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Chronic subdural hematoma

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https://www.readbyqxmd.com/read/28529875/advanced-magnetic-resonance-imaging-and-neuropsychological-assessment-for-detecting-brain-injury-in-a-prospective-cohort-of-university-amateur-boxers
#1
M G Hart, C R Housden, J Suckling, R Tait, A Young, U Müller, V F J Newcombe, I Jalloh, B Pearson, J Cross, R A Trivedi, J D Pickard, B J Sahakian, P J Hutchinson
BACKGROUND/AIM: The safety of amateur and professional boxing is a contentious issue. We hypothesised that advanced magnetic resonance imaging and neuropsychological testing could provide evidence of acute and early brain injury in amateur boxers. METHODS: We recruited 30 participants from a university amateur boxing club in a prospective cohort study. Magnetic resonance imaging (MRI) and neuropsychological testing was performed at three time points: prior to starting training; within 48 h following a first major competition to detect acute brain injury; and one year follow-up...
2017: NeuroImage: Clinical
https://www.readbyqxmd.com/read/28528493/clinical-investigation-of-chronic-subdural-hematoma-with-impending-brain-herniation-on-arrival
#2
Hiroaki Matsumoto, Hiroaki Hanayama, Takashi Okada, Yasuo Sakurai, Hiroaki Minami, Atsushi Masuda, Shogo Tominaga, Katsuya Miyaji, Ikuya Yamaura, Yasuhisa Yoshida
Chronic subdural hematoma (CSDH) with brain herniation signs is rarely seen in the emergent department. As such, there are few cumulative data to analyze such cases. In this study, we evaluated the clinical features, risk factors, and rates of completion with impending brain herniation on arrival in a cohort study. We analyzed 492 consecutive patients with CSDH between January 2010 and October 2015. First, we analyzed the clinical factors and compared them between patients with or without brain herniation signs on admission...
May 20, 2017: Neurosurgical Review
https://www.readbyqxmd.com/read/28523175/a-chronic-thromboembolic-pulmonary-hypertension-catch-22-situation-inferior-vena-caval-filter-plays-a-pivotal-role-in-an-unlikely-situation
#3
Karthik Seetharam, Elbert E Williams, Elizabeth Oswald, Ramachandra Reddy
Chronic thromboembolic pulmonary hypertension (CTEPH) is a rare clinical entity that occurs in a small subset of acute pulmonary embolism (PE) cases and is surgically cured by pulmonary endarterectomy. We report a case of a 44-year-old female with a complex history of CTEPH treated by thromboendarterectomy who presented with a subdural hematoma while on warfarin. The patient eventually recovered by a multidisciplinary approach, use of inferior vena caval filter, and effective anticoagulation management.
April 2017: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/28512622/erratum-risk-factor-analysis-for-the-recurrence-of-chronic-subdural-hematoma-a-review-of-368-consecutive-surgical-cases
#4
Chang Wan Oh
[This corrects the article on p. 63 in vol. 11, PMID: 27169067.].
April 2017: Korean Journal of Neurotrauma
https://www.readbyqxmd.com/read/28512051/membranectomy-in-chronic-subdural-hematoma-a-meta-analysis
#5
REVIEW
Ronald Sahyouni, Hossein Mahboubi, Peter Tran, John S Roufail, Jefferson W Chen
OBJECTIVE: Initial management strategies of chronic subdural hematoma (cSDH) are controversial, and range from bedside twist-drill or burr hole drainage, to craniotomy with membranectomy (CWM). We aim to (1) perform a meta-analysis of the available data on the outcomes of CWM for treatment of cSDH in published English-language literature, and (2) evaluate collective outcomes of CWM with respect to morbidity, mortality, and recurrence rates. METHODS: A search of English-language literature performed in PubMed, Ovid, and Cochrane databases using keywords ("subdural hematoma" or "chronic subdural hematoma") and ("membrane" or "membranectomy") from inception to December 2016 was conducted...
