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intra cranial hemorrhage

Steven C Budsberg, Michael S Shuler, Megan Hansen, Elizabeth Uhl, Brett A Freedman
BACKGROUND: Near-infrared spectroscopy (NIRS) has been shown to aid in the diagnosis of extremity acute compartment syndrome (ACS), offering continuous real-time capability to monitor perfusion in extremities. Porcine models of ACS have been developed to attempt to aid in the understanding of the development of ACS and provide better methods of diagnosing ACS. The objective of the present study was to assess and correlate NIRS, tibial intracompartmental pressure (TICP), tibial intracompartmental perfusion pressure (TIPP), serum markers of inflammation and muscle injury in a balloon compression model of ACS...
November 2016: Journal of Trauma and Acute Care Surgery
Shuichi Yamada, Hideyuki Ohnishi, Yoshiaki Takamura, Kenkichi Takahashi, Masato Hayashi, Yuji Kodama, Yoshihiro Kuga, Hiroyuki Nakase, Ichiro Nakagawa
Dissection of cranial and cervical arteries is a relatively frequent clinical condition. However, it is difficult to diagnose a dissection when patients present with relatively mild symptoms. Various radiological techniques are used as diagnostic tools. This study analyzed retrospectively the characteristics of cranial and cervical artery dissections using "MR first concept", with MRI as the first-choice diagnostic modality for all new patients with neurological symptoms. The patients who were admitted in Ohnishi neurological center between January 2001 and December 2014 were included...
November 2016: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
Changiz Gholipour, Bahram Samadi Rad, Samad Shams Vahdati, Amir Ghaffarzad, Armita Masoud
BACKGROUND: Trauma is considered as a worldwide problem despite socio-economic development. Motor vehicle accidents (MVAs) are the most important cause of trauma. Trauma related deaths are mostly preventable. This study aimed to investigate the causes and prevention of death in trauma patients. METHODS: This retrospective, descriptive-analytic study assessed 100 trauma patients referred to our emergency department (ED) from January 2013 to Januanry 2015. The included patients were those with trauma died after arrival at our ED...
2016: World Journal of Emergency Medicine
Li-Wei Lo, Tze-Fan Chao, Shih-Ann Chen
No abstract text is available yet for this article.
August 2016: Journal of Cardiovascular Electrophysiology
Bixia Chen, Tobias Schoemberg, Oliver Kraff, Philipp Dammann, Andreas K Bitz, Marc Schlamann, Harald H Quick, Mark E Ladd, Ulrich Sure, Karsten H Wrede
OBJECTIVE: This study assesses and quantifies impairment of postoperative magnetic resonance imaging (MRI) at 7 Tesla (T) after implantation of titanium cranial fixation plates (CFPs) for neurosurgical bone flap fixation. MATERIALS AND METHODS: The study group comprised five patients who were intra-individually examined with 3 and 7 T MRI preoperatively and postoperatively (within 72 h/3 months) after implantation of CFPs. Acquired sequences included T1-weighted magnetization-prepared rapid-acquisition gradient-echo (MPRAGE), T2-weighted turbo-spin-echo (TSE) imaging, and susceptibility-weighted imaging (SWI)...
June 2016: Magma
Tze-Fan Chao, Chia-Jen Liu, Jo-Nan Liao, Kang-Ling Wang, Yenn-Jiang Lin, Shih-Lin Chang, Li-Wei Lo, Yu-Feng Hu, Ta-Chuan Tuan, Fa-Po Chung, Tzeng-Ji Chen, Gregory Y H Lip, Shih-Ann Chen
BACKGROUND: The risk of further intracranial hemorrhage (ICH) and the benefit of stroke risk reduction with the use of oral anticoagulants for patients who have atrial fibrillation with a history of ICH remain unclear. We aimed to investigate the risks and benefits in patients who have atrial fibrillation with a previous ICH treated with warfarin or antiplatelet drugs in comparison with no antithrombotic therapies. METHODS AND RESULTS: This study used the National Health Insurance Research Database in Taiwan...
April 19, 2016: Circulation
B Joseph, V Pandit, B Zangbar, M Amman, M Khalil, T O'Keeffe, T Orouji, A Asif, A Katta, D Judkins, R S Friese, P Rhee
INTRODUCTION: Traumatic brain injury is a leading cause of disability in bicycle riders. Preventive measures including bicycle helmet laws have been highlighted; however, its protective role has always been debated. The aim of this study was to determine the utility of bicycle helmets in prevention of intra-cranial hemorrhage. We hypothesized that bicycle helmets are protective and prevent the development of intra-cranial hemorrhage. METHODS: We performed a 4-year (2009-2012) retrospective cohort analysis of all the patients who presented with traumatic brain injury due to bicycle injuries to our level 1 trauma center...
