Subdural hematomaHemorrhageVenous sinus thrombosisMiddle craniAnterior craniSuturesSubarachnoid spacesAcuteIntracranial hematomasLumbarAnesthesiaContralateralPosteriorMidline shiftNervesCraniotomyPatientsNeurologicPostoperativeOccurFatalTraumaVaultEvacuationSurgeriesSevereLesionPalsyCranioplastyCervicalUnderwentPitfallsHydrocephalusParanasal sinusesPrognosisSurgeryIncidenceBrainOutcomesPatientInjuriesMesh
Subdural hematoma9
- The paper describes a rare case of acute intracranial subdural hematoma in a 22-year old woman followed by fluoroscopy-guided percutaneous vertebroplasty for vertebral hemangioma. (theunj.org)
- MRI images revealed subdural hematoma compressing the brain. (theunj.org)
- Craniotomy was performed to remove the subdural hematoma, and the patient fully recovered. (theunj.org)
- AIM: To determine risk factors predicting chronic subdural hematoma (CSH) recurrence is a common type of intracranial hemorrhage in elderly patients. (bvsalud.org)
- 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)
- Other etiologies include trauma, seeding of an existing subdural hematoma , or postoperative infection. (logicalimages.com)
- Chronic subdural hematoma (CSDH) patients using antithrombotic agents (AT) at high risk for cardiovascular disease are increasing. (jkns.or.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)
- 5 ] Either frequent adverse events (infection, hydrocephalus, cerebrospinal fluid [CSF] leak, bone resorption, epidural hematoma, subdural hematoma, and brain contusions) and rare ones (paradoxical brain herniation and sinking flap syndrome) have been reported. (surgicalneurologyint.com)
Hemorrhage6
- 10. Lim JB, Park JS, Kim E. Nonaneurysmal subarachnoid hemorrhage: Rare complication of vertebroplasty. (theunj.org)
- The vaccum drainage method was effective in epidual hemotoma clearance and prevented recurrent epidural hemorrhage. (biomedcentral.com)
- The falling down of the intracranial pressure tears up the potential epidural space and switches on the evil circle of epidural hemorrhage. (biomedcentral.com)
- Natasha Richardson was a British stage and screen actress who died at the young age of 45 from an epidural brain hemorrhage caused by a skiing accident. (drmirkin.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)
- Intracranial hemorrhage refers to any bleeding within the cranial vault, including subdural and epidural hematomas and subarachnoid hemorrhage. (medlink.com)
Venous sinus thrombosis1
- Complications include cerebritis, cerebral abscess formation, and venous sinus thrombosis. (logicalimages.com)
Middle crani2
- The middle cranial fossa forms the thinnest part of the skull and thus represents the weakest part, which is further weakened by the presence of multiple foramina. (medscape.com)
- The petro-occipital fissure subdivides the middle cranial fossa into 1 central component and 2 lateral components. (medscape.com)
Anterior crani4
- Other sites at risk for fracture are the cribriform plate, the roof of orbits in the anterior cranial fossa, and the areas between the mastoid and dural sinuses in the posterior cranial fossa. (medscape.com)
- Anterior cranial fossa and body of the sphenoid. (medscape.com)
- The ethmoid bone forms the central part of the floor, which is the deepest area of the anterior cranial fossa. (medscape.com)
- The most important anatomic structures below the anterior cranial fossa are the orbits and the paranasal sinuses. (medscape.com)
Sutures3
- The skull is formed by the fusion of several flat bones held together by the cranial sutures. (medscape.com)
- Cranial vault suspension for basilar invagination in patients with open cranial sutures: technique and long-term follow-up. (thejns.org)
- Hajdu-Cheney syndrome (HCS) is an extremely rare genetic disorder characterized by severe osteoporosis, scoliosis, and persistent open cranial sutures (POCSs). (thejns.org)
Subarachnoid spaces2
- The escape of blood often leads to the formation of HEMATOMA in the cranial epidural, subdural, and subarachnoid spaces. (bvsalud.org)
- as well as into the epidural, subdural and subarachnoid spaces of the MENINGES. (umassmed.edu)
Acute4
- After the acute pathological process has ended and the cerebral swelling regressed, patients require neurosurgical treatment to reconstruct the cranial defect (delayed cranioplasty). (surgicalneurologyint.com)
