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Intracerebral hematoma after brain tumor surgery

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https://www.readbyqxmd.com/read/27713067/clinical-experience-with-intraoperative-ultrasound-image-in-microsurgical-resection-of-cerebral-arteriovenous-malformations
#1
Hongzhi Xu, Zhiyong Qin, Ming Xu, Chunjui Chen, Junjie Zhang, Xiancheng Chen
BACKGROUND: Intraoperative ultrasound is widely used in neurosurgery for the management of intracerebral hematoma and brain tumor. However, the clinical value of this method in the surgery of cerebral arteriovenous malformations (AVMs) has not been reported. In this study, the application of intraoperative ultrasound for AVMs surgery was evaluated prospectively. METHODS: This prospective clinical study comprised of 41 patients who underwent microsurgical resection of cerebral AVMs at our institute...
October 3, 2016: World Neurosurgery
https://www.readbyqxmd.com/read/27500774/-the-paramedian-supracerebellar-transtentorial-approach-to-the-mediobasal-temporal-region
#2
Yu A Grigoryan, A R Sitnikov, A V Timoshenkov, G Yu Grigoryan
UNLABELLED: The mediobasal temporal region (MTR) is located near the brain stem and surrounded by the eloquent neurovascular structures. The supracerebellar transtentorial approach (STA) is safe access to the posterior MTR structures, however its use for resection of anterior MTR lesions still remains controversial. The article describes the technique and outcome of surgery for different MTR structures using STA. MATERIAL AND METHODS: The paramedian STA was used in 18 patients (13 females and 5 males) for 7 years...
2016: Zhurnal Voprosy Neĭrokhirurgii Imeni N. N. Burdenko
https://www.readbyqxmd.com/read/27127413/benign-sphenoid-wing-meningioma-presenting-with-an-acute-intracerebral-hemorrhage-a-case-report
#3
Radek Frič, John K Hald, Ellen-Ann Antal
BACKGROUND AND STUDY OBJECT: We report an unusual case of a benign lateral sphenoid wing meningioma that presented with, and was masked by, an acute intracerebral hemorrhage. CASE REPORT: A 68-year-old woman was admitted after sudden onset of coma. Computed tomography (CT) revealed an intracerebral hemorrhage, without any underlying vascular pathology on CT angiography. During the surgery, we found a lateral sphenoid wing meningioma with intratumoral bleeding that extended into the surrounding brain parenchyma...
2016: Journal of Central Nervous System Disease
https://www.readbyqxmd.com/read/26621678/factors-influencing-the-outcome-gos-in-reconstructive-cranioplasty
#4
U R Krause-Titz, N Warneke, S Freitag-Wolf, H Barth, H M Mehdorn
After performing a decompressive craniectomy, a cranioplastic surgery is usually warranted. The complications of this reconstructive procedure may differ from the initial operation. The authors of this study report on their experience to define patient-specific and procedural risk factors for possible complications following cranioplasty influencing the outcome (Glasgow Outcome Scale (GOS)), mobility, shunt dependency, and seizures. A retrospective analysis of 263 patients of all ages and both sexes who had undergone cranioplasty after craniectomy for traumatic brain injury (including chronic subdural hematoma), subarachnoidal hemorrhage (including intracerebral hemorrhage), ischemic stroke, and tumor surgery in one single center in 12 years from January 2000 to March 2012 has been carried out...
January 2016: Neurosurgical Review
https://www.readbyqxmd.com/read/23741259/intracranial-epidermoid-tumor-microneurosurgical-management-an-experience-of-23-cases
#5
Forhad Hossain Chowdhury, Mohammod Raziul Haque, Mainul Haque Sarker
OBJECTIVES: An intracranial epidermoid tumor is relatively a rare tumor, accounting for approximately 0.1% of all intracranial space occupying lesions. These are also known as pearly tumor due to their pearl like appearance. In this series, the localization of the tumor, presenting age and symptoms, imaging criteria for diagnosis, surgical management strategy with completeness of excision and overall outcome were studied prospectively. Here, we report our short experience of intracranial epidermoid as a whole...
