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chronic subdural hemorrhage

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https://www.readbyqxmd.com/read/28038831/influence-of-antithrombotic-agents-on-the-recurrence-of-chronic-subdural-hematomas-and-the-quest-about-the-recommencement-of-antithrombotic-agents-a-meta-analysis
#1
Yangshuo Wang, Jingru Zhou, Cungang Fan, Dongliang Wang, Feng Jiao, Bo Liu, Qingjun Zhang
Antithrombotic agents (AT), including anticoagulants and antiplatelets, are risk factors of chronic subdural hematomas (CSDHs). However, the use of AT has not been clearly associated with postoperative recurrence (PR) in the literature before. Furthermore, the association between the resumption of AT and postoperative complications also requests research. Databases including Pubmed, Embase and Cochrane were searched for patients presenting with CSDH on anticoagulant or antiplatelet medication. Ten studies were included to analyze the association between the use of AT and PR: The meta-analysis showed that the use of AT, both anticoagulants (OR=2...
December 27, 2016: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/28027695/inhibitory-mechanism-of-the-outer-membrane-growth-of-chronic-subdural-hematomas
#2
Koji Osuka, Yasuo Watanabe, Nobuteru Usuda, Masahiro Aoyama, Kenichiro Iwami, Mikinobu Takeuchi, Takeya Watabe, Masakazu Takayasu
We previously demonstrated that the inflammatory cytokine interleukin-6 (IL-6) activates the Janus kinase (JAK)-signal transducer and activator of transcription (STAT) signaling pathway in fibroblasts within the outer membranes of chronic subdural hematomas (CSDHs), and the activation of this pathway may induce CSDH outer membrane growth. The inhibitory system for this signal transduction pathway is unknown. CSDH fluids were obtained from ten patients during trepanation surgery as the case group, and CSF samples were obtained from seven patients suffering from subarachnoid hemorrhage (SAH) on day 1 as the control group...
December 27, 2016: Journal of Neurotrauma
https://www.readbyqxmd.com/read/27982768/predictive-factors-for-recurrence-and-clinical-outcomes-in-patients-with-chronic-subdural-hematoma
#3
Myung-Hoon Han, Je Il Ryu, Choong Hyun Kim, Jae Min Kim, Jin Hwan Cheong, Hyeong-Joong Yi
OBJECTIVE Chronic subdural hematoma (CSDH) is a common type of intracranial hemorrhage in elderly patients. Many studies have suggested various factors that may be associated with the recurrence of CSDH. However, the results are inconsistent. The purpose of this study was to determine the associations among patient factors, recurrence, and clinical outcomes of CSDH after bur hole surgery performed during an 11-year period at twin hospitals. METHODS Kaplan-Meier analysis was performed to evaluate the risk factors for CSDH recurrence...
December 16, 2016: Journal of Neurosurgery
https://www.readbyqxmd.com/read/27923756/chronic-spinal-subdural-hematoma-associated-with-antiplatelet-therapy-a-case-report
#4
Yukinori Akiyama, Izumi Koyanagi, Nobuhiro Mikuni
BACKGROUND: Spinal subdural hematoma is a rare clinical entity marked by the onset of pain and paralysis, which is usually associated with hemorrhagic disorders, trauma, and iatrogenic causes such as lumbar puncture or epidural anesthesia. CASE PRESENTATION: A 71-year-old male was admitted to our hospital with 2 weeks' history of bilateral lower leg pain, dysesthesia, paraparesis, and urinary disturbance. Magnetic resonance imaging revealed characteristic findings at the thoracolumbar spine, and surgical evacuation successfully treated this condition...
December 3, 2016: World Neurosurgery
https://www.readbyqxmd.com/read/27847577/analysis-of-risk-factor-for-the-development-of-chronic-subdural-hematoma-in-patients-with-traumatic-subdural-hygroma
#5
Jun Hyong Ahn, Hyo Sub Jun, Ji Hee Kim, Jae Keun Oh, Joon Ho Song, In Bok Chang
OBJECTIVE: Although a high incidence of chronic subdural hematoma (CSDH) following traumatic subdural hygroma (SDG) has been reported, no study has evaluated risk factors for the development of CSDH. Therefore, we analyzed the risk factors contributing to formation of CSDH in patients with traumatic SDG. METHODS: We retrospectively reviewed patients admitted to Hallym University Hospital with traumatic head injury from January 2004 through December 2013. A total of 45 patients with these injuries in which traumatic SDG developed during the follow-up period were analyzed...
