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Chronic subdural hematoma

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https://www.readbyqxmd.com/read/29328003/characterizing-the-type-and-location-of-intracranial-abnormalities-in-mild-traumatic-brain-injury
#1
Harri Isokuortti, Grant L Iverson, Noah D Silverberg, Anneli Kataja, Antti Brander, Juha Öhman, Teemu M Luoto
OBJECTIVE The incidence of intracranial abnormalities after mild traumatic brain injury (TBI) varies widely across studies. This study describes the characteristics of intracranial abnormalities (acute/preexisting) in a large representative sample of head-injured patients who underwent CT imaging in an emergency department. METHODS CT scans were systematically analyzed/coded in the TBI Common Data Elements framework. Logistic regression modeling was used to quantify risk factors for traumatic intracranial abnormalities in patients with mild TBIs...
January 12, 2018: Journal of Neurosurgery
https://www.readbyqxmd.com/read/29313100/burr-hole-trepanation-for-chronic-subdural-hematomas-is-surgical-education-safe
#2
Nicolai Maldaner, Marketa Sosnova, Johannes Sarnthein, Oliver Bozinov, Luca Regli, Martin N Stienen
BACKGROUND: There is a paucity of data concerning the safety and efficacy of surgical education for neurosurgical residents in the evacuation of chronic subdural hematomas (cSDH) by burr hole trepanation. METHODS: This is a retrospective analysis of prospectively collected data on consecutive patients receiving burr hole trepanation for uni- or bilateral cSDH. Patients operated by a supervised neurosurgery resident (teaching cases) were compared to patients operated by a board-certified faculty neurosurgeon (BCFN; non-teaching cases)...
January 8, 2018: Acta Neurochirurgica
https://www.readbyqxmd.com/read/29290532/thrombolysis-alert-in-hassan-ii-university-teaching-hospital-of-fez-morocco-a-prospective-study-of-2-years
#3
Moussa Toudou Daouda, Siham Bouchal, Naima Chtaou, Aouatef Midaoui, Zouahyr Souirti, Faouzi Belahsen
BACKGROUND: Thrombolysis alert (TA) is a procedure triggered every time a patient consults for sudden focal neurological deficit within 4.5 hours. OBJECTIVE: We aimed to determine firstly the etiological profile of TA and secondly to evaluate the delays in the management not only of thrombolyzed patients but also of nonthrombolyzed patients to determine the intrahospital delays to optimize. METHODS: Patients aged over 18 years who consulted for sudden focal neurological deficit within 4...
December 29, 2017: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
https://www.readbyqxmd.com/read/29288848/repeated-short-term-recurrence-of-a-chronic-subdural-hematoma-associated-with-metastasis-to-hematoma-capsule-originating-from-extracranial-malignant-tumor
#4
Hiroyuki Ikeda, Norio Nakajima, Tsuyoshi Terashima, Yasuhiro Kawabata, Hidenori Miyake, Susumu Miyamoto
BACKGROUND: The recurrence rate of chronic subdural hematoma (CSDH) after trepanation is relatively high, and involves various factors. We encountered an extremely rare case in which metastasis of an extracranial malignant tumor to the hematoma capsule was thought to be causing short-term repeated recurrences of CSDH. CASE DESCRIPTION: The patient was a 74-year-old man who had undergone burr-hole evacuation of left CSDH 7 months earlier and had been receiving chemotherapy for stage IV gastric cancer for the preceding 6 months...
December 27, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/29274740/which-surgical-procedure-is-effective-for-refractory-chronic-subdural-hematoma-analysis-of-our-surgical-procedures-and-literature-review
#5
Hiroaki Matsumoto, Hiroaki Hanayama, Takashi Okada, Yasuo Sakurai, Hiroaki Minami, Atsushi Masuda, Shogo Tominaga, Katsuya Miyaji, Ikuya Yamaura, Yasuhisa Yoshida
Refractory chronic subdural hematoma (CSDH) is rare but remains a difficulty for neurosurgeons, and no consensus on treatment procedures has been established. To discuss effective surgical procedures for refractory CSDH, we analyzed our surgical procedures and outcomes for refractory CSDH. We defined patients with refractory CSDH as those who presented with two or more recurrences. Fourteen patients with refractory CSDH were analyzed. Eight patients underwent burr-hole irrigation and closed-system drainage alone, four patients received embolization of the middle meningeal artery (MMA), and two patients with organized CSDH underwent large craniotomy with outer membranectomy as the third surgery...