January 2013: Asian Journal of Neurosurgery
https://www.readbyqxmd.com/read/21993188/surgical-mortality-and-selected-complications-in-273-consecutive-craniotomies-for-intracranial-tumors-in-pediatric-patients
#6
Benjamin Lassen, Eirik Helseth, Arild Egge, Bernt J Due-Tønnessen, Pål Rønning, Torstein R Meling
BACKGROUND: In order to weigh the risks of surgery against the presumed advantages, it is important to have specific knowledge about complication rates. Contemporary reports on complications following craniotomy for tumor resection in pediatric patients are scarce. OBJECTIVE: To study the surgical mortality and rate of hematomas, infections, meningitis, infarctions, and cerebrospinal fluid (CSF) leaks, as well as neurological morbidity, after craniotomy for pediatric brain tumors in a large, contemporary, single-institution consecutive series...
April 2012: Neurosurgery
https://www.readbyqxmd.com/read/19779291/glioblastoma-masquerading-as-a-hypertensive-putaminal-hemorrhage-a-diagnostic-pitfall
#7
Joji Inamasu, Takumi Kuramae, Masashi Nakatsukasa
A 58-year-old man presented with a rare case of glioblastoma masquerading as intracerebral hemorrhage (ICH). He had been medicated for hypertension and diabetes for 10 years before collapsing at home. Brain computed tomography (CT) showed ICH in the right putamen, but CT with contrast medium showed no underlying lesion. He was treated initially with intravenous administration of anti-hypertensive agent under a diagnosis of hypertensive putaminal hemorrhage. ICH aspiration surgery was performed, and serial CT showed ICH resorption...
September 2009: Neurologia Medico-chirurgica
https://www.readbyqxmd.com/read/17876244/introduction-of-an-adaptor-to-fix-y-z-slides-during-leksell-gamma-knife-radiosurgery-to-treat-concomitant-bilateral-far-lateral-lesions
#8
Cheng-Loong Liang, Meng-Wei Ho, Li-Chiang Lin, Han-Jung Chen
OBJECTIVE: The authors develop and introduce an adaptor in gamma knife radiosurgery to fix the Y/Z slides inside the Leksell coordinate G frame for the treatment of concomitant bilateral far-lateral intracranial lesions. CLINICAL PRESENTATION: The new adaptor was used to treat a 60-year-old woman with renal cell carcinoma and multiple brain metastases. She experienced sudden onset of left-sided weakness and disturbed consciousness. Brain computed tomographic scans showed a large right temporal intracerebral hematoma...
September 2007: Neurosurgery
https://www.readbyqxmd.com/read/16871745/-endoscopic-method-in-etiological-diagnosis-of-spontaneous-intracerebral-hemorrhage-case-report
#9
Krzysztof Stachura, Ryszard Czepko, Witold Libionka
The etiology of cerebral hemorrhage is not always easy to diagnose and modern neuroimaging methods may be deceptive. The authors report on a 48-year-old previously healthy male admitted to hospital with a first-time severe generalized epileptic seizure. The patient presented with aphasia, confusion, headaches, nausea, right hemianopia and early papilledema. CT revealed an intracerebral hematoma in the left occipital lobe but MRI and MRA failed to provide any further insight into the etiology of the hemorrhage...
2004: Annales Academiae Medicae Stetinensis
https://www.readbyqxmd.com/read/16311160/rebleeding-from-a-primary-brain-tumor-manifesting-as-intracerebral-hemorrhage-cnn-04-077-revised-version
#10
Joji Inamasu, Yoshiki Nakamura, Ryoichi Saito, Yoshiaki Kuroshima, Keita Mayanagi, Kiyoshi Ichikizaki
Symptomatic spontaneous intratumoral hemorrhage is a rare event in a patient with a brain tumor (BT). Although the treatment of choice in such a case is surgical removal of both the tumor and the hemorrhage, the optimal timing for surgical intervention has not been clearly established, particularly in those who present with minimal neurological deficits and a small hemorrhage volume. Two cases of primary BTs manifesting as an intracerebral hemorrhage (ICH) are described, in which rebleeding from the tumor occurred shortly after the initial hemorrhage...
