Chronic subdural hematoma hematoma epidural cranial. Medical search. Frequent questions

Bleeding from ruptured blood vessels in the brain can cause collections of blood (subdural hematoma, epidural hematoma, intra-cranial hematoma) or subarachnoid hemorrhage from a ruptured intra-cranial aneurysm. (emoryhealthcare.org)
Intracranial hemorrhage refers to any bleeding within the cranial vault, including subdural and epidural hematomas and subarachnoid hemorrhage. (medlink.com)

SDH is among the 3 types of extra-axial intracranial hemorrhages (along with subarachnoid and epidural hemorrhages) that usually occur as a result of trauma. (medscape.com)
[ 6 ] Chronic SDH is common, especially among those older than 50 years, and represents about 10% of all intracranial hematomas. (medscape.com)
AIM: To determine risk factors predicting chronic subdural hematoma (CSH) recurrence is a common type of intracranial hemorrhage in elderly patients. (bvsalud.org)
No intracranial haematoma or shift of the midline or downward shift of the brain was demonstrated.Hence, radiological diagnosis of pneumocephalus was made but patient succumbed to death on same evening. (ijars.net)

Other entities such as child abuse and ventricular decompression can result in subdural bleeding, and spontaneous hemorrhage may occur in patients receiving anticoagulants or in those with coagulopathy. (medscape.com)
CT scanning is usually the first evaluation in patients with suspected acute subdural hematoma because CT scans depict acute hemorrhage and skull fractures well, they are relatively fast to obtain, and CT scanning is more readily available than MRI. (medscape.com)
Even though a component of this hematoma has a convex-medial appearance, the other characteristics (crossing the sutures and wrapping around the parenchyma) are define this as a subdural rather than epidural hemorrhage. (neurosurgicalatlas.com)
Subdural hemorrhage Subdural Hemorrhage Subdural hemorrhage (SDH) is bleeding into the space between the dural and arachnoid meningeal layers surrounding the brain. (lecturio.com)
Subdural Hemorrhage ) is bleeding into the space between the dural and arachnoid meningeal layers surrounding the brain Brain The part of central nervous system that is contained within the skull (cranium). (lecturio.com)
Chronic SDH SDH Subdural hemorrhage (SDH) is bleeding into the space between the dural and arachnoid meningeal layers surrounding the brain. (lecturio.com)
The most common cause of epidural hematoma is traumatic, although spontaneous hemorrhage is known to occur or as a rare complication of anesthesia (such as epidural anesthesia) or surgery (such as laminectomy). (sch.ac.kr)

Hematoma recurrence is one of the factors influencing prognosis. (medscape.com)
RESULTS: Univariate analyses revealed that preoperative midline shift (p=0.025), mix-density hematoma (p=0.023), internal architecture of hematoma (p=0.044), membranectomy (p=0.001), and ambient cistern compression (p=0.001) correlated with a significantly higher rate of recurrence. (bvsalud.org)

Late subacute subdural hematoma has decreased attenuation compared with adjacent brain tissue. (medscape.com)
Computed tomography scan in a patient with a subacute right frontal subdural hematoma. (medscape.com)
Subacute subdural hematomas may be difficult to detect because they may have isoattenuation compared with adjacent gray matter. (medscape.com)
Figure 5: These subacute subdural hematomas are intermediate to bright in signal intensity on T1 (top row left) and hyperintense on both T2 (top row right) and FLAIR (bottom row). (neurosurgicalatlas.com)
This non-contrast cranial CT scan (Figure 2) is from a patient with bilateral subacute subdural haematoma . (hku.hk)

[ 9 ] Adoption of middle meningeal artery embolization in the management of chronic SDH has led to renewed interest in dural vascular anatomy. (medscape.com)
8. Which hematoma occurs along the temporal cranial wall and results from tears in the middle meningeal artery? (testbankltd.com)

Figure 6: This thin FLAIR-hyperintense early chronic subdural hematoma (left) wraps around the right cerebral hemisphere. (neurosurgicalatlas.com)
The haematoma is causing significant mass effect and the contents of the left cerebral hemisphere could be seen to be compressed resulting in a mid-line shift to the right cerebral hemisphere. (hku.hk)

In the acute phase, subdural hematomas appear as a crescent-shaped extra-axial collection with increased attenuation that, when large enough, causes effacement of the adjacent sulci and midline shift. (medscape.com)
Shanmuga Jayanthan S, Rupesh G, Vimalan P, Nadanasadharam K. Two rare cases of idiopathic spontaneous extra-axial spinal hematoma. (caserepclinradiol.org)
Herein, we report two cases of rare idiopathic spontaneous extra-axial hematoma highlighting the role of MRI in the diagnosis. (caserepclinradiol.org)

