12,892 results match your criteria Subdural Hematoma


An infantile traumatic brain injury with a bright tree appearance detected before the late seizure.

Childs Nerv Syst 2022 Jun 23. Epub 2022 Jun 23.

Department of Intensive Care Medicine, Yokohama Rosai Hospital, 3211 Kozukue-cho, Kohoku-ku, Yokohama, Kanagawa, 222-0036, Japan.

Indroduction: Infantile traumatic brain injury (TBI) rarely follows a biphasic clinical course and exhibits a bright tree appearance (BTA) on magnetic resonance imaging (MRI). This is termed infantile traumatic brain injury with a biphasic clinical course and late reduced diffusion (TBIRD). TBIRD has clinical features similar to those of acute encephalopathy with biphasic seizures and late reduced diffusion (AESD). Read More

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In Reply to the Letter to the Editor Regarding "A Reliable Nomogram Model to Predict the Recurrence of Chronic Subdural Hematoma After Burr Hole Surgery".

World Neurosurg 2022 Jul;163:145

Department of Neurosurgery, Qinghai Provincial People's Hospital, Xining, Qinghai, China. Electronic address:

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Newborn with severe supratentorial subdural hematoma due to laceration of the tentorium cerebelli.

Childs Nerv Syst 2022 Jun 21. Epub 2022 Jun 21.

Department of Neurosurgery, Kansai Medical University, 2-5-1 Shinmachi, Hirakata City, Osaka, 573-1010, Japan.

Purpose: A rare case of a newborn girl born by a normal vaginal delivery who developed a severe supratentorial subdural hematoma due to a laceration in the tentorium cerebelli is presented.

Methods And Results: The girl, born by normal vaginal delivery at 39 weeks and 4 days of gestation, showed an intermittent decrease in oxygen saturation and bulging of the anterior fontanelle. Computed tomography (CT) and magnetic resonance imaging (MRI) showed a subdural hematoma centered in the left occipital region with a midline shift. Read More

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Concomitant spontaneous spinal and posterior fossa subdural hematoma in an 11-year-old child with aplastic anemia: a case report and review of literature.

Childs Nerv Syst 2022 Jun 21. Epub 2022 Jun 21.

Hematology, Clinical and Chemical Pathology Department, Faculty of Medicine, Suez Canal University Teaching Hospital, Suez Canal University, Ismailia, Egypt.

Purpose: The current article describes an 11-year-old male who has aplastic anemia with an extremely rare condition, that is, concomitant posterior fossa SDH and spinal SDH.

Methods: This is a case report and review of literature.

Case Presentation: This case presents an 11-year-old male known to have aplastic anemia complained of neck and back pain, headache, and persistent vomiting for 3 days. Read More

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Case Series on Removal of Subdural to Peritoneal Shunt After Resolution of Subdural Collection in the First 2 Years of Life.

Oper Neurosurg (Hagerstown) 2022 Jul 11;23(1):8-13. Epub 2022 May 11.

Pediatric Neurosurgery Associates at Children's Healthcare of Atlanta, Atlanta, Georgia, USA.

Background: Subdural to peritoneal shunt (SPS) placement is an established treatment option for chronic subdural hematoma (SDH) in the pediatric population. Practice patterns vary between institutions, with some advocating shunt removal while others leave the SPS in place after SDH resolution. There remain a paucity of data to document the safety and outcomes after removal of SPS. Read More

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Hematoma cavity separation and neomembrane thickness are potential triggers of recurrence of chronic subdural hematoma.

BMC Surg 2022 Jun 20;22(1):236. Epub 2022 Jun 20.

Department of Medicine, Princefield University, P. O. Box MA 128, Ho-Volta Region, Womenu, Ghana.

Background: Chronic subdural hematoma (CSDH) is the anomalous and encapsulated accumulation of fluid of complex origin consisting of old blood, mostly or totally liquified and cerebrospinal fluid (CSF) in the subdural space usually after a head injury in the elderly. Almost all the research on surgical techniques and endoscopic assisted evacuation of CSDH focused on the just the evacuation and not abnormal anatomical structures that causes recurrences.