December 2005: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/15337144/superatentorial-intracerebral-hemorrhage-following-infratentorial-surgery
#11
Asheesh Tondon, A K Mahapatra
Supratentorial hematoma following infratentorial surgery is rare. We present two such patients with remote site supratentorial hematoma after posterior fossa surgery. In one patient, a supratentorial hematoma developed following surgery for an acoustic tumor. The supratentorial hematoma was located near where a supratentorial meningioma was excised five days before. No hematoma was seen on the immediate postoperative CT scan. In another patient there were two tumors, one in the pons and the other in the basal ganglia...
September 2004: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/11972150/-metastatic-and-hemorrhagic-brain-arteriovenous-fistulae-due-to-a-choriocarcinoma-case-report
#12
M Fadli, M Lmejjati, A Amarti, M R El Hassani, N El Abbadi, F Bellakhdar
Brain metastasis of choriocarinoma is uncommon. These tumors develop in women of childbearing age and commonly produce signs and symptoms of subarachnoid hemorrhage, intracerebral hemorrhage, or brain tumor. Diagnosis can be established by histologic study of operative swabs and bioassay of the patient's blood, urine and cerebrospinal fluid for chorionic gonadotropin. This condition is highly chemo- and radiosensitive. We report the case of a 36-year-old woman with intracranial neoplastic fistulae. Rupture occurred 3 days after spontaneous abortion at 3 months of pregnancy...
February 2002: Neuro-Chirurgie
https://www.readbyqxmd.com/read/8249028/treatment-of-spontaneous-intracerebral-and-intracerebellar-hemorrhages
#13
REVIEW
O Heiskanen
Most primary intracerebral and intracerebellar hemorrhages are hypertensive, and the most common site is the basal ganglion. In typical basal ganglia hematoma, surgery offers no benefit, and such patients should be treated conservatively. Surgery is not indicated in pontine hematomas either. Cerebellar hematomas may block the circulation of the cerebrospinal fluid and cause an acute life-threatening hydrocephalus; therefore such hematomas should be operated on. Subcortical hematomas, which are usually not associated with hypertension and may be due to tumor or vascular malformation, should as a rule be operated on...
December 1993: Stroke; a Journal of Cerebral Circulation
https://www.readbyqxmd.com/read/8090268/-transverse-sinus-thrombosis-in-a-patient-with-colon-and-rectal-double-cancers-a-case-report
#14
T Hatayama, M Ishii, N Oda, A Ishii, Y Ashino, A Kanno, T Iwabuchi
We report a case of transverse sinus thrombosis accompanied by colon and rectal double cancers. A 48-year-old male transferred to our department from the division of surgery due to deterioration manifested by headache after colectomy and low anterior resection of the rectum. There was bilateral papilledema and right upper homonymous hemianopsia. On admission all the laboratory data were within normal range. CT showed a left temporal mass lesion of heterogeneous density, which was suspected as being intratumorous hematoma in a metastasis...
September 1994: No Shinkei Geka. Neurological Surgery
https://www.readbyqxmd.com/read/3756036/-a-case-of-agenesis-of-the-corpus-callosum-accompanied-by-a-ruptured-azygos-anterior-cerebral-artery-aneurysm-and-lipoma-a-case-report
#15
N Nakamura, A Ogawa, T Kayama, Y Sakurai, T Yoshimoto, J Suzuki
A 53-year-old woman suffered from sudden onset of severe headache on February 28 in 1982. She was admitted to our hospital soon after onset. On admission, she had a severe headache and nausea, and her consciousness was drowsy. CT scan showed a marked subarachnoid hemorrhage with intracerebral and intraventricular hematoma, a separation of the lateral ventricles with enlargement of posterior horns, and deformity of anterior horn. By these findings, the patient was diagnosed as an agenesis of the corpus callosum with subarachnoid hemorrhage...