[1] , [2] They results in lesions or functional damage of the scalp, the cranial bones, the meninges, and the brain itself. (afrjtrauma.com)
However, scalp hematomas or skull fractures are usually good indicators of a significant direct force to a focal region. (medscape.com)

What are the different types of cranial fractures? (kauveryhospital.com)
The limited systemic absorption of vancomycin and broad-spectrum led to its widespread applicability in the prevention of SSI in all types of cranial neurosurgery. (neurologyindia.com)

Attenuation of the hematoma remains higher than that of cerebrospinal fluid. (medscape.com)
Chronic subdural hematomas (see the image below) have isoattenuation relative to the cerebrospinal fluid (CSF). (medscape.com)
The physiology behind cerebrospinal fluid (CSF) accumulation within the subdural space is hypothesised to result from tears in the arachnoid membrane. (bmj.com)

SSH must be differentially diagnosed from a subdural haematoma, empyema and lipoma. (bmj.com)

Subdural haematomas are far more common than epidural haematomas and acute subdural haematomas are one of the leading causes of death and disability in patients with severe traumatic brain injury. (hku.hk)
Hospital Based Spine Care Qualified , Credentialed in hospital protocols, emergency room protocols, acute and chronic patient triage inclusive of MRI spine interpretation, spinal biomechanical engineering, head trauma, concussion, mild traumatic and traumatic brain injuries . (uschirodirectory.com)

The risk of hematoma expansion and neurologic deterioration is highest within the first few hours after presentation. (medlink.com)
Tension Pneumocephalus (TP) is a clinical condition and a neurological emergency characterised by continuous accumulation of air inside the cranial cavity leading to irregular pressure being exerted on the brain which leads to neurologic deterioration. (ijars.net)
The index case had accumulation of air in the cranial cavity and in the brain parenchyma and ventricles with development of neurologic deterioration conforming to these literatures. (ijars.net)

Although SSH is possible, it is a rare complication of cranial and spinal surgeries. (bmj.com)
This aims to prevent progression of CSDH or to reduce the bleeding tendency during surgery, even though burr hole trephination (BHT) is a simple procedure with low bleeding risk, unlike other cranial surgeries. (jkns.or.kr)

A woman in her 70s with chronic kidney disease, diabetes mellitus and hypertension underwent laminectomy and discectomy at L4-5-S1 and posterior lumbar interbody fusion at L4-5-S1 2 years previously. (bmj.com)

However, subdural hygroma occurrence is a very rare complication after revision spinal fusion surgery. (bmj.com)
When patients have a decreased motor grade, difficulty in voiding urine and neurological abnormalities after lumbar spine surgery, conus medullaris syndrome with a possible occurrence of subdural hygroma should be considered. (bmj.com)
Spinal subdural hygroma (SSH) refers to excess fluid retention in the subdural space along the spine. (bmj.com)

This is most often due to head injury resulting in a tear of the bridging cortical veins as they cross the subdural space to enter a dural venous sinus (usually the superior saggital sinus). (hku.hk)

Some hematomas can grow large enough to cause herniation of cerebral tissue. (medscape.com)

The Role of Instrumentation in the Surgical Treatment of Spondylodiscitis and Spinal Epidural Abscess: A Single-Center Retrospective Cohort Study. (ouhsc.edu)

However, its use and efficiency in cranial neurosurgery is not well established. (neurologyindia.com)
The aim of this study is to study the efficacy of topical vancomycin in cranial neurosurgery. (neurologyindia.com)

Deceleration injuries are often the cause of subdural bleeding from rupture of veins via a shearing mechanism. (medscape.com)

Before computed tomography (CT) scanning and magnetic resonance imaging (MRI) technology, subdural hematomas were diagnosed only on the basis of this mass effect, which was depicted as displacement of the blood vessels on angiograms or as a calcified pituitary gland on skull radiographs. (medscape.com)
Axial head computed tomography scan demonstrates a skull fracture with an adjacent, small subdural hematoma. (medscape.com)
Computed tomography (CT) scan demonstrating a patient with subdural hematomas of varying ages. (medscape.com)

Endoscope-assisted surgery is becoming a more common modality for surgical treatment of subdural collections. (medscape.com)
After the reversal of anticoagulation with vitamin K injection, the patient underwent emergent hematoma removal surgery and recovered completely. (sch.ac.kr)
The surgical care for these types of injuries can include open brain surgery (craniotomy) to remove bone fragments or blood clots, or simply placing a thin fiber monitor in the brain in order to measure the patient's intra-cranial pressure. (emoryhealthcare.org)

We suspected mostly hematoma because the patient's symptom developed suddenly without any history of trauma, bleeding diathesis but she was on warfarin. (sch.ac.kr)

