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subdural hematoma guidelines

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https://www.readbyqxmd.com/read/27739945/blunt-prenatal-trauma-resulting-in-fetal-epidural-or-subdural-hematoma-case-report-and-systematic-review-of-the-literature
#1
Jacob R Joseph, Brandon W Smith, Hugh J L Garton
Blunt prenatal trauma is known to have consequences to the developing brain, and can result in subdural hematoma (SDH) or epidural hematoma (EDH). The authors present a case of blunt prenatal trauma resulting in a fetal SDH, intraparenchymal hematoma, and intraventricular hemorrhage, and perform a systematic review of the literature. This systematic review was conducted according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Relevant studies (up to April 2016) that reported on cases of fetal SDH or EDH after blunt prenatal trauma were identified from the PubMed database...
October 14, 2016: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/27647025/chronic-subdural-hematoma-a-questionnaire-survey-of-management-practice-in-india-and-review-of-literature
#2
Raghunath Avanali, Biju Bhadran, Krishna Kumar P, Abhishek Vijayan, Arun S, Aneeze M Musthafa, Sunil Panchal, Vinu V Gopal
OBJECTIVE: To identify the current management modalities practiced by neurosurgeons in India for chronic subdural hematoma. METHODS: A questionnaire was prepared for the survey and sent via e mail to neurosurgeons. It covered the following aspects of managing the CSDH. 1) Demographic and institutional details. 2) Choice of surgical procedure. 3) Surgical adjutants such as placing a subdural drain 4) Pre and Post operative care 4) Recurrences and management. Responses obtained were entered in SPSS data sheet and analyzed...
September 16, 2016: World Neurosurgery
https://www.readbyqxmd.com/read/27538015/does-early-resumption-of-low-dose-aspirin-after-evacuation-of-chronic-subdural-hematoma-with-burr-hole-drainage-lead-to-higher-recurrence-rates
#3
Maria Kamenova, Katharina Lutz, Sabine Schaedelin, Javier Fandino, Luigi Mariani, Jehuda Soleman
BACKGROUND: Antiplatelet therapy in patients with chronic subdural hematoma (cSDH) presents significant neurosurgical challenges. Given the lack of guidelines regarding perioperative management with antiplatelet therapy, it is difficult to balance the patient's increased cardiovascular risk and prevalence of cSDH. OBJECTIVE: To better understand the risk and recurrence rates related to resuming low-dose acetylsalicylic acid (ASA) by evaluating our patients' resumption of low-dose ASA at various times after burr-hole drainage of the hematoma...
November 2016: Neurosurgery
https://www.readbyqxmd.com/read/27500827/continuous-electroencephalography-in-pediatric-traumatic-brain-injury-seizure-characteristics-and-outcomes
#4
Jarin Vaewpanich, Karin Reuter-Rice
BACKGROUND: Traumatic brain injury (TBI) is a major cause of pediatric morbidity and mortality. Secondary injury that occurs as a result of a direct impact plays a crucial role in patient prognosis. The guidelines for the management of severe TBI target treatment of secondary injury. Posttraumatic seizure, one of the secondary injury sequelae, contributes to further damage to the injured brain. Continuous electroencephalography (cEEG) helps detect both clinical and subclinical seizure, which aids early detection and prompt treatment...
September 2016: Epilepsy & Behavior: E&B
https://www.readbyqxmd.com/read/27476687/to-retain-or-remove-the-bone-flap-during-evacuation-of-acute-subdural-hematoma-factors-associated-with-perioperative-brain-edema
#5
Ha Nguyen, Karl Janich, Ashish Sharma, Mohit Patel, Wade Mueller
INTRODUCTION: The fate of the bone flap is a significant decision during surgical treatment of acute subdural hematoma (SDH). A general guideline revolves around the surgeon's concern for brain edema. However, limited studies have focused on the factors that contribute to perioperative brain edema. We proposed that assessment of brain volume via CT imaging in patients without bone flaps is a reasonable model to study brain edema. METHODS: From 2012 to 2015, 38 patients who underwent decompressive craniectomy for acute SDH were reviewed...