December 20, 2017: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/29258949/outcome-of-traumatic-brain-injury-in-elderly-population-a-tertiary-centre-experience-from-a-developing-country
#6
G Lakshmi Prasad, N Anmol, Girish R Menon
BACKGROUND: The increasing ratio of elderly population has contributed to increased incidence of TBI in this cohort. Authors put forward their institutional experience in the management of elderly TBI. MATERIALS AND METHODS: A 3-year retrospective analysis of 73 consecutive patients aged ≥ 65 years admitted with TBI at our university hospital was performed. The following were excluded-concussion injuries, chronic subdural hematomas (SDH), patients discharged against medical advice (DAMA) and declared dead soon after arrival (within 6 hours)...
December 16, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/29243977/factors-predicting-reoperation-of-chronic-subdural-hematoma-following-primary-surgical-evacuation
#7
Rouzbeh Motiei-Langroudi, Martina Stippler, Siyu Shi, Nimer Adeeb, Raghav Gupta, Christoph J Griessenauer, Efstathios Papavassiliou, Ekkehard M Kasper, Jeffrey Arle, Ron L Alterman, Christopher S Ogilvy, Ajith J Thomas
OBJECTIVE Chronic subdural hematoma (CSDH) is commonly encountered in neurosurgical practice. However, surgical evacuation remains complicated by a high rate of reoperation. The optimal surgical approach to reduce the reoperation rate has not been determined. In the current study, the authors evaluated the prognostic value of clinical and radiographic factors to predict reoperation in the context of CSDH. METHODS A retrospective review of 325 CSDH patients admitted to an academic medical center in the United States, between 2006 and 2016, was performed...
December 15, 2017: Journal of Neurosurgery
https://www.readbyqxmd.com/read/29236825/the-number-of-burr-holes-and-use-of-a-drain-do-not-interfere-with-surgical-results-of-chronic-subdural-hematomas
#8
Lindolfo Carlos Heringer, Ulysses de Oliveira Sousa, Matheus Fernandes de Oliveira, Aline Silva Nunes, Katiusa de Abreu Alves, Maria Luiza Zancanaro, Ricardo Vieira Botelho
Burr hole evacuation has been the most frequently-used procedure for the treatment of chronic subdural hematomas (CSDH). OBJECTIVE: To evaluate whether the use of a drain and/or the number of burr holes for treatment of CSDH modifies the rates of recurrence and complications. METHODS: A retrospective review of 142 patients operated on because of CSDH, between 2006 and 2015, analyzing recurrence and complications of the use of one or two burr holes with or without the use of a drain...
November 2017: Arquivos de Neuro-psiquiatria
https://www.readbyqxmd.com/read/29223519/efficacy-of-reinforced-restriction-of-physical-activity-on-chronic-subdural-hematoma-prospective-pilot-study
#9
Kun Hou, Xiaobo Zhu, Jinchuan Zhao, Yang Zhang, Xianfeng Gao, Kai Jiang, Guichen Li
BACKGROUND: Chronic subdural hematoma (CSDH) is a common entity in neurosurgical practice. However, as a result of the high rate in recurrence, morbidity, and mortality for surgical management, conservative management of CSDH is emerging as a new treatment strategy. Head trauma is a known risk factor of CSDH and plays as an initiator in the genesis of CSDH. We hypothesized that physical activity might also play an important role in the progression of an asymptomatic CSDH. METHODS: A prospective pilot study aiming to evaluate the efficacy of reinforced restriction of physical activity for the management of asymptomatic or mild symptomatic CSDH was conducted...