Objectives: We investigated abnormal anatomical structures that triggers recurrence of CSDH during craniotomy as well as burr-hole craniostomy with endoscopic assistance. Read More

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Primary central nervous system angiosarcoma with recurrent acute subdural hematoma.

Neurocirugia (Astur : Engl Ed) 2022 Jul-Aug;33(4):199-203

Department of Neurosurgery, Hospital General Universitario Gregorio Marañón, Calle Doctor Esquerdo 46, 28007 Madrid, Spain.

Angiosarcoma is an infrequent tumor among sarcomas, especially presenting as a primary tumor within the central nervous system, which can lead to a rapid neurological deterioration and death in few months. We present a 41-year old man with a right frontal enhancing hemorrhagic lesion. Surgery was performed with histopathological findings suggesting a primary central nervous system angiosarcoma. Read More

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A Validation Study of Kwon's Prognostic Scoring System for Chronic Subdural Haematoma.

World Neurosurg 2022 Jun 17. Epub 2022 Jun 17.

Department of Neurosurgery Faculty of Medicine and Health Örebro University, Örebro Sweden. Electronic address:

Objective: Surgery for chronic subdural haematoma (CSDH) is one of the most frequent operations in neurosurgical practice. CSDH afflicts the elderly population most. In 2018, Kwon and co-workers published the Kwon Scoring System (KSS), whereby six clinical and radiological factors are used to facilitate, and promote quality in, surgical decision-making and counselling of relatives. Read More

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Treatment decision making in acute subdural haematoma.

Authors:
Paul M Brennan

Lancet Neurol 2022 Jul;21(7):581-582

Translational Neurosurgery, Department of Clinical Neurosciences, Royal Infirmary of Edinburgh, Edinburgh EH16 4SB, UK. Electronic address:

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Emergent craniotomy in rural and regional settings: recommendations from a tertiary neurosurgery unit: diagnosis and surgical decision-making.

ANZ J Surg 2022 Jun 17. Epub 2022 Jun 17.

Kenneth G Jamieson Department of Neurosurgery, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia.

Largely attributed to the tyranny of distance, timely transfer of patients with major traumatic brain injuries (TBI) from rural or regional hospitals to metropolitan trauma centres is not always feasible. This has warranted emergent craniotomies to be undertaken by non-neurosurgeons at their local hospitals with previous acceptable results reported in regional Australia. Our institution endorses this ongoing potentially life-saving practice when necessary and emphasize the need for neurosurgical units to provide ongoing TBI education to peripheral hospitals. Read More

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Combined CSF-venous Fistula and middle meningeal artery embolization for treatment of spontaneous intracranial hypotension.

Interv Neuroradiol 2022 Jun 17:15910199221109044. Epub 2022 Jun 17.

Division of Neuroradiology, Department of Radiology, 6915Mayo Clinic, 200 First St SW, Rochester, MN 55905, USA.

Transvenous Onyx embolization was recently described as an effective treatment of spontaneous intracranial hypotension caused by CSF-venous fistulas. Patients with CSF-venous fistulas can present with a wide spectrum of clinical and imaging findings, sometimes including spontaneous subdural hematomas, subdural hygromas, or a combination of both. Here, we describe four patients with spontaneous intracranial hypotension complicated by subdural fluid collections caused by CSF-venous fistulas. Read More

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The Guidewire-assisted Drainage Catheter Placement in Chronic Subdural Hematoma.

Front Surg 2022 26;9:891119. Epub 2022 May 26.

Department of Neurosurgery, The First Affiliated Hospital of Harbin Medical University, Harbin, China.

Background: Chronic subdural hematoma (cSDH) is a common neurosurgical pathology associated with older age. The burr hole drainage is a predominant technique with a lower incidence of recurrence and morbidity. The blind placement of the subdural drain could result in intracerebral hemorrhage. Read More

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Andexanet alfa versus four-factor prothrombin complex concentrate for the reversal of apixaban- or rivaroxaban-associated intracranial hemorrhage: a propensity score-overlap weighted analysis.

