4,379 results match your criteria chronic subdural


Study Protocol on Defining Core Outcomes and Data Elements in Chronic Subdural Haematoma.

Neurosurgery 2021 Jul 28. Epub 2021 Jul 28.

Department of Neurosurgery, South West Neurosurgical Centre, University Hospitals Plymouth NHS Trust, Plymouth, UK.

Background: Core Outcome Sets (COSs) are necessary to standardize reporting in research studies. This is urgently required in the field of chronic subdural hematoma (CSDH), one of the most common disease entities managed in neurosurgery and the topic of several recent trials. To complement the development of a COS, a standardized definition and baseline Data Elements (DEs) to be collected in CSDH patients, would further improve study quality and comparability in this heterogeneous population. Read More

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Chronic subdural hematoma-induced parkinsonism: A systematic review.

Clin Neurol Neurosurg 2021 Jul 21;208:106826. Epub 2021 Jul 21.

Department of Neurosurgery, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia; Dr. Soetomo General Academic Hospital, Surabaya, Indonesia.

Background: Chronic subdural hematoma (CSDH) is one of the most common neurosurgical cases, especially in elderly individuals. Secondary parkinsonism due to CSDH is a rare entity. The mechanism of parkinsonism symptoms in chronic subdural hematoma has been suggested to include direct mechanical compression of the basal ganglia due to hematoma or indirectly through brain structure changes due to space lesions and vascular disorders. Read More

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Feasibility and Safety of Neonatal Brain Contrast-Enhanced Ultrasound: A Prospective Study Using MRI as Reference Standard.

AJR Am J Roentgenol 2021 Jul 21. Epub 2021 Jul 21.

University of Pittsburgh School of Medicine, Department of Radiology.

MRI is the gold standard for neonatal brain imaging but is expensive, time-consuming, potentially limited by availability and accessibility, and may be contraindicated in some patients. Transfontanelle neonatal head ultrasound is an excellent alternative but may be less sensitive and specific than MRI. Contrast-enhanced ultrasound (CEUS) has the potential to improve ultrasound's capabilities. Read More

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Impaired cerebrospinal fluid transport due to idiopathic subdural hematoma in pig: an unusual case.

BMC Vet Res 2021 Jul 20;17(1):250. Epub 2021 Jul 20.

Department of Experimental Medical Science, Lund University, Sölvegatan 17, BMC A1304, 223 62, Lund, SE, Sweden.

Background: We report the effects of the presentation of an idiopathic subdural hematoma (SDH) in an adult domestic pig on the glymphatic system, a brain-wide solute clearance system. This accidental finding is based on our recently published study that described this system for the first time in large mammals. Our current results define the need to investigate cerebrovascular pathologies that could compromise glymphatic function in gyrencephalic animal models as a tool to bridge rodent and human glymphatic studies. Read More

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Pharmacological Treatment in the Management of Chronic Subdural Hematoma.

Front Aging Neurosci 2021 1;13:684501. Epub 2021 Jul 1.

Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu, China.

Several pharmacological treatments have been used to treat patients with chronic subdural hematoma (CSDH), although little is known about the comparative effectiveness of different classes of medication. We performed a Bayesian network meta-analysis to compare and rank the efficacy and safety of five drug regimens to determine the best treatment for this group of patients. We systematically searched PubMed, Medline, clinicaltrials. Read More

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Efficacy of the Direct Aspiration-Irrigation Maneuver for the Treatment of Chronic Subdural Hematoma: A Single Hospital's Experience.

Cureus 2021 Jul 7;13(7):e16231. Epub 2021 Jul 7.

Neurosurgery, Shidong Hospital of Yangpu District, Shanghai, CHN.

Objective The traditional methods for managing symptomatic chronic subdural hematoma (CSDH) at our hospital include evacuation via single burr-hole irrigation with continuous closed subdural drainage (SBID). The single burr-hole aspiration and irrigation technique with continuous closed subdural drainage (SBAID) is an attractive alternative method. The goal of this study was to evaluate the radiographic and clinical outcomes of SBAID compared with traditional SBID methods. Read More

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Dural puncture during lumbar epidural access in the setting of degenerative spondylolisthesis: case series and risk mitigation strategies.