November 2016: Journal of Korean Neurosurgical Society
https://www.readbyqxmd.com/read/27810605/spontaneous-intracerebral-hemorrhage-in-hemophiliacs-a-treatment-dilemma
#6
Ajay Hegde, Rajesh Nair, Sunil Upadhyaya
BACKGROUND: Spontaneous Intracerebral hemorrhage is a rare and challenging condition to treat, especially in haemophiliacs. With their innate predilection to bleed following trivial trauma, surgical management of such cases have been individualised and no treatment protocols exist. Often they are managed with craniotomy and evacuation under cover of AHF. DISCUSSION: Here we discuss the nuances, clinical and treatment dilemma that one faces while treating a patient, diagnosed with haemophilia, with spontaneous subdural haematoma...
2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27770654/optimal-perioperative-management-of-antithrombotic-agents-in-patients-with-chronic-subdural-hematoma
#7
Toshiyuki Amano, Kenta Takahara, Naoki Maehara, Takafumi Shimogawa, Nobutaka Mukae, Tetsuro Sayama, Shoji Arihiro, Shuji Arakawa, Takato Morioka, Sei Haga
OBJECTIVE: The use of antithrombotic agents such as anticoagulants and antiplatelet agents is widespread, and the opportunities to treat patients with chronic subdural hematoma (CSDH) under antithrombotic therapy are growing. However, whether antithrombotic therapy contributes to postoperative complications and recurrences of CSDH and how these agents should be managed in the surgical treatment of CSDH remains unclear. METHODS: We retrospectively analyzed 150 consecutive patients with CSDH who underwent neurosurgical interventions at Kyushu Rosai Hospital from 2011 to 2015 and followed them for more than 3 months...
December 2016: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/27702707/bilateral-chronic-subdural-hematoma-treated-by-yl-1-type-hematoma-aspiration-needle-complicated-by-hemorrhage-of-the-basal-ganglia-and-brainstem
#8
Lang Chen, Lun Dong, Xing Dong Wang, Heng Zhu Zhang, Min Wei, Lei She
BACKGROUND: A 72-year-old man with bilateral chronic subdural hematomas was admitted to our department and treated using a YL-1 type hematoma aspiration needle. The treatment was complicated by hemorrhage of the basal ganglia and brainstem. This patient had no history of hypertension. We evaluated the relevant literature to analyze the causes of cerebral hemorrhage in similar patients. CONCLUSIONS: This case report illustrates that the stability of the intracranial pressure should be closely monitored during the surgical treatment of chronic subdural hematomas, and large fluctuations in the cerebral perfusion pressure should be avoided during the operation...
January 2017: World Neurosurgery
https://www.readbyqxmd.com/read/27680755/prior-opportunities-to-identify-abuse-in-children-with-abusive-head-trauma
#9
Megan M Letson, Jennifer N Cooper, Katherine J Deans, Philip V Scribano, Kathi L Makoroff, Kenneth W Feldman, Rachel P Berger
Infants with minor abusive injuries are at risk for more serious abusive injury, including abusive head trauma (AHT). Our study objective was to determine if children with AHT had prior opportunities to detect abuse and to describe the opportunities. All AHT cases from 7/1/2009 to 12/31/2011 at four tertiary care children's hospitals were included. A prior opportunity was defined as prior evaluation by either a medical or child protective services (CPS) professional when the symptoms and/or referral could be consistent with abuse but the diagnosis was not made and/or an alternate explanation was given and accepted...
October 2016: Child Abuse & Neglect
https://www.readbyqxmd.com/read/27651386/treatment-of-chronic-subdural-hematoma-by-novel-yl-1-hollow-needle-aspiration-drainage-system-697-cases-report
#10
L Chen, L Dong, L She, H Z Zhang, X D Wang, Z C Yan, W Wu, L Yang
It is written to discuss the effect and syndromes of novel YL-1 hollow needle aspiration drainage system to treat chronic subdural hematoma. Collecting clinical data about 697 patients with chronic subdural hematoma in neurosurgery of People' Hospital in North Jiangsu from January 2004 to December 2014, including clinical manifestation, imaging data, operation time, postoperative complications and prognostic factors and so on. 593 patients got cured, 53 patients with recurrence, 19 patients with acute subdural hematoma, 13 patients with poor drainage, 9 case of patients with acute epidural hematoma, puncture failure in 6 cases, 3 cases of pulmonary infection, one got intracranial hemorrhage (brain stem and basal ganglia hemorrhage)...