Crit Care 2022 06 16;26(1):180. Epub 2022 Jun 16.

Department of Pharmacy Practice, University of Connecticut School of Pharmacy, 69 North Eagleville Road, Unit 3092, Storrs, CT, 06269, USA.

Background: Andexanet alfa is approved (FDA "accelerated approval"; EMA "conditional approval") as the first specific reversal agent for factor Xa (FXa) inhibitor-associated uncontrolled or life-threatening bleeding. Four-factor prothrombin complex concentrates (4F-PCC) are commonly used as an off-label, non-specific, factor replacement approach to manage FXa inhibitor-associated life-threatening bleeding. We evaluated the effectiveness and safety of andexanet alfa versus 4F-PCC for management of apixaban- or rivaroxaban-associated intracranial hemorrhage (ICH). Read More

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The Mortality Reduction of Acute Surgery in Traumatic Acute Subdural Hematoma since the 19th Century: Systematic Review and Meta-analysis with Dramatic Effect Is surgery the obvious parachute?

J Neurotrauma 2022 Jun 14. Epub 2022 Jun 14.

University Neurosurgical Center Holland, Leiden University Medical Center, Haaglanden Medical Center and Haga Teaching Hospital, Neurosurgery, Leiden, Zuid-Holland, Netherlands;

The rationale of performing surgery for ASDH to reduce mortality is often compared to the self-evident effectiveness of a parachute when skydiving. Nevertheless, it is of clinical relevance to estimate the magnitude of the effectiveness of surgery. The aim of this study is to determine whether surgery reduces mortality in traumatic acute subdural hematoma (ASDH) as compared to initial conservative treatment. Read More

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Chronic Subdural Hematoma Caused by Calvarial and Dural Metastasis from Uterine Leiomyosarcoma.

J Neurosci Rural Pract 2022 Apr 3;13(2):351-353. Epub 2022 Mar 3.

Department of Neurosurgery, Sarawak General Hospital, Ministry of Health, Sarawak, Malaysia.

Uterine Leiomyosarcoma (uLMS) is an aggressive tumor with poor clinical outcome. Skull and dural metastasis from uterine uLMS is exceptionally rare. We report a 60-year-old woman who had a 6 months' history of per vaginal bleed and abdominal pain who presented to us in a confused state and raised intracranial pressure symptoms with swelling over her right frontal-temporal region. Read More

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A Case Report of a Subdural Hematoma following Spinal Epidural prior to a Total Knee Arthroplasty.

Case Rep Orthop 2022 2;2022:7548593. Epub 2022 Jun 2.

Department of Orthopedics, Mayo Clinic Arizona, USA.

Introduction: This case report adds to current literature on management of a subdural hematoma following total knee arthroplasty and is particularly important as joint replacement moves into outpatient surgery centers where the orthopedic surgery team becomes the sole patient contact point. . A 66-year-old male presented to the emergency department five days after elective robotic-assisted left total knee arthroplasty performed with spinal epidural with the symptoms of a persistent nonpostural headache. Read More

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Dexamethasone should not be given to people with a chronic subdural haematoma.

BMJ 2022 06 10;377:o1302. Epub 2022 Jun 10.

Addenbrooke's Hospital and University of Cambridge, UK.

The studyHutchinson P, Edlmann E, Bulters D, et al. Trial of dexamethasone for chronic subdural haematoma. 2020;383:2616-27. Read More

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Urokinase Is Safe and Effective in Reducing Recurrence in Chronic Subdural Hematoma After Burr-Hole Drainage.

World Neurosurg 2022 Jun 7. Epub 2022 Jun 7.

Department of Neurosurgery, Pamela Youde Nethersole Eastern Hospital, Hong Kong Island, Hong Kong SAR; Department of Surgery, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, Hong Kong SAR.

Objective: This study aimed to evaluate the safety and efficacy of subdural urokinase in reducing the recurrence of chronic subdural hematoma (cSDH).