Cystic lesions are located in the epiarachnoid or subdural spaces. (bmj.com)
In experienced hands, AC for resection of cranial lesions of eloquent areas in pregnant patients is safe and feasible and does not alter the pregnancy outcome. (bvsalud.org)

Any break in the cranial bone, also known as the skull, is known as a skull fracture. (kauveryhospital.com)
A major cause for a cranial fracture is a head trauma that is strong enough to cause a break in the skull. (kauveryhospital.com)

A cranial fracture might be diagnosed in physical examination of the head or the trauma site. (kauveryhospital.com)
A spinal subdural or epidural hematoma may result from back trauma, anticoagulation or thrombolytic therapy, or, in patients with bleeding diathesis, lumbar puncture [ 1 ]. (sch.ac.kr)
Chronic subdural hematoma (CSDH) occurs frequently in the elderly and is thought to be related to trauma and to use of drugs such as antiplatelet agents (AP) or anticoagulants (AC) [ 8 , 20 ]. (jkns.or.kr)
Right from beginning he was involved in the managing all of road traffic accident patients and started performing trauma cases like extradural haemorrage, subdural haemorrage, depressed fracture as well as basic neurosurgical procedures like VP shunt insertion, Ommaya insertion, Chronic SDH as well as decompressive craniotomy. (drvivekagrawal.in)

9) reviewed 158 patients who underwent epidural spinal injections for low-back pain with or without radiculopathy. (neurosurgery.directory)

Other entities, such as child abuse and ventricular decompression, also can result in subdural bleeding, and spontaneous hemorrhages may occur in patients receiving anticoagulants or patients with a coagulopathy condition. (medscape.com)
Bilateral subdural haematomas may occur in 15% of cases. (hku.hk)
Intra-cranial bleeding can also spontaneously occur, especially in the elderly. (emoryhealthcare.org)

Figure 2: This axial CT image through the brain demonstrates a dense subdural hematoma superficial to the left frontal lobe, crossing the expected location of the coronal suture (anterior midline arrows). (neurosurgicalatlas.com)

Cognitive function, cranial nerve examination were normal. (sch.ac.kr)
9. Which cranial nerve is affected in a patient with a cerebrovascular accident who has difficulty chewing? (testbankltd.com)
Our Doctors are board-certified neurological surgeons with extensive training in all aspects of diagnosis and treatment for the spine, brain, peripheral nerve and chronic pain ailments. (emoryhealthcare.org)

Subdural haematomas are due to an accumulation of blood between the dura and arachnoid. (hku.hk)

Radiologic evaluation is an essential component for the diagnosis of spinal hematomas, which is often a diagnostic dilemma. (caserepclinradiol.org)
Understanding the imaging anatomy of spinal compartments and imaging characteristics of different stages of spinal compartments is essential for the confident imaging diagnosis of spinal hematomas and to identify the correct location. (caserepclinradiol.org)

Blood from the ruptured vessels could then spread quickly through the subdural space resulting in a classical crescent-shaped appearance . (hku.hk)

Subdural hematoma (SDH) is a type of bleeding in which a collection of blood gathers between the inner layer of the dura mater and the arachnoid mater of the meninges surrounding the brain. (medscape.com)
[ 4 ] Chronic SDH is more common among elderly individuals because of an age-associated decrease in brain volume and increased venous fragility. (medscape.com)
Some subdural hematomas are clinically silent, whereas others cause symptoms as a result of mass effect on the adjacent brain. (medscape.com)
MRI Spine The spine-brain connection in managing chronic pain patients. (uschirodirectory.com)
Understanding how chronic pain negatively effects brain morphology and potential pathology as sequella. (uschirodirectory.com)
Bin Zahid A, Balser D, Thomas R, Mahan MY, Hubbard ME, Samadani U . Increase in brain atrophy after subdural hematoma to rates greater than associated with dementia. (umn.edu)
After completing his 1st year of residency, He started assisting major cranial cases like brain sol including CP angle tumours, ventricular tumours, Spinal tumours, CV junction anomalies, Vascular cases like aneurySM, arterio venous malformation. (drvivekagrawal.in)

All patients with head injury referred to the Radiology Department for cranial CT investigation between January 2003 and December 2012 were recruited into the study. (afrjtrauma.com)
Our case suggests epidural hematoma should be considered in sudden hemiplegia patients with anticoagulation therapy. (sch.ac.kr)
Chronic subdural hematoma (CSDH) patients using antithrombotic agents (AT) at high risk for cardiovascular disease are increasing. (jkns.or.kr)
Spinal cord stimulation for treatment of chronic neuropathic pain in adolescent patients: a single-institution series, systematic review, and individual participant data meta-analysis. (ouhsc.edu)