Reg Anesth Pain Med 2021 Jul 15. Epub 2021 Jul 15.

Departments of Anesthesiology & Critical Care Medicine, Physical Medicine and Rehabilitation, Neurology and Psychiatry & Behavioral Sciences, Johns Hopkins School of Medicine and Uniformed Services of the Health Sciences, Baltimore, Maryland, USA

Degenerative spondylolisthesis is a common back pathology in the general adult population. Patients with this condition may present for epidural steroid injection, epidural blood patch, or epidural analgesia. We report five patients with degenerative spondylolisthesis who experienced inadvertent dural puncture during interlaminar epidural steroid injection attempts: four with intrathecal contrast spread or cerebrospinal backflow into the epidural needle and one with subdural contrast spread. Read More

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The Transformation of Intracranial Subdural Hygroma to Chronic Subdural Hematoma Following Endoscopic Spinal Surgery: A Case Report.

J Neurol Surg A Cent Eur Neurosurg 2021 Jul 14. Epub 2021 Jul 14.

Department of Neurosurgery, Him Plus Hospital, Suncheon, Republic of Korea.

Background:  We present the case of an intracranial subdural hygroma resulting from intraoperatively undetected dural tear after unilateral biportal endoscopic (UBE) spine surgery for lumbar spinal stenosis.

Case Description:  An 80-year-old woman presented with insidious onset, gradually progressing low back pain, and right leg pain of 1-year duration. The pain radiated to the right L4-L5 dermatomes. Read More

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Fatal Acute Pneumocephalus after Bilateral Drainage for Chronic Subdural Hematomas: Case Report.

J Neurol Surg A Cent Eur Neurosurg 2021 Jul 14. Epub 2021 Jul 14.

Faculty of Medicine, University of Belgrade, Belgrade, Serbia.

Background:  Pneumocephalus is a well-known complication in the surgical treatment of chronic subdural hematomas; however, its influence remains controversial. The amount of subdural air may vary, and it may cause worsening of symptoms, increase reoccurrence rates, and worsen the outcomes. Lethal outcome following acute onset of massive pneumocephalus was not previously reported. Read More

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Local Skull Thinning is One of Risks for the Ruptured Arachnoid Cysts With Chronic Subdural Hematoma in Adults: Thirty-two Clinical Reports.

J Craniofac Surg 2021 Jul 13. Epub 2021 Jul 13.

Department of Neurosurgery, Beijing TianTan Hospital, Capital Medical University, Beijing Department of Neurosurgery, the First Affiliated Hospital of Anhui Medical University, Hefei China National Clinical Research Center for Neurological Diseases Beijing Key Laboratory of Central Nervous System Injury and Department of Neurosurgery, Beijing Neurosurgical Institute and Beijing Tiantan Hospital, Capital Medical University, Beijing, China.

Objective: Chronic subdural hematomas (CSDHs) in young people are uncommon, rupture of arachnoid cysts (ACs) is one of the reasons for young patients. The detailed features of CSDHs associated with ACs remain poorly understood. The objective of this study is to analyze the characteristics of risks for the rupture of ACs with CSDH in Adults. Read More

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Two Co(II) coordination polymers: magnetic properties and application values against chronic subdural hematoma.

Des Monomers Polym 2021 28;24(1):199-207. Epub 2021 Jun 28.

Department of Medicine, Nanjing Medical University, Huai'an, Jiangsu, China.