Methods: Consecutive adults with cSDH and burr-hole drainage from 1 January 2013 to 31 December 2017 were retrospectively analyzed. Clinical records, radiologic images, laboratory data, and medication records were reviewed. Read More

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Emergency Craniotomy and Burr-Hole Trephination in a Low-Resource Setting: Capacity Building at a Regional Hospital in Cambodia.

Int J Environ Res Public Health 2022 May 26;19(11). Epub 2022 May 26.

Department of Public Health and Nursing, Norwegian University of Science and Technology, 7491 Trondheim, Norway.

To evaluate the teaching effect of a trauma training program in emergency cranial neurosurgery in Cambodia on surgical outcomes for patients with traumatic brain injury (TBI). We analyzed the data of TBI patients who received emergency burr-hole trephination or craniotomy from a prospective, descriptive cohort study at the Military Region 5 Hospital between January 2015 and December 2016. TBI patients who underwent emergency cranial neurosurgery were primarily young men, with acute epidural hematoma (EDH) and acute subdural hematoma (SDH) as the most common diagnoses and with long transfer delay. Read More

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Neuroimaging in professional combat sports: consensus statement from the association of ringside physicians.

Phys Sportsmed 2022 Jun 13:1-8. Epub 2022 Jun 13.

Department of Sports Medicine, Orthopedic Specialists of North Carolina, Raleigh NC, USA.

Professional boxing, kickboxing, and mixed martial arts (MMA) are popular sports with substantial risk for both acute and chronic traumatic brain injury (TBI). Although rare, combat sports athletes have died in the ring or soon after the completion of a bout. Deaths in these instances are usually the result of an acute catastrophic neurological event such as an acute subdural hematoma (SDH). Read More

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Weight and Abdominal Pressure-Induced Shunt Trouble in Patients With Shunted Normal Pressure Hydrocephalus: A Comprehensive Study on Pressure Environment of Shunt System.

Front Neurol 2022 23;13:882757. Epub 2022 May 23.

Department Neurosurgery, Osaka Medical and Pharmaceutical University, Takatsuki, Japan.

Objectives: We identified a new type of shunt malfunction (SM) in patients with normal pressure hydrocephalus (NPH). It is induced by weight change and can be treated with valve readjustment. There were two types of SM as follows: Underdrainage induced by the weight gain and overdrainage induced by the weight loss. Read More

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Radiographic and clinical outcomes with particle or liquid embolic agents for middle meningeal artery embolization of nonacute subdural hematomas.

Interv Neuroradiol 2022 Jun 7:15910199221104631. Epub 2022 Jun 7.

Department of Neurosurgery, Clinical Neuroscience Center, 7060University of Utah, Salt Lake City, Utah, USA.

Background: Middle meningeal artery (MMA) embolization is an apparently efficacious minimally invasive treatment for nonacute subdural hematomas (NASHs), but how different embolisates affect outcomes remains unclear. Our objective was to compare radiographic and clinical outcomes after particle or liquid MMA embolization.

Methods: Patients who had MMA embolization for NASH were retrospectively identified from a multi-institution database. Read More

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Iatrogenic pseudoaneurysm of the middle meningeal artery during embolization of bilateral chronic subdural hematomas.

Interv Neuroradiol 2022 Jun 7:15910199221107250. Epub 2022 Jun 7.

Department of Radiology, 21614University of Michigan, Ann Arbor, MI 48109, USA.

Middle meningeal artery embolization has become an important treatment option for chronic subdural hematomas. While the treatment is safe, we present a unique case of development of an iatrogenic middle meningeal artery pseudoaneurysm during endovascular embolization with use of a dual-lumen balloon catheter used for injection of a liquid embolic agent. A 62-year-old man on Coumadin for portal vein thrombosis presented to the hospital with headache and supratherapeutic INR. Read More

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Middle meningeal artery embolization before craniotomy for infected organizing chronic subdural hematoma: A case report and review of the literature.

Surg Neurol Int 2022 6;13:186. Epub 2022 May 6.

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

Background: Organizing chronic subdural hematoma (OSDH) is intractable and its radical treatment remains controversial. Middle meningeal artery embolization has emerged as an adjunctive treatment to craniotomy for OSDH.