July 28, 2016: World Neurosurgery
https://www.readbyqxmd.com/read/27399465/186%C3%A2-deferoxamine-accelerates-hemorrhage-absorption-for-patients-with-traumatic-intracerebral-hematoma-a-prospective-randomized-controlled-trial
#6
Jian Yu
INTRODUCTION: Traumatic brain injury (TBI) is a common disease for adults, particularly for young people. Most TBI patients have intracerebral hemorrhage, which often to brain edema and toxicity to the neural tissue. Deferoxamine (also known as Deferrioxamine B, Deferoxamine B, DFO-B, DFOA, DFB or desferal, DFX) is a bacterial siderophore produced by the Actinobacteria Streptomyces pilosus. It has medical applications as a chelating agent used to remove excess iron from the body. Animal models indicate that Deferoxamine accelerates intracranial hemorrhage absorption, although its effects on human patients remain unclear...
August 2016: Neurosurgery
https://www.readbyqxmd.com/read/27385774/density-measurements-with-computed-tomography-in-patients-with-extra-axial-hematoma-can-quantitatively-estimate-a-degree-of-brain-compression
#7
Ha Son Nguyen, Luyuan Li, Mohit Patel, Wade Mueller
BACKGROUND: Extra-axial hematoma can cause significant brain compression. Guidelines for surgical evacuation include imaging findings (midline shift and hematoma thickness/volume) in conjunction with Glasgow Coma Scale (GCS) scores and/or intracranial pressure (ICP) monitoring. Physiologically, overall brain density should also change with compression. In our observational study, we explored whether overall brain density, defined using computed tomography Hounsfield Units (CT HU), changes after surgical evacuation of extra-axial hematoma...
October 2016: Neuroradiology Journal
https://www.readbyqxmd.com/read/27258588/variation-in-seizure-prophylaxis-in-severe-pediatric-traumatic-brain-injury
#8
Paige J Ostahowski, Nithya Kannan, Mark S Wainwright, Qian Qiu, Richard B Mink, Jonathan I Groner, Michael J Bell, Christopher C Giza, Douglas F Zatzick, Richard G Ellenbogen, Linda Ng Boyle, Pamela H Mitchell, Monica S Vavilala
OBJECTIVE Posttraumatic seizure is a major complication following traumatic brain injury (TBI). The aim of this study was to determine the variation in seizure prophylaxis in select pediatric trauma centers. The authors hypothesized that there would be wide variation in seizure prophylaxis selection and use, within and between pediatric trauma centers. METHODS In this retrospective multicenter cohort study including 5 regional pediatric trauma centers affiliated with academic medical centers, the authors examined data from 236 children (age < 18 years) with severe TBI (admission Glasgow Coma Scale score ≤ 8, ICD-9 diagnosis codes of 800...
October 2016: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/27241087/usefulness-of-embolization-for-iatrogenic-dural-arteriovenous-fistula-associated-with-recurrent-chronic-subdural-hematoma-a-case-report-and-literature-review
#9
Tushit Mewada, Tomotaka Ohshima, Taiki Yamamoto, Shunsaku Goto, Yoko Kato
BACKGROUND: Refractory chronic subdural hematomas due to iatrogenic dural arteriovenous fistulas (dAVFs) are difficult to treat. We report our experience and propose a guideline on basis of a literature review for the usefulness of embolization of middle meningeal artery (MMA) for the treatment of the same. CASE DESCRIPTION: We report a case with right hemiparesis and aphasia 1 month after a fall from a bicycle. Computed tomography scan of the head showed left chronic subdural hematoma, which was evacuated by burr-hole drainage...
August 2016: World Neurosurgery
https://www.readbyqxmd.com/read/27169081/fatal-post-operative-epilepticus-after-burr-hole-drainage-for-chronic-subdural-hematoma
#10
Kwang Jin Lee, Ki Seong Eom, Jong Tae Park, Tae Young Kim
Incidence of post-operative seizure after burr-hole trephination (BHT) for chronic subdural hematoma (CSDH) is known to be very low. The effect of the prophylactic antiepileptic drug in reducing the development of new seizure after surgery is still unclear. Here, we present a case of fatal status epilepticus with progressive respiratory complication following early discontinuation of prophylactic antiepileptic drug in an 84-year-old man who had undergone bilateral BHT and closed-system drainage for bilateral CSDH...