May 13, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28484551/self-inflicted-stab-with-a-knife-an-unusual-mode-of-penetrating-brain-injury
#6
Zeeshan Qazi, Bal Krishna Ojha, Anil Chandra, Sunil Kumar Singh, Chhitij Srivastava, Nishant Verma, Tushar B Patil
Self-inflicted penetrating injuries have been very rarely described in the medical literature. We describe a middle-aged woman, who had driven a long knife inside her skull with the help of a brick. She had done this to get relief from chronic headache, which was troubling her for 10 years. Patient was hemodynamically stable and had Glassgow Coma scale score of 15. She was immediately operated to remove the knife and evacuate the acute subdural hematoma. Patient made a steady postoperative recovery. Psychiatric and neurological evaluation in the postoperative period revealed features of mixed anxiety and depressive disorder with migraine, for which she was started on treatment...
April 2017: Asian Journal of Neurosurgery
https://www.readbyqxmd.com/read/28484546/postoperative-hematoma-involving-brainstem-peduncles-cerebellum-deep-subcortical-white-matter-cerebral-hemispheres-following-chronic-subdural-hematoma-evacuation
#7
Mohana Rao Patibandla, Amit K Thotakura, Dinesh Shukla, Anirudh K Purohit, Gokul Chowdary Addagada, Manisha Nukavarapu
Among the intracranial hematomas, chronic subdural hematomas (CSDH) are the most benign with a mortality rate of 0.5-4.0%. The elderly and alcoholics are commonly affected by CSDH. Even though high percentage of CSDH patients improves after the evacuation, there are some unexpected potential complications altering the postoperative course with neurological deterioration. Poor outcome in postoperative period is due to complications like failure of brain to re-expand, recurrence of hematoma and tension pneumocephalus...
April 2017: Asian Journal of Neurosurgery
https://www.readbyqxmd.com/read/28479524/efficacy-of-arachnoid-plasty-on-chronic-subdural-hematoma-following-surgical-clipping-of-unruptured-intracranial-aneurysms
#8
Jae-Hyun Kim, Chang-Young Lee, Chang-Hyun Kim
BACKGROUND: We aimed to elucidate the effects of arachnoid plasty (ARP) on chronic subdural hematoma (CSDH) occurrence following clipping surgery. METHODS: In total 217 patients (ARP, n = 97; non-ARP, n = 120) who had undergone unruptured intracranial aneurysm (UIA) surgical clipping via the pterional approach were retrospectively assessed. Predisposing factors for CSDH development following the surgery were investigated. Thickness and volume of the subdural fluid collection (SDFC) were measured to determine whether ARP affects postoperative SDFC...
May 4, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28468141/clinical-observation-of-treatment-of-chronic-subdural-hematoma-with-novel-double-needle-minimally-invasive-aspiration-technology
#9
Yi Wan, Xifeng Fei, Dongyi Jiang, Hanchun Chen, Lei Shi, Zhimin Wang
OBJECTIVE: The aim of the present study was to explore the clinical effects, including the prevention of complications, of the treatment of chronic subdural hematoma with double needle aspiration. METHODS: The clinical data of 31 patients with chronic subdural hematoma treated by double YL-1 needle double skull drilling and 31 controls treated by traditional drilling and drainage were analyzed retrospectively. RESULTS: In the YL-1 needle group, only 1 patient was with hematoma recurrence, 1 patient was with intracranial pneumocephalus, and the remaining patients who were followed up for 3 months achieved a clinical cure...
May 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28461277/drain-insertion-in-chronic-subdural-hematoma-an-international-survey-of-practice
#10
Jehuda Soleman, Maria Kamenova, Katharina Lutz, Raphael Guzman, Javier Fandino, Luigi Mariani
OBJECTIVE: The aim of this international survey was to investigate whether practice concerning drain insertion after burr hole drainage of cSDH following the publication of grade I evidence that it reduces recurrence rates has changed. Further, we aimed to document various practice modalities concerning the insertion of a drain adopted by neurosurgeons internationally. METHODS: We administered a survey to neurosurgeons all over the world with questions relating the surgical treatment of cSDH, emphasizing on their practices concerning the use of a drain...