In this current experiment, by applying the mixed-ligand synthesis method, two coordination polymers (CPs) containing Co(II) were created triumphantly with reaction between 1,3-bis(1-imidazoly)benzene (mbib) and Co(II) salts with the aid of diverse carboxylic ligands, and their chemical formulae are [Co(opda)(mbib)(HO)]·2HO (, Hopda is 1,2-phenylenediacetic acid) and [Co(mpda)(mbib)]·HO (, Hmpda is 1,3-phenylenediacetic acid). The two compounds' magnetic performances suggest that between the adjacent metal ions, there present the antiferromagnetic coupling. The evaluation of their treatment activity against chronic subdural hematoma was carried out and the relevant mechanism was studied simultaneously. Read More

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Relevance of comorbidities and antithrombotic medication as risk factors for reoperation in patients with chronic subdural hematoma.

Neurosurg Rev 2021 Jul 9. Epub 2021 Jul 9.

Department of Neurosurgery, Heidelberg University Hospital, INF 400, 69120, Heidelberg, Germany.

In an aging Western society, the incidence of chronic subdural hematomas (cSDH) is continuously increasing. In this study, we reviewed our clinical management of cSDH patients and identified predictive factors for the need of reoperation due to residual or recurrent hematomas with a focus on the use of antithrombotic drugs. In total, 623 patients who were treated for cSDH with surgical evacuation between 2006 and 2016 at our department were retrospectively analyzed. Read More

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Bilateral Abducens Nerve Palsies After Middle Meningeal Artery Embolization for Chronic Subdural Hematoma.

J Neuroophthalmol 2021 Jul 2. Epub 2021 Jul 2.

Department of Ophthalmology (SR, PWM), Blanton Eye Institute, Houston Methodist Hospital, Houston, Texas; Department of Neurosurgery (YJZ, AGL), Houston Methodist Hospital and Weill Cornell Medicine, New York, New York; Department of Ophthalmology (AGL), University of Texas Medical Branch, Galveston, Texas; University of Texas MD Anderson Cancer Center (AGL), Houston, Texas of Ophthalmology; Texas A and M College of Medicine (AGL), Bryan, Texas; and Department of Ophthalmology (AGL), The University of Iowa Hospitals and Clinics, Iowa City, Iowa.

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Middle meningeal artery embolisation in the treatment of chronic subdural haematoma.

Neurologia (Engl Ed) 2021 Jul-Aug;36(6):476. Epub 2021 Apr 17.

Servicio de Neurocirugía, Hospital Clínico Universitariode Santiago de Compostela, Santiago de Compostela, La Coruña, Spain.

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A matter of frailty: the modified Subdural Hematoma in the Elderly (mSHE) score.

Neurosurg Rev 2021 Jul 6. Epub 2021 Jul 6.

Department of Neurosurgery, Universitätsmedizin Göttingen, Robert-Koch-Str. 40, 37075, Göttingen, Germany.

The Subdural Hematoma in the Elderly (SHE) score was developed as a model to predict 30-day mortality from acute, chronic, and mixed subdural hematoma in the elderly population after minor or no trauma. Emerging evidence suggests frailty to be predictive of mortality and morbidity in the elderly. In this study, we aim to externally validate the SHE for chronic subdural hematoma (CSDH) alone, and we hypothesize that the incorporation of frailty into the SHE may increase its predictive power. Read More

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The Crucial Role of Eosinophils in the Life Cycle, Radiographical Architecture, and Risk of Recurrence of Chronic Subdural Hematomas.

Neurotrauma Rep 2021 8;2(1):76-83. Epub 2021 Feb 8.

Division of Neurosurgery, Department of Surgery, University of Toronto, Toronto, Ontario, Canada.

Chronic subdural hematomas (CSDHs) are a common neurological condition, whose incidence is expected to increase with an aging population. Although surgical evacuation is the mainstay of treatment, it results in a recurrence requiring reoperation (RrR) in 3-30% of cases. Recurrence is thought to be driven by a combination of inflammatory and angiogenic processes occurring within the CSDH outer membrane. Read More

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February 2021

-infected chronic subdural hematoma mimicking an expanding hematoma: A case report.

Surg Neurol Int 2021 14;12:288. Epub 2021 Jun 14.