January 2017: Neurological Sciences
https://www.readbyqxmd.com/read/27475016/neurologic-emergencies-in-the-elderly
#11
REVIEW
Lauren M Nentwich, Benjamin Grimmnitz
Neurologic diseases are a major cause of death and disability in elderly patients. Due to the physiologic changes and increased comorbidities that occur as people age, neurologic diseases are more common in geriatric patients and a major cause of death and disability in this population. This article discusses the elderly patient presenting to the emergency department with acute ischemic stroke, transient ischemic attack, intracerebral hemorrhage, subarachnoid hemorrhage, chronic subdural hematoma, traumatic brain injury, seizures, and central nervous system infections...
August 2016: Emergency Medicine Clinics of North America
https://www.readbyqxmd.com/read/27445673/atorvastatin-may-attenuate-recurrence-of-chronic-subdural-hematoma
#12
Hua Liu, Zhengxiang Luo, Zhongkun Liu, Jian Yang, Shifeng Kan
OBJECTIVE: Chronic subdural hematoma (CSDH) is a common form of intracranial hemorrhage with a substantial recurrence rate. Atorvastatin may reduce CSDH via its anti-inflammatory and pro-angiogenesis effects, but its effectiveness for preventing recurrent CSDH has never been explored. We hypothesized that atorvastatin is effective in reducing recurrence of CSDH after surgery and identified determining factors predictive of hematoma recurrence. METHODS: A prospective study was conducted in 168 surgical cases of CSDH...
2016: Frontiers in Neuroscience
https://www.readbyqxmd.com/read/27335718/is-subdural-peritoneal-shunt-placement-an-effective-tool-for-the-management-of-recurrent-chronic-subdural-hematoma
#13
Andres M Alvarez-Pinzon, Alan A Stein, Jose E Valerio, Victor Delgado, Jennifer A Escalante, Nithia Lopez, Aizik L Wolf
UNLABELLED: OBJECTIVE : To describe a surgical technique and to report using a retrospective study the efficacy of peritoneal shunts for the treatment of recurrent/chronic subdural hematoma (CSDH). We describe the considerations, complications, and outcomes related to this technique. METHODS : In a retrospective cohort study, 125 charts with a diagnosis of subacute/chronic subdural hematoma were assigned for evaluation. Of the charts reviewed, 18 charts were found from subjects with a diagnosis of recurrent sub-acute or chronic subdural hematoma...
2016: Curēus
https://www.readbyqxmd.com/read/27303121/sdh-with-bleeding-diathesis-a-management-protocol
#14
Gurneet Singh Sawhney, Cecil R Ross, Manmeet Singh Chhabra, Vineesh K Varghese, Ashish Tiwari, Ashis K Chand
Chronic subdural hematoma (SDH) is one of the leading causes of morbidity and mortality in elderly. Patients taking antiplatelets and/or anticoagulants have increased risk of bleeding during the perioperative period. Precise dose blood products and specific surgical technique have been effective in preventing hemorrhagic complications perioperatively. From Jan 2010 to Dec 2012, 25 patients who were on antiplatelets and/or oral anticoagulants underwent emergency surgery for chronic or acute on chronic SDH. Patients were divided into three groups: group I-patients on antiplatelets, group II-patients on oral anticoagulants, and group III-patients taking both...
April 2016: Indian Journal of Surgery
https://www.readbyqxmd.com/read/27169067/risk-factor-analysis-for-the-recurrence-of-chronic-subdural-hematoma-a-review-of-368-consecutive-surgical-cases
#15
Junhak Kim, Jongun Moon, Tackeun Kim, Seongyeol Ahn, Gyojun Hwang, Jaeseung Bang, O-Ki Kwon, Chang Wan Oh
OBJECTIVE: Chronic subdural hematoma (CSDH) is a common form of extra axial hemorrhage in the elderly. A surgical procedures such as a burr hole trephination are used for the CSDH treatment. The recurrence rate of CSDH is reported to range from 2.3 to 33%. In the current study, we focused on the determination of risk factors associated with the recurrence of CSDH. METHODS: We retrospectively reviewed 368 consecutive patients with CSDH treated by burr hole trephination...