December 6, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/29201851/postoperative-subarachnoid-hemorrhage-and-multipunctate-intracerebral-hemorrhages-following-evacuation-of-bilateral-chronic-subdural-hematomas
#10
Won-Bae Seung, Ju Ho Jeong
Chronic subdural hematoma (CSDH) can be easily treated by burr hole surgery. However, several complications including intracerebral hemorrhage (ICH), subarachnoid hemorrhage (SAH), and acute subdural hematoma are rare after evacuation of a CSDH. A 77-year-old man was admitted with right hemiparesis and dysarthria. A brain computed tomography (CT) scan revealed a bilateral CSDH with midline shifting toward the right side. The patient got the burr hole trephination with the catheters insertion in the both sides of parietal area under the local anesthesia...
October 2017: Korean Journal of Neurotrauma
https://www.readbyqxmd.com/read/29201850/remote-hemorrhage-after-burr-hole-drainage-of-chronic-subdural-hematoma
#11
Chang Hyeun Kim, Geun Sung Song, Young Ha Kim, Young Soo Kim, Soon Ki Sung, Dong Wuk Son, Sang Weon Lee
Chronic subdural hematoma (CSDH) and symptomatic subdural hygroma are common diseases that require neurosurgical management. Burr hole trephination is the most popular surgical treatment for CSDH and subdural hygroma because of a low recurrence rate and low morbidity compared with craniotomy with membranectomy, and twist-drill craniotomy. Many reports suggest that placing a catheter in the subdural space for drainage can further reduce the rate of recurrence; however, complications associated with this type of drainage include acute subdural hematoma, cortical injury, and infection...
October 2017: Korean Journal of Neurotrauma
https://www.readbyqxmd.com/read/29194262/application-of-yl-1-needle-in-chronic-subdural-hematoma-treatment-for-super-aged-patients
#12
Xifeng Fei, Yi Wan, Zhimin Wang, Hanchun Chen, Dongyi Jiang
OBJECTIVE: The proportion of the super-aged population (at the age of 80 or above) in patients with chronic subdural hematoma (CSDH) and the incidence of CSDH of the population have been increasing. Since it is widely accepted that YL-1 needle is effective in CSDH treatment, this paper aimed to probe into the efficacy of YL-1 needle in minimally invasive surgery for super-aged (at the age of 80-90) CSDH patients. METHODS: A retrospective analysis on the clinical information of 17 super-aged CSDH patients having received the YL-1 needle puncture treatment provided by the hospital from May 2012 to December 2016 was performed...
November 29, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29192373/flexible-endoscopically-assisted-evacuation-of-acute-and-subacute-subdural-hematoma-through-a-small-craniotomy-preliminary-results
#13
Toshinari Kawasaki, Yoshitaka Kurosaki, Hitoshi Fukuda, Masanori Kinosada, Ryota Ishibashi, Akira Handa, Masaki Chin, Sen Yamagata
BACKGROUND: The first choice to treat acute subdural hematoma (SDH) is a large craniotomy under general anesthesia. However, increasing age or comorbid burden of the patients may render invasive treatment strategy inappropriate. These medically frail patients with SDH may benefit from a combination of small craniotomy and endoscopic hematoma removal, which is less invasive and even available under local anesthesia. Although hematoma evacuation with a rigid endoscope for acute or subacute SDHs has been reported in the literature, use of a flexible endoscope may have distinct advantages...
November 30, 2017: Acta Neurochirurgica
https://www.readbyqxmd.com/read/29184916/no-value-of-routine-brain-computed-tomography-6-weeks-after-evacuation-of-chronic-subdural-hematoma
#14
Christian Bonde Pedersen, Filippa Sundbye, Frantz Rom Poulsen
Background  The aim of this study was to evaluate the value of planned control postoperative brain computed tomography (CT) scan performed 4 to 6 weeks after the evacuation of chronic subdural hematoma. Materials and Methods  This retrospective study examined 202 patients who during a 2-year period from 2011 and 2012 underwent surgical treatment for chronic subdural hematoma (CSDH). Information on patient age, sex, alcohol consumption, anticoagulant/antiplatelet treatment, history of head trauma, Glasgow coma scale (GCS), neurological symptoms, laterality of CSDH, and surgical technique was retrieved from patient charts...