Department of Neurosurgery, Kobe City Medical Center General Hospital, Kobe, Hyogo, Japan.

Background: We present the rare case of a spontaneous intracranial subdural empyema caused by in a preexisting chronic subdural hematoma (CSDH).

Case Description: A 72-year-old man with a history of the right CSDH that remained radiologically unchanged for the past 2 years with conservative management was transferred to our hospital because of fever and convulsive seizure. Systemic sources of infection were not identified. Read More

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Pediatric middle meningeal artery embolization for chronic subdural hematoma: A case report.

Surg Neurol Int 2021 25;12:239. Epub 2021 May 25.

Department of Neurosurgery, Medical College of Wisconsin, Milwaukee, Wisconsin, United States.

Background: The most common neuroradiological finding in pediatric nonaccidental trauma (NAT) is subdural hematoma (SDH). Management options for pediatric SDH range from conservative clinical surveillance to craniotomy or decompressive craniectomy. The middle meningeal artery (MMA) indirectly feeds the hematoma; thus, MMA embolization is an alternative or adjunct to current surgical treatments in adults. Read More

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Intraoperative hematoma volume can predict chronic subdural hematoma recurrence.

Surg Neurol Int 2021 25;12:232. Epub 2021 May 25.

Department of Neurosurgery, Shunan Memorial Hospital, Kudamatsu, Yamaguchi, Japan.

Background: We routinely measured the exact chronic subdural hematoma (CSDH) volume during single burr hole surgery. To date, several risk factors have been reported for CSDH recurrence, including sex, hematoma volume and degree of midline shift calculated from computed tomography, use of anticoagulants or antiplatelet medications, and alcohol consumption habits. The aim of this study was to clarify whether hematoma volume, in conjunction with other factors, can predict recurrence. Read More

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Middle Meningeal Artery Embolization for Chronic Subdural Hematoma: A national database study of 191 patients in the United States.

World Neurosurg 2021 Jun 29. Epub 2021 Jun 29.

Department of Neurosurgery, University of Texas Medical Branch, 301 University Blvd, Galveston, TX 77555, USA. Electronic address:

Background: Middle meningeal artery embolization (MMAE) has been used as an effective minimally invasive treatment for chronic subdural hematomas (cSDH). The demographics and clinical outcomes after MMAE treatment for cSDH have not yet been studied using the large scale of a national database.

Methods: We queried all MMAE cases up to October 7, 2020, from the TriNetX Analytics Network. Read More

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Selection of an Appropriate Surgical Method for the Management of Chronic Subdural Hematoma in a Patient with Poor Physical Status.

Asian J Neurosurg 2021 Jan-Mar;16(1):164-169. Epub 2021 Feb 23.

Department of Neurosurgery, Eunpyeong St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.

Physical status is an important factor to consider when treating patients with chronic subdural hematomas. Surgical treatment of chronic subdural hematoma is mainly by burr hole trephination. However, operative methods must be selected after careful consideration of mortality, morbidity, and recurrence rates. Read More

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February 2021

Comparative Study of Subgaleal and Subdural Closed Drain in Surgically Treated Cases of Chronic Subdural Hematoma.

Asian J Neurosurg 2021 Jan-Mar;16(1):96-98. Epub 2021 Feb 23.

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

Background: Chronic subdural hematoma (CSDH) is seen most common in geriatric patients, and trauma is the most important reason for CSDH. Operative treatment of CSDH in symptomatic patients is yet the gold standard of therapy because it allows decompression of the subdural space and aids improvement in neurological status. Burr-hole craniostomy is the most common accepted treatment for CSDH. Read More

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February 2021

Campylobacter insulaenigrae bacteremia with meningitis: a case report.

BMC Infect Dis 2021 Jul 1;21(1):633. Epub 2021 Jul 1.

Sanda City Hospital, 3-1-1, Keyaki-dai, Sanda, Hyogo, 669-1326, Japan.