April 28, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28458854/the-outcome-of-a-pregnant-woman-with-a-minor-head-injury-an-ossified-subdural-hematoma-osdh
#11
Nese Keser, Erhan Celikoglu, İmam H Aydın, Nurver Ozbay
We experienced an ossified subdural hematoma (OSDH), which is an extremely rare form of chronic subdural hematoma (SDH), in the dominant hemisphere of a 35-year-old woman. She presented to our outpatient clinic with a complaint of a headache; she had previously experienced a head injury while she was pregnant. We performed surgery with extreme caution because the lesion was attached to the surrounding tissue. Since an OSDH is an extremely rare form of chronic SDH, neurosurgeons might not experienced them during their daily practice...
March 2017: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/28411236/thromboembolism-prevention-after-chronic-subdural-hematoma-in-the-elderly-a-leap-in-the-dark
#12
EDITORIAL
Jose I Suarez, Gregory Kapinos
No abstract text is available yet for this article.
April 14, 2017: Neurology
https://www.readbyqxmd.com/read/28411235/anticoagulant-and-antiplatelet-use-in-seniors-with-chronic-subdural-hematoma-systematic-review
#13
Santhosh Nathan, Zahra Goodarzi, Nathalie Jette, Clare Gallagher, Jayna Holroyd-Leduc
OBJECTIVE: To address whether to restart older patients on anticoagulants or antiplatelet agents in the setting of a chronic subdural hematoma (cSDH). METHODS: This is an update of a previous review (searched until July 2012). Medline, EMBASE, ISI Web of Knowledge, Google Scholar, PLOS, and the Cochrane Register for Systematic Reviews databases were searched from January 2012 to December 2016. Studies included older adults (those over 65 years) experiencing traumatic subdural hematoma or cSDH who were on anticoagulation or antiplatelet agents...
May 16, 2017: Neurology
https://www.readbyqxmd.com/read/28389834/chronic-subdural-hematoma-in-the-oldest-old-population
#14
REVIEW
Miguel Gelabert-González, Paula Román-Pena, Eduardo Arán-Echabe
No abstract text is available yet for this article.
April 7, 2017: Neurosurgical Review
https://www.readbyqxmd.com/read/28382656/surgery-for-chronic-subdural-hematoma-in-nonagenarians-a-scandinavian-population-based-multicenter-study
#15
J Bartek, K Sjåvik, F Ståhl, H Kristiansson, O Solheim, S Gulati, L M Sagberg, P Förander, A S Jakola
OBJECTIVE: Chronic subdural hematoma (cSDH) is a prevalent condition often seen in the elderly, with surgery being the treatment of choice when symptomatic. So far, few have explored the surgical outcomes in patients 90 years or older. The aim of this study was to investigate outcome after cSDH surgery in nonagenarians (≥90 y/o group) compared to younger adult patients (<90 y/o group). MATERIALS: In a Scandinavian population-based cohort we conducted a retrospective review of 1,254 patients undergoing primary burr-hole procedures for cSDH between January 1, 2005 and December 31, 2010 at three neurosurgical centers...
April 6, 2017: Acta Neurologica Scandinavica
https://www.readbyqxmd.com/read/28381926/subperiosteal-drainage-versus-subdural-drainage-in-the-management-of-chronic-subdural-hematoma-a-comparative-study
#16
Adrian Ng Wei Chih, Albert Wong Sii Hieng, Noor Azman A Rahman, Jafri Malin Abdullah
INTRODUCTION: Symptomatic chronic subdural hematomas (CSDH) remain one of the most frequent diagnoses in current neurosurgical practice. Burr-hole craniostomy with irrigation and placement of close-system drainage is the current recommended surgery for symptomatic CSDH. The aim of this study is to perform a direct comparison between two surgical techniques in the treatment of symptomatic CSDH, which have been proven in previous studies to be efficient. Our main objective was to compare the efficacy of placement of a subperiosteal drain (SPD) and a subdural drain (SDD) following single burr-hole craniostomy and irrigation, and to demonstrate any significant differences in terms of overall surgical complications, functional outcome at three months and mortality rate...