October 2017: The surgery journal
https://www.readbyqxmd.com/read/29183359/acute-on-chronic-bilateral-subdural-hematoma-presenting-with-acute-complete-flaccid-paraplegia-and-urinary-retention-mimicking-an-acute-spinal-cord-injury-a-case-report
#15
H M M T B Herath, Anne Thushara Matthias, Aruna Kulatunga
BACKGROUND: A subdural hematoma refers to a collection of blood between the dura and the arachnoid membranes and is classified into acute, sub acute and chronic. Subdural hematoma has been referred to as the "great neurologic imitator" as it can mimic many neurological conditions. CASE PRESENTATION: Forty-three year old Sri Lankan female presented 2 weeks following traumatic head injury with bilateral flaccid complete paraplegia and urinary retention. Her non-contrast computer tomography of the brain revealed bilateral acute, chronic subdural hematomas...
November 28, 2017: BMC Research Notes
https://www.readbyqxmd.com/read/29179424/in-reply-to-the-letter-to-the-editor-regarding-presence-of-a-malignant-tumor-as-a-novel-predictive-factor-for-repeated-recurrences-of-chronic-subdural-hematoma
#16
Yusuke S Hori, Toru Fukuhara
No abstract text is available yet for this article.
December 2017: World Neurosurgery
https://www.readbyqxmd.com/read/29179423/letter-to-the-editor-regarding-presence-of-a-malignant-tumor-as-a-novel-predictive-factor-for-repeated-recurrences-of-chronic-subdural-hematoma
#17
Saeid Safiri, Ahad Ashrafi-Asgarabad
No abstract text is available yet for this article.
December 2017: World Neurosurgery
https://www.readbyqxmd.com/read/29172208/-a-case-of-creutzfeldt-jakob-disease-before-trepanation-presenting-as-a-chronic-subdural-hematoma
#18
Hiroshi Fujioka, Yoshiteru Soejima, Akifumi Izumihara, Katsuhiro Yamashita
No abstract text is available yet for this article.
November 2017: No Shinkei Geka. Neurological Surgery
https://www.readbyqxmd.com/read/29155345/the-relationship-between-hematoma-and-pachymeninges-in-an-interdural-hematoma-diagnosis-and-surgical-strategy
#19
Ko-Ting Chen, Hsu-Chen Huang, Ya-Jui Lin, Ming-Houng Chen, Tsung-Che Hsieh
BACKGROUND: The exact location of a hematoma in relation to the pachymeninges contributes to typical radiographic presentations. However, because of the complexity of hematoma evolution and neomembrane formation, an unexpected intraoperative finding may lead to a change of surgical strategy. Besides, the concentration of hemoglobin and its degradation products, the integrity of red blood cells (RBCs), and the infiltration of fibroblasts, polymorphonuclear neutrophils, and macrophages are factors that affect the imaging characteristics on computed tomography (CT) and magnetic resonance imaging (MRI) as the hematoma ages...
November 16, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/29142630/predictive-factors-for-recurrence-after-burr-hole-craniostomy-of-chronic-subdural-hematoma
#20
Sang Uk Kim, Dong Hoon Lee, Young Il Kim, Seung Ho Yang, Jae Hoon Sung, Chul Bum Cho
Objective: Chronic subdural hematoma is a common and relatively benign disease. However, recurrence is common after surgical treatment, and the recurrence rate varies from 5% to 33%. The aim of this study was to investigate the predictive factors for recurrence of chronic subdural hematoma. Methods: We analyzed data from 248 patients with chronic subdural hematoma who were treated by burr-hole craniostomy with a closed drainage system for hematoma evacuation in this five-year retrospective study...
November 2017: Journal of Korean Neurosurgical Society
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