December 2014: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
Ryosuke Mori, Ichiro Yuki, Ikki Kajiwara, Yuichiro Nonaka, Toshihiro Ishibashi, Kostadin Karagiozov, Chiheb Dahmani, Yuichi Murayama
BACKGROUND: Intraventricular hemorrhages (IVHs) caused by ruptured cerebral aneurysms often have poor outcomes. Treatment challenges include comorbidities, increased intracranial pressure caused by IVH, and risk of rebleeding. CASE DESCRIPTION: Two cases of severe IVH accompanied by acute hydrocephalus caused by ruptured aneurysm were treated with coil embolization followed by endoscopic hematoma evacuation as a single treatment session in a hybrid operating room (OR) equipped with a multipurpose angio biplane system...
May 2016: World Neurosurgery
Baran Yılmaz, Semra Işık, Murat Şakir Ekşi, Emel Ece Özcan Ekşi, Akın Akakın, Zafer Orkun Toktaş, Deniz Konya
Remote cerebellar hemorrhage after cranial and spinal surgeries is a well-documented entity, so far concomitant supra- and infra-tentorial hemorrhage after spine surgery has rarely been reported in the literature. A 57-year-old woman presented with intractable low back pain and severely impaired mobility. One year ago, she underwent lumbar laminectomy and fusion with posterior spinal instrumentation between L2 and S1. She developed adjacent segment disease at the upper level of the instrumented vertebra. She had a revision surgery and underwent posterior laminectomy and fusion with bilateral transpedicular instrumentation between T10 and S1...
October 2015: Journal of Craniovertebral Junction and Spine
Fang Yang, Wenrui Jiang, Ya Bai, Junliang Han, Xuedong Liu, Guangyun Zhang, Gang Zhao
BACKGROUND: Transient ischemic attack (TIA) or minor ischemic stroke represents the largest group of cerebrovascular disease, and those patients have a high risk of early recurrent stroke. Over decades, anticoagulation therapy has been used prudently in them for likely increasing the risk of intra-/extra-cranial hemorrhagic complications. However, recently rivaroxaban, a new oral anticoagulant, is proved to be as effective as traditional anticoagulants, while carrying significantly less risk of intracranial hemorrhage...
October 12, 2015: BMC Neurology
A Akbar, M A C Laksana, E G Dachlan, B Prasetyo
INTRODUCTION: Maternal Mortality Rate in Indonesia is still high, around 230/100,000 live birth in 2005. Eclampsia is the second most cause of maternal death (about 13%). We have a very high prevalence of eclampsia in our center (Surabaya) about 1.08% of all delivery. One of our main problem about eclampsia case is multiple referral hospital system, because we do not have many tertiary center for this case. We assumed that high incidence of maternal death because of eclampsia is caused by this factor...
July 2012: Pregnancy Hypertension
Pandurang B Mare, Omkar N Churi, Basant K Misra
Brainstem cavernomas (BC) comprise about 5-18% of intracranial vascular malformations. The annual hemorrhage rate varies depending on the study design ranging from as low as 0.25% per patient-year in a retrospective study[2] to 1.6-3.1% per patient-year in prospective studies.[45] The annual event rate is significantly higher in deep (brainstem, diencephalon) and infratentorial cavernomas when compared to their counterparts in other locations.[5] The management of BC can be conservative or surgical depending upon the mode of clinical presentation...
October 2014: Asian Journal of Neurosurgery
Manish M Sood, Amit X Garg, Sarah E Bota, Limesh Marisiddappa, Eric McArthur, Kyla L Naylor, Moira K Kapral, S Joseph Kim, Ngan N Lam, Amber O Molnar, Ziv Harel, Jeffrey Perl, Greg A Knoll
BACKGROUND: Major hemorrhagic events are associated with significant morbidity and mortality. We examined the three-year cumulative incidence of hospitalization with major nontraumatic hemorrhage after kidney transplantation. METHODS: We performed a retrospective cohort study using healthcare administrative data of all adult-incident kidney-only transplantation recipients in Ontario, Canada from 1994 to 2009. We calculated the three-year cumulative incidence, event rate, and incident rate ratio of hospitalization with major hemorrhage, its subtypes and those undergoing a hemorrhage-related procedure...