July 1986: Nō to Shinkei, Brain and Nerve
https://www.readbyqxmd.com/read/2926492/endoscopic-surgery-versus-medical-treatment-for-spontaneous-intracerebral-hematoma-a-randomized-study
#16
RANDOMIZED CONTROLLED TRIAL
L M Auer, W Deinsberger, K Niederkorn, G Gell, R Kleinert, G Schneider, P Holzer, G Bone, M Mokry, E Körner
A controlled randomized study of endoscopic evacuation versus medical treatment was performed in 100 patients with spontaneous supratentorial intracerebral (subcortical, putaminal, and thalamic) hematomas. Patients with aneurysms, arteriovenous malformations, brain tumors, or head injuries were excluded. Criteria for inclusion were as follows: patients' age between 30 and 80 years; a hematoma volume of more than 10 cu cm; the presence of neurological or consciousness impairment; the appropriateness of surgery from a medical and anesthesiological point of view; and the initiation of treatment within 48 hours after hemorrhage...
April 1989: Journal of Neurosurgery
https://www.readbyqxmd.com/read/2312857/postoperative-contrast-enhancement-in-brain-tumors-and-intracerebral-hematomas-ct-study
#17
S Wakai, Y Andoh, C Ochiai, S Inoh, M Nagai
Postcontrast cerebral CT was performed sequentially on days 3, 7, and 14 after surgery in 34 patients [11 with gliomas; 6 with metastatic tumors, and 17 with intracerebral hematomas (ICH)]. The purpose of this study was to investigate the natural course and mechanisms of postoperative contrast enhancement (CE) of the brain around the removed lesions. Contrast enhancement was noted on days 3-14 in 10 patients in whom the gliomas were partially or subtotally removed. The intensity of CE appeared to increase with time...
March 1990: Journal of Computer Assisted Tomography
https://www.readbyqxmd.com/read/2099054/the-value-of-some-clinical-and-computer-tomographic-parameters-in-the-prognosis-of-surgically-treated-patients-with-intracerebral-hematoma
#18
S Turtas, C Perria, G Orunesu, A Pau
The six-month follow-up of 83 surgically treated cases for intracerebral hematoma (ICH) was examined in relation to some clinical and computer-tomographic parameters (age, sex, accompanying diseases, clinical features, localization, ventricular involvement, time elapsed between stroke and surgery). Clinical and laboratory pre-requisites for admittance to the study were: 1) ICH with subcortical major component greater than 3 cm. in diameter, 2) a Glasgow Coma Scale (GCS) score at/or superior than 5, 3) any evidence of trauma, aneurysm, A-V malformation and tumor and 4) surgery not later than 96 hrs...
1990: Zentralblatt Für Neurochirurgie
https://www.readbyqxmd.com/read/1852259/-a-case-of-primary-fibrosarcoma-caused-by-spontaneous-intracerebral-hematoma
#19
S Anegawa, R Torigoe, T Hayashi, Y Yamashita, Y Furukawa
A rare case of repeated intracerebral hematoma associated with an intracerebral fibrosarcoma is reported. A 43-year-old man was referred to our clinic with headache and vomiting of sudden onset. On admission, he was lethargic. CT revealed a huge intracerebral hematoma in the left temporal lobe with midline shift. Angiography failed to demonstrate any evidence of an intracranial tumor. An operation was performed under the diagnosis of an idiopathic cerebral hematoma. The postoperative course was uneventful and he was discharged without any deficits except for a left upper quadrant homonymous hemianopia...
May 1991: No Shinkei Geka. Neurological Surgery
https://www.readbyqxmd.com/read/673138/-repeated-intracerebral-hemorrhage-in-malignant-astrocytoma-a-case-of-apoplectic-manifestation-author-s-transl
#20
M Fujimoto, G Odake, K Suzuki, S Naruse
A case of 26-year-old female with malignant astrocytoma was described. Intracerebral hemorrhage appeared in apoplectic fashion on two occasions and surgery was done after each attack. At the first operation, a hematoma in the right putaminal region was totally evacuated and a specimen from the cavity wall showed tumor cells which could not be classified histologically at that time. The patient fully recovered postoperatively. Astrocytoma was confirmed 4 months later by the second operation for the repeated intratumoral hemorrhage...
June 1978: No Shinkei Geka. Neurological Surgery
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