http://dx.doi.org/10.3171/2018.8.JNS181812DOI Listing
January 2019
1 Read

Factors influencing the presence of hemiparesis in chronic subdural hematoma.

J Neurosurg 2019 Jan 11:1-5. Epub 2019 Jan 11.

1Neurosurgical Service, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.

OBJECTIVEChronic subdural hematoma (CSDH) has a variety of clinical presentations, including hemiparesis. Hemiparesis is of the utmost importance because it is one of the major indications for surgical intervention and influences outcome. In the current study, the authors intended to identify factors influencing the presence of hemiparesis in CSDH patients and to determine the threshold value of hematoma thickness and midline shift for development of hemiparesis. Read More

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http://dx.doi.org/10.3171/2018.8.JNS18579DOI Listing
January 2019
11 Reads

Risk Factors for Recurrent Hematoma After Surgery for Acute Traumatic Subdural Hematoma.

World Neurosurg 2019 Jan 10. Epub 2019 Jan 10.

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

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

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https://linkinghub.elsevier.com/retrieve/pii/S18788750193002
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http://dx.doi.org/10.1016/j.wneu.2018.12.155DOI Listing
January 2019
3 Reads

Mycotic intracranial aneurysms rupture presenting as pure acute subdural hematoma in infectious endocarditis. Report of 2 cases and review of the literature.

J Clin Neurosci 2019 Jan 9. Epub 2019 Jan 9.

Department of Radiology, Assistance Publique-Hôpitaux de Paris, Bichat University Hospital, 46 rue Henri Huchard, 75018 Paris, France; INSERM U738, Paris, France; Université Paris Diderot, Sorbonne Paris Cité, France. Electronic address:

Acute subdural hematoma (ASDH) revealing mycotic aneurysm (MA) is an exceptional occurrence. We report 2 cases of MA-related pure ASDH in the course of infective endocarditis (IE) without history of head trauma, hypertension or coagulopathy. Case 1: A 54-year-old man presented with a 10-day history of headache, fever. Read More

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http://dx.doi.org/10.1016/j.jocn.2018.12.035DOI Listing
January 2019
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Intractable brain swelling during cerebral arteriovenous malformation surgery due to contralateral acute subdural haematoma.

Indian J Anaesth 2018 Dec;62(12):984-987

Department of Neuroanaesthesiology and Critical Care, All India Institute of Medical Sciences, New Delhi, India.

Severe brain swelling during routine neurosurgery can herald serious consequences. Failure to control brain swelling despite adequate measures warns of a surgical cause and should be dealt efficiently. We report a case of an adult female who developed intraoperative acute subdural haematoma (SDH) and consequent intractable brain swelling during surgery of supratentorial arteriovenous malformation (AVM). Read More

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http://dx.doi.org/10.4103/ija.IJA_491_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6299763PMC
December 2018
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A Case of a Patient Who Is Diagnosed with Mild Acquired Hemophilia A after Tooth Extraction Died of Acute Subdural Hematoma due to Head Injury.

Case Rep Dent 2018 9;2018:7185263. Epub 2018 Dec 9.

Department of Maxillofacial Surgery, Tokyo Medical and Dental University, Tokyo, Japan.

Background: Acquired hemophilia A (AHA) is a rare disorder which results from the presence of autoantibodies against blood coagulation factor VIII. The initial diagnosis is based on the detection of an isolated prolongation of the activated partial thromboplastin time (aPTT) with negative personal and family history of bleeding disorder. Definitive diagnosis is the identification of reduced FVIII levels with evidence of FVIII neutralizing activity. Read More

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https://www.hindawi.com/journals/crid/2018/7185263/
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http://dx.doi.org/10.1155/2018/7185263DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6304843PMC
December 2018
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A case of post angiography subdural collection contrast enhancement: Time course of attenuation reduction.

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

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

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

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http://dx.doi.org/10.1016/j.radcr.2018.12.013DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6321888PMC
March 2019
2 Reads

Treatment Strategy for Recurrent Hemorrhage from Meningioma: Case Report and Literature Review.

World Neurosurg 2019 Jan 5. Epub 2019 Jan 5.

Department of Neurosurgery, Tokyo Women's Medical University, Tokyo, Japan.

We came across a rare case of recurrent hemorrhage from a meningioma. Here, we describe this case and discuss the treatment strategies for recurrent hemorrhage from a meningioma using a literature review. A 61-year-old woman with a history of two episodes of hemorrhage from a meningioma originating from the left falx cerebri, presented to our outpatient clinic. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.12.124DOI Listing
January 2019
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Malignant meningioma mimicking chronic subdural hematoma.

World Neurosurg 2019 Jan 3. Epub 2019 Jan 3.

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

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

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http://dx.doi.org/10.1016/j.wneu.2018.12.129DOI Listing
January 2019
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Double-crescent sign as a predictor of chronic subdural hematoma recurrence following burr-hole surgery.

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

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

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

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http://dx.doi.org/10.3171/2018.8.JNS18805DOI Listing
January 2019
3 Reads

Cerebral hyperperfusion syndrome after a burr hole drainage surgery for chronic subdural hematoma.

World Neurosurg 2019 Jan 2. Epub 2019 Jan 2.

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

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

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

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http://dx.doi.org/10.1016/j.wneu.2018.12.100DOI Listing
January 2019
1 Read