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chronic subdural hematomas

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https://www.readbyqxmd.com/read/29046470/-metastasis-of-hepatocellular-carcinoma-to-the-membrane-of-chronic-subdural-hematomas-a-case-report
#1
Jumpei Oshita, Shinji Ohba, Yoko Itou, Koki Yonezawa, Masahiro Hosogai
An 81-year-old man presented with gait disturbance. Two months previously, he suffered from hepatocellular carcinoma and transarterial chemoembolization was performed. A head computed tomography(CT)scan revealed bilateral chronic subdural hematomas. The patient's gait disturbance was improved after achievement of bilateral burr hole drainage. A head CT two months after treatment revealed no recurrence of the hematomas. However, head CT images obtained four months after treatment revealed an abnormal mass in the right parietal region attached to the internal surface of the skull...
October 2017: No Shinkei Geka. Neurological Surgery
https://www.readbyqxmd.com/read/29044453/burr-hole-craniostomy-irrigation-with-and-without-drainage-during-surgical-treatment-of-chronic-subdural-hematoma-a-retrospective-study-of-87-cases
#2
Wenming Wang, Hua Liu, Jian Yang
AIM: To evaluate the surgical treatment of a chronic subdural haematoma (CSDH). We compared two surgical treatments of CSDH: burr-hole craniostomy irrigation with and without drainage. MATERIAL AND METHODS: We retrospectively studied patients with chronic subdural haematomas admitted to our hospital. A total of 87 patients underwent surgery: 57 were treated via burr-hole irrigation with postoperative drainage (Group BD) and 30 were treated via irrigation without drainage (Group BI)...
August 31, 2017: Turkish Neurosurgery
https://www.readbyqxmd.com/read/29038083/reversible-parkinson-like-symptoms-in-a-patient-with-bilateral-chronic-subdural-hematomas-and-cervical-spinal-stenosis
#3
Kern H Guppy, Suketu M Khandhar, Calvin Ochi
No abstract text is available yet for this article.
October 13, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/29026667/lumbar-chronic-subdural-hematoma-mimicking-an-intradural-extramedullary-tumor-a-case-report
#4
Hyeun Sung Kim, Nitin Adsul, Yoon Seok Ju, Ki Joon Kim, Sung Ho Choi, Jeong Hoon Kim, Sung Kyun Chung, Jeong-Hoon Choi, Jee-Soo Jang, Il-Tae Jang, Seong-Hoon Oh, Jae Eun Park, Sol Lee
BACKGROUND: Chronic spinal subdural hematomas are extremely rare with only 28 cases reported in the literature. Nevertheless, they should be considered among the differential diagnoses for spinal intradural/extramedullary lesions. CASE REPORT: A 65-year-old male presented with progressive back pain and right S1 radiculopathy. Magnetic resonance imaging scan revealed a right-sided posterolateral intradural/extramedullary lesion at the L5-S1 level. It was hyperintense on T1 and hypointense on T2-weighted images; on the short TI inversion recovery sequence it was hyperintense...
2017: Surgical Neurology International
https://www.readbyqxmd.com/read/29021000/the-swedish-study-of-irrigation-fluid-temperature-in-the-evacuation-of-chronic-subdural-hematoma-sic-study-protocol-for-a-multicenter-randomized-controlled-trial
#5
Andreas Bartley, Asgeir S Jakola, Jiri Bartek, Jimmy Sundblom, Petter Förander, Niklas Marklund, Magnus Tisell
BACKGROUND: Chronic subdural hematoma (cSDH) is one of the most common conditions encountered in neurosurgical practice. Recurrence, observed in 5-30% of patients, is a major clinical problem. The temperature of the irrigation fluid used during evacuation of the hematoma might theoretically influence recurrence rates since irrigation fluid at body temperature (37 (o)C) may beneficially influence coagulation and cSDH solubility when compared to irrigation fluid at room temperature. Should no difference in recurrence rates be observed when comparing irrigation-fluid temperatures, there is no need for warmed fluids during surgery...
October 11, 2017: Trials
https://www.readbyqxmd.com/read/29019449/middle-meningeal-artery-embolization-for-chronic-subdural-hematoma
#6
Seung Pil Ban, Gyojun Hwang, Hyoung Soo Byoun, Tackeun Kim, Si Un Lee, Jae Seung Bang, Jung Ho Han, Chae-Yong Kim, O-Ki Kwon, Chang Wan Oh
Purpose To evaluate the effect of middle meningeal artery (MMA) embolization on chronic subdural hematoma (CSDH) and compare the treatment outcomes of MMA embolization and conventional treatment. Materials and Methods All consecutive patients 20 years or older with CSDH were assessed for eligibility. CSDHs with a focal location, a thickness of 10 mm or less, no mass effect, or underlying conditions were excluded. Seventy-two prospectively enrolled patients with CSDH underwent MMA embolization (embolization group; as the sole treatment in 27 [37...