Background: The bacterium Campylobacter insulaenigrae was first isolated from marine mammals of Scotland in 2004. Only one case of C. insulaenigrae infection in humans has been previously reported. Read More

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Middle meningeal artery embolization for chronic subdural hematoma: a systematic review and meta-analysis.

J Neurointerv Surg 2021 Jun 30. Epub 2021 Jun 30.

Department of Neurological Surgery, University of Louisville School of Medicine, Louisville, Kentucky, USA

Middle meningeal artery (MMA) embolization has been proposed as a minimally invasive treatment for chronic subdural hematoma (cSDH). The aim of this systematic review and meta-analysis is to compare outcomes after MMA embolization versus conventional management for cSDH. We performed a systematic review of PubMed, Embase, Oxford Journal, Cochrane, and Google Scholar databases from April 1987 to October 2020 in accordance with PRISMA guidelines. Read More

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Efficacy and mid-term outcome of middle meningeal artery embolization with or without burr hole evacuation for chronic subdural hematoma compared with burr hole evacuation alone.

J Neurointerv Surg 2021 Jun 29. Epub 2021 Jun 29.

Department of Diagnostic and Interventionell Radiology and Neuroradiology, University Hospital Augsburg, Augsburg, Bavaria, Germany.

Background: Chronic subdural hematoma (CSDH) is a common neurosurgical condition with high recurrence rates. Repeated microbleedings from fragile neo-vessels supplied by peripheral branches of the middle meningeal artery (MMA) are believed to be responsible for the growth and recurrence of CSDH. Thus, MMA embolization might be a promising method to prevent re-bleedings and recurrences. Read More

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Erratum to: A Call for Studies Examining the Management of Chronic Subdural Hematoma in Older Adult Cohorts.

J Gerontol A Biol Sci Med Sci 2021 Jun 29. Epub 2021 Jun 29.

Department of Neurosurgery, George Washington University School of Medicine & Health Sciences, Washington, District of Columbia, US.

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Incidence of chronic subdural haematoma: a single-centre exploration of the effects of an ageing population with a review of the literature.

Acta Neurochir (Wien) 2021 Jun 28. Epub 2021 Jun 28.

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

Background: Chronic subdural haematoma (cSDH) is a common neurosurgical pathology frequently occurring in older patients. The impact of population ageing on cSDH caseload has not been examined, despite relevance for health system planning.

Methods: This is a single-centre study from the UK. Read More

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Middle Meningeal Artery Embolization Versus Conventional Treatment of Chronic Subdural Hematomas.

Neurosurgery 2021 Jun 25. Epub 2021 Jun 25.

Neurosurgery Division, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.

Background: Middle meningeal artery (MMA) embolization is an emerging minimally invasive endovascular technique for chronic subdural hematoma (cSDH). Currently, limited literature exists on its safety and efficacy compared with conventional treatment (open-surgical-evacuation-only).

Objective: To compare MMA embolization to conventional treatment. Read More

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Chronic subdural hemorrhage predisposes to development of cerebral venous thrombosis and associated retinal hemorrhages and subdural rebleeds in infants.

Authors:
Dale F Vaslow

Neuroradiol J 2021 Jun 25:19714009211026904. Epub 2021 Jun 25.

Department of Radiology, Harry S. Truman Veterans Administration Hospital, Columbia, MO, USA.

For infants presenting with subdural hemorrhage, retinal hemorrhage, and neurological decline the "consensus" opinion is that this constellation represents child abuse and that cerebral venous sinus thrombosis and cortical vein thrombosis is a false mimic. This article contends that this conclusion is false for a subset of infants with no evidence of spinal, external head, or body injury and is the result of a poor radiologic evidence base and misinterpreted data. Underdiagnosis of thrombosis is the result of rapid clot dissolution and radiologic under recognition. Read More

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Lessons learned from a failed clinical trial of chronic subdural hematoma treatment.

J Neurointerv Surg 2021 Jun 23. Epub 2021 Jun 23.

Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA.

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