October 2015: Korean Journal of Neurotrauma
https://www.readbyqxmd.com/read/27169065/risk-factors-of-chronic-subdural-hematoma-progression-after-conservative-management-of-cases-with-initially-acute-subdural-hematoma
#11
Jong Joo Lee, Yusam Won, Taeyoung Yang, Sion Kim, Chun-Sik Choi, Jaeyoung Yang
OBJECTIVE: Acute subdural hematoma (ASDH) patients are treated conservatively or surgically according to the guidelines for surgical treatment. Many patients with thin ASDH and mild neurologic deficit are managed conservatively, but sometimes aggravation of thin ASDH to chronic subdural hematoma (CSDH) results in exacerbated clinical symtoms and consequently requires surgery. The aim of this study is to evaluate risk factors that indicate progression of initially non-operated ASDH to CSDH...
October 2015: Korean Journal of Neurotrauma
https://www.readbyqxmd.com/read/27059872/use-of-subperiosteal-drain-versus-subdural-drain-in-chronic-subdural-hematomas-treated-with-burr-hole-trepanation-study-protocol-for-a-randomized-controlled-trial
#12
Jehuda Soleman, Katharina Lutz, Sabine Schaedelin, Luigi Mariani, Javier Fandino
BACKGROUND: Chronic subdural hematoma (cSDH) is one of the most frequent neurosurgical conditions affecting elderly people and is associated with substantial morbidity and mortality. The use of a subdural drain (SDD) after burr-hole trepanation for cSDH was proven to reduce recurrence and mortality at 6 months. To date in neurosurgery practice, evidence-based guidelines on whether an SDD or subperiosteal drain (SPD) should be used do not exist. Currently both methods are being practiced depending on the institute and/or the practicing neurosurgeon...
2016: JMIR Research Protocols
https://www.readbyqxmd.com/read/27001235/traumatic-lumbar-subdural-hematoma-in-the-absence-of-intracranial-disease
#13
Jared Cooper, John L Gillick, Michael LaBagnara, Kaushik Das, Virany H Hillard
BACKGROUND: Traumatic spinal subdural hematoma is an exceedingly rare condition, with those occurring in the absence of intracranial disease being particularly uncommon. Only 13 such cases have been reported. Although theories exist to describe the pathophysiology of traumatic spinal subdural hematoma, the precise mechanism and guidelines for management remain unclear. CASE DESCRIPTION: This report describes a 37-year-old woman who suffered a traumatic assault who developed progressive low back pain with radicular symptoms 2 days after presentation...
June 2016: World Neurosurgery
https://www.readbyqxmd.com/read/26779357/subacute-subdural-hematoma-in-a-patient-with-bilateral-dbs-electrodes
#14
Ha Son Nguyen, Peter A Pahapill
Subdural hematomas (SDH) in patients with implanted deep brain stimulating (DBS) electrodes are rare. Only a handful of cases have been reported in the literature. No clear management guidelines exist regarding the management of the hematoma and the existing electrodes. We describe a 68-year-old female with bilateral DBS electrodes, who presented with acute, severe hemiparesis due to a large subacute SDH with associated electrode displacement. Urgent hematoma evacuation reversed the hemiparesis; the electrodes were left undisturbed...
2015: Case Reports in Neurological Medicine
https://www.readbyqxmd.com/read/26295586/core-outcomes-and-common-data-elements-in-chronic-subdural-hematoma-a-systematic-review-of-the-literature-focusing-on-reported-outcomes
#15
Aswin Chari, Katie C Hocking, Ellie Broughton, Carole Turner, Thomas Santarius, Peter J Hutchinson, Angelos G Kolias
The plethora of studies in chronic subdural hematoma (CSDH) has not resulted in the development of an evidence-based treatment strategy, largely due to heterogeneous outcome measures that preclude cross-study comparisons and guideline development. This study aimed to identify and quantify the heterogeneity of outcome measures reported in the CSDH literature and to build a case for the development of a consensus-based core outcome set. This systematic review adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement and was registered with the PROSPERO international prospective register of systematic reviews (CRD42014007266)...
July 1, 2016: Journal of Neurotrauma
https://www.readbyqxmd.com/read/26291887/subdural-hematoma-and-oral-anticoagulation-a-therapeutic-dilemma-from-the-neurosurgical-point-of-view
#16
M Javad Mirzayan, Karoline Calvelli, Hans-Holger Capelle, Jessica Weigand, Joachim K Krauss
BACKGROUND: Oral anticoagulation is a common prophylactic therapy for several diseases with a high thromboembolic risk. Such medication harbors a possible hemorrhage risk, with a special risk for subdural hematoma (SDH). The safety and efficacy of resumption of oral anticoagulation versus long-term discontinuation has not been fully clarified in patients who experienced SDH while under treatment with oral anticoagulation. MATERIAL AND METHODS: We investigated the outcome of 49 patients who were identified retrospectively to have a SDH while receiving oral anticoagulation...