October 10, 2017: Radiology
https://www.readbyqxmd.com/read/29017105/transcranial-color-coded-duplex-sonography-for-evaluation-of-midline-shift-after-chronic-subdural-hematoma-evacuation-temase-a-prospective-study
#7
Andrea Cattalani, Vincenzo Maria Grasso, Matteo Vitali, Ivan Gallesio, Lorenzo Magrassi, Andrea Barbanera
OBJECTIVE: The incidence of chronic Subdural hematoma (cSDH) is increasing and its rate of recurrence varies from 5 to 33%. A postoperative brain midline-shift (MLS) on computed tomography (CT) equal or larger than 5mm is a risk factor for recurrence. Transcranial color-coded duplex sonography (TCCDS) is a noninvasive bedside reproducible technique useful to detect MLS. The aim of our study was to compare in patients affected by cSDH, the values of MLS obtained pre- and post-operatively by TCCDS and brain CT...
October 3, 2017: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/28985660/outcomes-and-recurrences-after-chronic-subdural-hematoma-evacuation
#8
G Lakshmi Prasad
No abstract text is available yet for this article.
October 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28985659/letter-to-the-editor-regarding-burr-hole-drainage-for-chronic-subdural-hematoma-under-low-dose-acetylsalicylic-acid-a-comparative-risk-analysis-study
#9
https://www.readbyqxmd.com/read/28976409/subdural-instillation-of-a-thrombolytic-agent-for-treatment-of-recurrent-subdural-hematoma
#10
Mark B Frenkel, Aarti Sarwal, Mary Petrulis Wren, Christopher R Newey, Daniel E Couture
OBJECTIVE: This study aims to report the case of a patient with recurrent subdural hemorrhage (SDH) who was administered tissue plasminogen activator through a subdural drain to enhance drainage and prevent recurrence. METHODS: An 85-year-old man was treated for subacute over chronic SDH that kept on reaccumulating despite serial twist drill drainage, burr hole drainage, and craniotomy. No coagulopathy was identified with adequate blood pressure control. RESULTS: Treatment with tissue plasminogen activator resulted in successful drainage of the SDH, and the patient had no further recurrence at 9-month follow-up...
October 2, 2017: Clinical Neuropharmacology
https://www.readbyqxmd.com/read/28976131/chronic-subdural-hematoma-following-spinal-anesthesia-for-cesarean-section
#11
Kübra Mehel Metin, Is Il Güzel, Aslı Oskovi, Ali Irfan Guzel
Intracranial subdural hematoma after spinal anesthesia is a rare and life-threatening complication of spinal anesthesia. The most common complication of spinal anesthesia is the postdural puncture headache. When severe and persistent headache after spinal anesthesia occur, differential diagnosis can be explored. In this report, we aimed to evaluate a patient with persistent headache following spinal anesthesia for cesarean section in a 31-year-old woman ,and emphasize a rare complication of spinal anesthesia which is subdural hematoma...
September 2017: Journal of Experimental Therapeutics & Oncology
https://www.readbyqxmd.com/read/28973653/middle-meningeal-artery-embolization-as-treatment-for-chronic-subdural-hematoma-a-case-series
#12
Thomas W Link, Srikanth Boddu, Joshua Marcus, Benjamin I Rapoport, Ehud Lavi, Jared Knopman
BACKGROUND: Traditional treatment for symptomatic subdural hematoma (SDH) has been surgical evacuation, but recurrence rates are high and patients often harbor complex medical comorbidities. Growth and recurrence is thought to be due to the highly friable nature of the vascularized membrane that forms after initial injury. There have been reported cases of middle meningeal artery (MMA) embolization for treatment of recurrent SDH after surgical evacuation with the goal of eliminating the arterial supply to this vascularized membrane...
July 25, 2017: Operative Neurosurgery (Hagerstown, Md.)
https://www.readbyqxmd.com/read/28966811/long-term-follow-up-for-ossification-of-autologous-bone-plug-and-skin-sinking-after-periosteum-preserved-burr-hole-surgery
#13
Hisashi Kubota, Yasuhiro Sanada, Saori Murakami, Masaharu Miyauchi, Michihiro Iwakura, Kazuhiro Nagatsuka, Kentaro Furukawa, Amami Kato, Mitsugu Fujita
BACKGROUND: The demand of a burr hole surgery for chronic subdural hematoma (CSDH) is increasing in the global aging society. Burr hole-derived autologous bone dusts are not associated with extra costs compared with other commonly used synthetic materials. In addition, postoperative calvarium ossification requires periosteum-mediated blood supply, which is lacking after using avascular synthetic materials. Based on these findings, we hypothesized that the combination of the bone plugs and the preserved periosteum during burr hole surgeries for CSDH would induce efficient calvarium ossification...
2017: Surgical Neurology International
https://www.readbyqxmd.com/read/28962953/arachnoid-cyst-associated-chronic-subdural-hematoma-report-of-14-cases-and-a-systematic-literature-review
#14
Xuanxuan Wu, Guichen Li, Jinchuan Zhao, Xiaobo Zhu, Yang Zhang, Kun Hou
BACKGROUND: Arachnoid cyst (AC) associated chronic subdural hematoma (CSDH) differs a lot from its counterparts without AC in epidemiological, demographic, and clinical characteristics, management, and prognosis. To further illustrate the epidemiological, demographic, and clinical characteristics, diagnosis, treatment, and prognosis of AC associated CSDH. METHODS: A retrospective study of the medical records at the neurosurgical departments of two institutions was performed combined with a systematic PubMed search of the published studies written in English and Chinese...