2015: American Journal of Nephrology
Sherine Jue Ong, An-Ning Chao, Ho-Fai Wong, Kuan-Lyin Liou, Ling-Yuh Kao
PURPOSE: To describe tumor response and complications after selective ophthalmic arterial injection (SOAI) of melphalan for treatment of intraocular retinoblastoma. METHODS: A retrospective review of 17 eyes (12 patients) treated with SOAI of melphalan from January 2010 through December 2013 at Chang Gung Memorial Hospital. RESULTS: SOAI was successfully performed in 49 of 54 attempts. Six eyes underwent SOAI as the primary treatment and 11 eyes had previously been treated with other treatment modalities...
March 2015: Japanese Journal of Ophthalmology
Elsa Magro, Jonathan Chainey, Chiraz Chaalala, Hosam Al Jehani, Jean-Yves Fournier, Michel W Bojanowski
OBJECTIVE: Posterior fossa arteriovenous malformations (pAVMs) are rare and because of their location at or close to vital structures, their treatment remains challenging despite overall improvements in the management of cerebrovascular lesions. We reviewed our recent series of ruptured pfAVMs in search of guiding principles in the management of these complex lesions. METHODS: This is a retrospective series of consecutive patients admitted for a ruptured pfAVM from 2002 to 2013...
January 2015: Clinical Neurology and Neurosurgery
Guoqiang Xie, Xiaolei Chen, Jiashu Zhang, Fangye Li, Guochen Sun, Xinguang Yu
OBJECTIVE: To evaluate and explore the optimal surgical strategy for the normalized treatment of pineal region tumors. METHODS: From September 2007 to February 2012, 43 patients were treated in Chinese People's Liberation Army General Hospital, including 30 male and 14 female patients, with pineal region tumors and non-communicating hydrocephalus were enrolled, who were 1-52 years old, mean age was (27 ± 4) years. The clinical records, treatment strategy, and prognosis were retrospectively analyzed...
August 2014: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
N Aprahamian, M B Harper, S P Prabhu, M C Monuteaux, Z Sadiq, A Torres, A A Kimia
PURPOSE: To assess the prevalence of clinically urgent intra-cranial pathology among children who had imaging for a first episode of non-febrile seizure with focal manifestations. METHODS: We performed a cross sectional study of all children age 1 month to 18 years evaluated for first episode of non-febrile seizure with focal manifestations and having neuroimaging performed within 24h of presentation at a single pediatric ED between 1995 and 2012. We excluded intubated patients, those with known structural brain abnormality and trauma...
October 2014: Seizure: the Journal of the British Epilepsy Association
Basil Enicker, Thandinkosi E Madiba
BACKGROUND: Assaults with a machete cause compound skull fractures which present as a neurosurgical emergency. We aimed to profile cranial injuries caused by a machete over a 10 year period in a single neurosurgical unit. MATERIALS AND METHODS: Retrospective data analysis of cranial injuries following assault with a machete, admitted to the neurosurgery ward, from January 2003 to December 2012 was performed. Medical records were analyzed for demographics, clinical presentation, CT scan findings, surgical treatment and Glasgow Outcome Scale (GOS) at discharge...
September 2014: Injury
Joshua Quaas, Bruce Derrick, Lindsey Mitrani, Simon Baarbe, Brett Yarusi, Dan Wiener, David Newman
OBJECTIVE: Assess factors that influence both the patient and the physician in the setting of minor head injury in adults and the decision-making process around CT utilization. METHODS: This is a convenience sample survey study of adult minor head injury patients (GCS 15) and their physicians regarding factors influencing the decision to use CT to evaluate for intra-cranial haemorrhage. Once a head CT was ordered and before the results were known, both the patient and physician were given a one-page survey asking questions about their concern for injury and rationale for CT use...
September 2014: Injury
Melissa A Acquazzino, Eric T Rush, Ruben E Quiros Tejeira, Jill C Beck
Congenital factor VII (FVII) deficiency is a rare, autosomal recessive bleeding disorder with a spectrum of phenotypes ranging from asymptomatic to life-threatening intra-cranial hemorrhage (ICH). Orthotopic liver transplantation has been described for definitive treatment in a few patients with severe manifestations. We report a patient with congenital FVII deficiency and recurrent ICH, despite twice-weekly prophylaxis with recombinant activated FVII. At 17 months of age, he underwent an orthotopic liver transplant...
October 2014: Pediatric Blood & Cancer
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