October 2015: Korean Journal of Neurotrauma
https://www.readbyqxmd.com/read/27154448/fatal-consequences-of-climbing-a-ladder-under-apixaban-and-drunken
#16
Claudia Stöllberger, Josef Finsterer
BACKGROUND: Apixaban, a factor-Xa-inhibitor, is one of the non-vitamin-K-antagonist oral anticoagulants (NOACs) which are increasingly used in atrial fibrillation (AF). In real life even patients with contraindications to vitamin K antagonists (VKAs) receive NOAC because NOAC are considered as "safer" than VKAs. CASE DESCRIPTION: In a 61-years-old man with hypertension, heart failure and paroxysmal AF apixaban was started. Despite advices from his physicians, he continued alcohol abuse and suffered from recurrent falls...
2016: Neurologia i Neurochirurgia Polska
https://www.readbyqxmd.com/read/27081904/factors-predicting-contralateral-hematoma-growth-after-unilateral-drainage-of-bilateral-chronic-subdural-hematoma
#17
Shigeta Fujitani, Osamu Ishikawa, Keisuke Miura, Yasuhiro Takeda, Haruo Goto, Keiichiro Maeda
OBJECTIVE Chronic subdural hematoma (CSDH) is a common form of intracranial hemorrhage with a recurrence rate of 9.2%-26.5% after bur hole surgery. Occasionally patients with bilateral CSDH undergo unilateral surgery because the contralateral hematoma is deemed to be asymptomatic, and in some of these patients the contralateral hematoma may subsequently enlarge, requiring additional surgery. The authors investigated the factors related to the growth of these hematomas. METHODS Ninety-three patients with bilateral CSDH who underwent unilateral bur hole surgery at Aizu Chuo Hospital were included in a retrospective analysis...
April 15, 2016: Journal of Neurosurgery
https://www.readbyqxmd.com/read/27032973/limitations-of-t2-gradient-recalled-echo-and-susceptibility-weighted-imaging-in-characterizing-chronic-subdural-hemorrhage-in-infant-survivors-of-abusive-head-trauma
#18
J A Cramer, U A Rassner, G L Hedlund
A possible misconception among radiologists is that chronic subdural hemorrhage should show some degree of blooming on T2*-gradient recalled-echo or susceptibility-weighted sequences such as SWI and susceptibility-weighted angiography, which is not necessarily true. We present 5 cases of chronic subdural hemorrhages in infants, demonstrating intensity near or greater than that of CSF with variable amounts of hemosiderin staining along the neomembranes. We review the physiology and MR imaging physics behind the appearance of a chronic subdural hemorrhage, highlighting that the absence of a BBB can allow hemosiderin to be completely removed from the subdural compartment...
September 2016: AJNR. American Journal of Neuroradiology
https://www.readbyqxmd.com/read/27014445/a-case-of-organized-arachnoid-cyst-with-repeated-hemorrhage
#19
Atsushi Kobayashi, Goro Nagashima, Masayuki Noda, Akihito Kato, Hiroyuki Morishima, Junki Koike
Hemorrhage sometimes occurs within arachnoid cysts, however, organized arachnoid cysts has not been reported. We speculate the previous invasive stress or some kind of infection may have triggered the formation of the organized membrane, which may have formed via a similar mechanism to that for organized chronic subdural hematomas.
March 2016: Clinical Case Reports
https://www.readbyqxmd.com/read/26923835/bilateral-chronic-subdural-hematoma-is-associated-with-rapid-progression-and-poor-clinical-outcome
#20
Yuji Agawa, Yohei Mineharu, Shoichi Tani, Hidemitsu Adachi, Hirotoshi Imamura, Nobuyuki Sakai
Chronic subdural hematoma (CSDH) has been recognized as a benign disease, but its clinical outcome is not well documented. This study aims to expand the knowledge base regarding the outcome of CSDH. We retrospectively reviewed clinical characteristics of CSDH operated in the Kobe City Medical Center General Hospital between June 2005 and June 2012. Variants included age at onset, sex, laterality, presence of headache, consciousness level, and risk factors for hemorrhage such as malignancy or intake of anticoagulants...
2016: Neurologia Medico-chirurgica
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