January 2016: Journal of Neurological Surgery. Part A, Central European Neurosurgery
https://www.readbyqxmd.com/read/25955872/nonsurgical-acute-traumatic-subdural-hematoma-what-is-the-risk
#17
Paul Bajsarowicz, Ipshita Prakash, Julie Lamoureux, Rajeet Singh Saluja, Mitra Feyz, Mohammad Maleki, Judith Marcoux
OBJECT: The Brain Trauma Foundation has published guidelines on the surgical management of traumatic subdural hematoma (SDH). However, no data exist on the proportion of patients with SDH that can be selected for conservative management and what is the outcome of these patients. The goals of this study were as follows: 1) to establish what proportion of patients are initially treated conservatively; 2) to determine what proportion of patients will deteriorate and require surgical evacuation; and 3) to identify risk factors associated with deterioration and delayed surgery...
November 2015: Journal of Neurosurgery
https://www.readbyqxmd.com/read/25896810/blood-pressure-guideline-adherence-in-patients-with-ischemic-and-hemorrhagic-stroke-in-the-neurointensive-care-unit-setting
#18
Guilherme B F Porto, Alejandro M Spiotta, Julio A Chalela, Ryan T Kellogg, Edward C Jauch
BACKGROUND AND PURPOSE: Patients with acute brain injuries require strict physiologic control to minimize morbidity and mortality. This study aimed to assess in-hospital compliance to strict physiologic parameters (BP, HR, ICP, SpO2) in these populations. METHODS: Patients with severe cerebrovascular events were admitted to the neurointensive care unit (NSICU) and were continuously monitored using the BedMasterEX (Excel Medical Electronics Inc, FL) system, which recorded hemodynamic data via an arterial catheter continuously in 5-s intervals...
December 2015: Neurocritical Care
https://www.readbyqxmd.com/read/25712944/prognostic-significance-of-perihematomal-edema-in-acute-intracerebral-hemorrhage-pooled-analysis-from-the-intensive-blood-pressure-reduction-in-acute-cerebral-hemorrhage-trial-studies
#19
RANDOMIZED CONTROLLED TRIAL
Jie Yang, Hisatomi Arima, Guojun Wu, Emma Heeley, Candice Delcourt, Junshan Zhou, Guofang Chen, Xia Wang, Shihong Zhang, Sungwook Yu, John Chalmers, Craig S Anderson
BACKGROUND AND PURPOSE: Controversy exists over the prognostic significance of perihematomal edema (PHE) in intracerebral hemorrhage. We aimed to determine the association of early PHE and clinical outcome among participants of the Intensive Blood Pressure Reduction in Acute Cerebral Hemorrhage Trial (INTERACT) studies. METHODS: Pooled analyses of computed tomographic substudies in the pilot phase (INTERACT1) and main phase (INTERACT2), both international, prospective, open, blinded end point, randomized controlled trials, of patients with spontaneous intracerebral hemorrhage (<6 hours) and elevated systolic blood pressure, randomly assigned to intensive (target systolic blood pressure, <140 mm Hg) or guideline-based (systolic blood pressure, <180 mm Hg) blood-pressure management...
April 2015: Stroke; a Journal of Cerebral Circulation
https://www.readbyqxmd.com/read/25548698/spontaneous-absorption-of-extensive-subinternal-limiting-membrane-hemorrhage-in-shaken-baby-syndrome
#20
Tatiana Tarules Azzi, Leandro Cabral Zacharias, Sérgio Luis Gianotti Pimentel
The Shaken Baby Syndrome (SBS) is characterized by subdural hematomas (SH), retinal hemorrhages (RH), and multiple fractures of long bones without external evidence of head trauma. Subinternal limiting membrane (ILM) hemorrhage, also known as macular schisis, is a characteristic finding of this entity. There is no guideline on the right time to indicate surgical treatment. This report describes an abused child with massive sub-ILM hemorrhage, which showed spontaneous absorption after less than two months of follow-up...
2014: Case Reports in Ophthalmological Medicine
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