Detailed neurologic examination and spinal magnetic resonance imaging identified extensive, spontaneous spinal epidural hematoma. (sch.ac.kr)
[ 1 , 2 ] Magnetic resonance imaging (MRI) is preferred imaging modality of choice to correctly diagnose the location and stages of the hematoma. (caserepclinradiol.org)
Medical conditions also complicate subsequent medical management, such as anticoagulation therapies, medical devices that are not compatible with magnetic resonance imaging (MRI), or underlying chronic obstructive pulmonary disease (COPD) in the management of rib fractures. (reliasmedia.com)

There is associated enhancement of the dura on contrast-enhanced T1 weighted image (right) that likely represents granulation tissue and hyperemia reactive to the hematoma. (neurosurgicalatlas.com)
In contrast to epidural haematomas, subdural haematomas may cross suture lines. (hku.hk)
The non-contrast cranial CT shown here (Figure 1) is from an elderly patient with a recent fall and head injury resulting in an acute left-sided subdural haematoma . (hku.hk)

CT scanning may fail to depict small hemorrhages because of the similarity in attenuation between blood and adjacent bone and because of streak artifacts in the posterior fossa and inferior middle cranial fossa. (medscape.com)
Thin subdural blood is also present along the posterior falx (posterior midline arrow). (neurosurgicalatlas.com)
Figure 3: The acute posttraumatic subdural hematoma in this patient is seen on CT along the right tentoral leaf (left) and along the posterior aspect of the falx (right). (neurosurgicalatlas.com)

He also performs spinal cord stimulation and microvascular decompression for chronic pain syndromes and trigeminal neuralgia. (superdoctors.com)

This patient had a CT scan 1 week prior that demonstrated a chronic subdural hematoma (represented by the low density fluid on this study). (medscape.com)

These findings highlight that viral infection may contribute to the pathophysiology and is an additional risk factor for IA formation, progression, and rupture by modulating vessel wall inflammation and structural changes in chronic infections. (thejns.org)

Careful attention to the density and thickness of the falx can aid in detection of even very thin hematomas that may have prognostic implications in an otherwise normal study. (neurosurgicalatlas.com)
Subdural haematomas are usually more extensive than epidural haematomas, and easily spread along the falx, tentorium and around the anterior and middle fossa floors. (hku.hk)

The subdural haematoma is unilateral in the first 2 cases and bilateral in the last case. (hku.hk)
Even though the exact cause of epidural hematoma is not known in most cases, anticoagulation treatment is associated in some cases. (sch.ac.kr)

MRI aids in the detection of small hematomas because of its multiplanar capabilities. (medscape.com)

Figure 4: Axial CT images near the vertex demonstrate a dense acute hematoma superficial to the right parietal lobe (left) and a low density chronic subdural hematoma in the same patient 2 weeks later (right). (neurosurgicalatlas.com)
We report sudden hemiplegia by extensive, spontaneous spinal epidural hematoma in an anticoagulated patient with therapeutic range INR. (sch.ac.kr)
Interpretation: Cannabis use was common in people with chronic non-cancer pain who had been prescribed opioids, but we found no evidence that cannabis use improved patient outcomes. (edu.au)

Spinal hematoma is a rare condition but can cause significant spinal injury and resultant morbidity. (caserepclinradiol.org)

Such a mixed pattern is not uncommon and is usually due to recurrent haemorrhage into a pre-existing subdural haematoma, hence resulting in a mixture of densities. (hku.hk)

MRI showed a subdural, extra-arachnoid area fluid collection following the T12-L2, cephalad to the area of revision spinal fusion. (bmj.com)

Anatomy6

Diseases21

Analytical, Diagnostic and Therapeutic Techniques and Equipment9

Phenomena and Processes2

Anthropology, Education, Sociology and Social Phenomena1

Information Science1

Health Care2

Subarachnoid hemorrhage2

Intracranial4

Hemorrhage7

Recurrence2

Subacute5

Middle mening2

Right cerebral hemisphere2

Extra-axial3

Scalp2

Types of cranial2

Cerebrospinal fluid3

Empyema1

Traumatic2

Neurologic deterioration3

Surgeries2

Laminectomy1

Hygroma3

Cortical veins1

Cerebral1

Retrospective Cohor1

Neurosurgery2

Veins1

Computed Tomography3

Surgery3

Patient's1

Lesions2

Skull2

Trauma4

Underwent1

Occur3

Frontal1

Nerve3

Accumulation1

Diagnosis2

Crescent-shaped1

Brain7

Patients4

Imaging3

Contrast3

Posterior3

Decompression1

Scan1

Infection1

Falx2

Cases2

Detection1

Patient3

Spinal injury1

Recurrent1

Fluid1