Case Description: The patient is an 86-year-old man. Read More

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The dural vascular plexus in subdural hematoma: Illustration through a case of dural arteriovenous fistula.

Surg Neurol Int 2022 20;13:212. Epub 2022 May 20.

Department of Neurosurgery, University of Liège, Liège, Belgium.

Background: The initiation of chronic subdural hematoma (cSDH) is traditionally explained by rupture of bridging veins. Recent descriptions of the embryology and anatomy of the meninges and their vascularization, however, point to the dural vascular plexus (DVP) as a plausible origin of cSDH. This dural plexus is supplied by meningeal arteries. Read More

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A case of cribriform plate dural arteriovenous fistulas with a rare complication after endovascular therapy.

Surg Neurol Int 2022 20;13:216. Epub 2022 May 20.

Department of Neurosurgery, Dokkyo Medical University Saitama Medical Center, Koshigaya-Shi, Saitama-Ken, Japan.

Background: Cribriform plate dural arteriovenous fistulas (dAVFs) are rarely encountered. Here, we report a case of cribriform plate dAVF with a rare complication after endovascular therapy.

Case Description: A 60-year-old man presented with severe sudden headache. Read More

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Factors Associated With Morbidity and Retreatment After Surgical Management of Nonacute Subdural Hematomas in Elderly Patients.

Cureus 2022 May 6;14(5):e24779. Epub 2022 May 6.

Neurosurgery, University of Utah, Salt Lake City, USA.

Background Preoperative identification of clinical, radiographic, and surgery-specific factors associated with nonacute subdural hematomas (SDHs) may enable clinicians to optimize the efficacy of the initial surgical intervention, improve outcomes, and decrease rates of surgical recurrence. Methods The authors identified patients aged ≥65 years who underwent surgical treatment of chronic, subacute, or mixed-density SDH at a level-1 trauma hospital over a ten-year period (2010-2019). Pre-and postoperative clinical, radiographic, and surgery-specific data were collected. Read More

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Recurrence of Chronic Subdural Hematoma Is Independent of ABO Blood Type: A Retrospective Cohort Study.

Front Neurol 2022 20;13:833958. Epub 2022 May 20.

Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.

Objective: A previous study with a limited number of patients has shown that blood type A was a risk factor in the recurrence of CSDH. The primary objective of this study was to investigate the association between the recurrence of CSDH and ABO blood type based on a larger sample size.

Methods: The authors reviewed in-patients with symptomatic CSDH from August 2011 to August 2021. Read More

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Epidemiology, Risk Factors and Etiology of Altered Level of Consciousness Among Patients Attending the Emergency Department at a Tertiary Hospital in Mogadishu, Somalia.

Int J Gen Med 2022 30;15:5297-5306. Epub 2022 May 30.

Emergency Department, Mogadishu Somali Turkey Training and Research Hospital, Mogadishu, Somalia.

Introduction: An altered level of consciousness (ALOC) means that the patient is not as awake, alert, or able to understand or react to the surrounding environment. The main purpose of this study was to investigate the epidemiology, risk factors, and etiology of altered levels of consciousness among patients attending the Emergency Department.

Methods: The study was conducted in the Mogadishu-Somali-Turkey Training and Research Hospital in Mogadishu, Somalia, as a prospective observational study. Read More

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Enigmatic rapid organization of subdural hematoma in a patient with epilepsy: A case report.

World J Clin Cases 2022 May;10(13):4288-4293

Department of Neurosurgery, The First Affiliated Hospital of Dalian Medical University, Dalian 116000, Liaoning Province, China.

Background: Determining a subdural hematoma (SDH) to be chronic by definition takes 3 wk, whereas organized chronic SDH (OCSDH) is an unusual condition that is believed to form over a much longer period of time, which generally demands large craniotomy. Therefore, it is a lengthy process from the initial head trauma, if any, to the formation of an OCSDH. Acute SDH (ASDH) with organization-like, membranaceous appearances has never been reported. Read More

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