September 26, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28959873/prognostic-factors-in-chronic-subdural-hematoma-results-from-a-monocentric-consecutive-surgical-series-of-605-patients
#15
Susanna Bacigaluppi, Fedra Guastalli, Nicola L Bragazzi, Alberto Balestrino, Paolo Bruzzi, Gianluigi Zona
BACKGROUND: The study of age-related diseases like chronic subdural hematoma (CSDH) is of high interest, considered the general ageing of the population. This investigation aimed to identify the main clinical characteristics of CSDH patients, to evaluate the impact of the disease on quality of life, its treatment and co-morbidities/complications and to compare our data with other surgical series published over the past 5 years. METHODS: A retrospective cohort study including all consecutive patients operated for CSDH between January 1st 2006 and December 31st 2013 at the Unit of Neurosurgery of our hospital was carried out...
September 28, 2017: Journal of Neurosurgical Sciences
https://www.readbyqxmd.com/read/28956170/role-of-antithrombotic-therapy-in-the-risk-of-hematoma-recurrence-and-thromboembolism-after-chronic-subdural-hematoma-evacuation-a-population-based-consecutive-cohort-study
#16
Ida Fornebo, Kristin Sjåvik, Mark Alibeck, Helena Kristiansson, Fredrik Ståhl, Petter Förander, Asgeir Store Jakola, Jiri Bartek
OBJECTIVE: To establish the risk of recurrence in patients with chronic subdural hematoma (cSDH) on antithrombotic treatment (AT, i.e., antiplatelets and anticoagulants). Secondary end points were perioperative morbidity and mortality between groups (AT vs. no-AT group) and exploration if timing of resumption of AT treatment (i.e., prophylactic early vs. late resumption) influenced the occurrence of thromboembolism and hematoma recurrence. MATERIALS: In a population-based consecutive cohort, we conducted a retrospective review of 763 patients undergoing primary burr hole procedures for cSDH between January 1, 2005, and December 31, 2010, at the Karolinska University Hospital, Stockholm, Sweden...
September 27, 2017: Acta Neurochirurgica
https://www.readbyqxmd.com/read/28945863/letter-a-reliable-grading-system-for-prediction-of-chronic-subdural-hematoma-recurrence-requiring-reoperation-after-initial-burr-hole-surgery
#17
Zhong Yao, Chao You
No abstract text is available yet for this article.
August 25, 2017: Neurosurgery
https://www.readbyqxmd.com/read/28935548/chronic-subdural-hematoma-a-historical-and-clinical-perspective
#18
REVIEW
Ronald Sahyouni, Khodayar Goshtasbi, Amin Mahmoodi, Diem K Tran, Jefferson W Chen
Chronic subdural hematoma (cSDH) affects 1-5.3 per 100,000 individuals annually, with the incidence expected to rise as the U.S. population ages. The symptoms of cSDH are often nonspecific, with headaches being the most common complaint. Other symptoms include weakness, balance and gait problems, and memory problems. A variety of clinical factors must be taken into account in the treatment of cSDH, and the multifaceted treatment paradigms continue to evolve. This review aims to highlight the clinical complexity of cSDH, while presenting a brief historical discussion of cSDH...
September 18, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28935547/chronic-subdural-hematoma-a-perspective-on-subdural-membranes-and-dementia
#19
REVIEW
Ronald Sahyouni, Khodayar Goshtasbi, Amin Mahmoodi, Diem Kieu Tran, Jefferson W Chen
Chronic subdural hematoma (cSDH) is a common intracranial pathology, and a leading cause of reversible dementia. cSDH is projected to affect at least 60,000 new individuals in the United States annually by 2030.This can result from mild to moderate head trauma that leads to hemorrhaging in the dura-arachnoid interface. The short and long-term effects of cSDH and the subdural membrane on the pathogenesis of dementia and the newly discovered dural lymphatics is a topic of increasing importance. This manuscript aims to review the complex pathogenesis of the subdural membrane, and the link between head trauma, dementia, and dural lymphatics...
September 18, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28919231/a-tortuous-process-of-surgical-treatment-for-a-large-calcified-chronic-subdural-hematoma
#20
Huan Li, Xiang Mao, Xiao-Gang Tao, Jing-Sheng Li, Bai-Yun Liu, Zhen Wu
BACKGROUND: Calcified chronic subdural hematoma (CCSDH) is a rare disease for which no standard approach to treatment has been established. Reports covering both burr hole trepanation and craniotomy for CCSDH are rare. Furthermore, infection of CCSDH after the burr hole trepanation has not been reported in the literature. CASE DESCRIPTION: A 61-year-old man presented with left frontotemporoparietal CCSDH demonstrated on computed tomography (CT) scan. The patient underwent 2 separate burr hole trepanations with intraoperative irrigation and postoperative drainage...
September 12, 2017: World Neurosurgery
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