March 2017: Malaysian Journal of Medical Sciences: MJMS
https://www.readbyqxmd.com/read/28379528/a-reliable-grading-system-for-prediction-of-chronic-subdural-hematoma-recurrence-requiring-reoperation-after-initial-burr-hole-surgery
#17
Milo Stanišic, Are Hugo Pripp
BACKGROUND: There is no widely adopted grading system for the prediction of postoperative recurrence requiring reoperation (RrR) in patients with chronic subdural hematoma (CSDH). OBJECTIVE: We developed a CSDH grading system to predict RrR based on predictive characteristics that can be objectively assessed at the time of first presentation and initial surgery. METHODS: Prospectively collected data from 107 consecutive surgical patients with CSDH were reviewed...
March 30, 2017: Neurosurgery
https://www.readbyqxmd.com/read/28367945/a-case-of-superficial-siderosis-ameliorated-after-closure-of-dural-deficit-detected-by-mri-ciss-constructive-interference-in-steady-state-imaging
#18
Ayako Sakoda, Ken-Ichiro Yamashita, Mitsumasa Hayashida, Yukihide Iwamoto, Ryo Yamasaki, Jun-Ichi Kira
A 64-year-old male developed headache, dizziness, and difficulty hearing, two years after an operation for chronic subdural hematoma due to head injury. These symptoms gradually worsened over the following 15 years. As he showed bloody cerebrospinal fluid (CSF) and marginal hypointensity on the surface of the brain and spinal cord on T2/T2*-weighted MRI, he was diagnosed with superficial siderosis (SS), although the source of the bleeding was unclear and anti-hemorrhagic drugs were ineffective. When he was admitted to our hospital, neurological examination disclosed horizontal gaze-evoked nystagmus, severe bilateral hearing loss, scanning speech, and limb and truncal ataxia...
March 30, 2017: Rinshō Shinkeigaku, Clinical Neurology
https://www.readbyqxmd.com/read/28367840/the-effect-of-irrigation-solutions-on-recurrence-of-chronic-subdural-hematoma-a-consecutive-cohort-study-of-234-patients
#19
Masashi Kuwabara, Takashi Sadatomo, Kiyoshi Yuki, Keisuke Migita, Yasutaka Imada, Kiyoharu Shimizu, Takeshi Hara, Hideo Oba, Kaoru Kurisu
Chronic subdural hematomas (CSDHs) occur often in elderly persons and can occur with mild head trauma. With burr-hole irrigation as standard treatment, symptoms usually improve and can be cured, and outcomes are good, but postoperative recurrences are a common problem. This study investigated the effectiveness and recurrence rates when using artificial cerebrospinal fluid (ACF) instead of normal saline (NS) as an irrigation solution for burr-hole irrigation in patients with CSDH. This prospective study included 234 consecutive patients who underwent initial surgical treatment by burr-hole irrigation for a CSDH between April 2008 and June 2015...
March 30, 2017: Neurologia Medico-chirurgica
https://www.readbyqxmd.com/read/28362919/activation-of-nuclear-factor-kappa-b-in-endothelial-cells-of-chronic-subdural-hematoma-outer-membranes
#20
Koji Osuka, Yasuo Watanabe, Nobuteru Usuda, Masahiro Aoyama, Reo Kawaguchi, Mikinobu Takeuchi, Masakazu Takayasu
BACKGROUND: Chronic subdural hematoma (CSDH) is considered an angiogenic and inflammatory disease. Nuclear factor-kappa B (NF-κB) induces the production of inflammatory cytokines and adhesion molecules, which play an essential role in angiogenesis and inflammation. Recently, the double-stranded RNA-activated protein kinase (PKR) was shown to directly interact with NF-κB subunits to influence its transcriptional activity. OBJECTIVE: To examine the expression of NF-κB signaling pathway components and PKR in CSDH outer membranes...
April 1, 2017: Neurosurgery
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