- 16. Grahovac G, Vilendecic M, Chudy D, Srdoc D, Skrlin J. Nightmare complication after lumbar disc surgery: cranial nontraumatic acute epidural hematoma. (theunj.org)
- Patients are at high risk of aspiration and other respiratory complications like pneumonia and acute respiratory distress syndrome (ARDS) 4 ). (e-jnic.org)
- Acute subdural haematoma (ASDH) is a common and serious injury in traumatic brain injury (TBI) patients. (biomedcentral.com)
Intracranial hematomas1
- Surgery is often needed in patients with more severe injury to place monitors to track and treat intracranial pressure elevation, decompress the brain if intracranial pressure is increased, or remove intracranial hematomas. (msdmanuals.com)
Lumbar2
- 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)
- The tomographic imaging revealed a spontaneous lumbar and cranial subarachnoidal haematoma. (openorthopaedicsjournal.com)
Anesthesia6
- Neurosurgical pathologies in pregnancy pose significant complications for the patient and fetus, and physiological stressors during anesthesia and surgery may lead to maternal and fetal complications. (bvsalud.org)
- Because of the technical challenges of readily identifying the epidural space and the toxicity associated with the large doses of local anesthetics needed for epidural anesthesia, spinal anesthesia was the dominant form of neuraxial anesthesia well into the 20th century. (medscape.com)
- Alternatively, spinal and epidural anesthesia can be used jointly, taking advantage of the qualities of both techniques: the rapid, dense sensorimotor blockade of a spinal anesthetic and the opportunity to redose the patient with an epidural catheter anesthetic. (medscape.com)
- As opposed to epidural anesthesia, in which medications are instilled outside the dura mater, the goal of spinal anesthesia is to instill the desired medications into the cerebrospinal fluid (CSF). (medscape.com)
- Although the focus of this topic is subarachnoid block, comparison with epidural anesthesia may be informative. (medscape.com)
- See the table below for a comparison of subarachnoid and epidural anesthesia. (medscape.com)
Contralateral1
Posterior2
- A 20-year-old female with HCS and progressive symptomatic BI, initially managed with posterior fossa decompression and occipital to cervical fusion, subsequently required cranial vault expansion due to symptomatic shifting of her cranium secondary to POCS. (thejns.org)
- The skull base can be subdivided into 3 regions: the anterior, middle, and posterior cranial fossae. (medscape.com)
Midline shift1
- 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)
Nerves2
- With brainstem involvement, neurological examination of the cranial nerves will define the exact location and extension of the lesion. (vin.com)
- Ophthalmoparesis or disordered eye movements occur when cranial nerves III, IV, and VI are damaged by granulomatous inflammation. (medscape.com)
Craniotomy6
- The traditional management of hematoma evacuation through craniotomy is time-consuming and may aggravate intracranial pressure imbalance, which causes further complications. (biomedcentral.com)
- Another ten patients who received craniotomy for intra-operative non-regional epidural hematoma evacuation were selected as comparison. (biomedcentral.com)
- Compared to the traditional craniotomy, the new method of epidural hemoatoma management using vaccum epidural drainage system proved to be as effective in hematoma clearance, and was less-invasive and easier to perform, with less complication, shorter hospitalization, less economic burden, and better prognosis. (biomedcentral.com)
- Hematoma evacuation through craniotomy is the traditional management. (biomedcentral.com)
- Each of the patients undertook craniotomy and developed non-regional EDH as an intra-operative complication. (biomedcentral.com)
- 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)
Patients17
- Custom-made cranioplasty obtained better results and we would suggest that this should be a first choice, particularly for young patients with a large cranial defect. (surgicalneurologyint.com)
- The management of patients with cranial defects (craniolacunias) has become a very common problem for neurosurgeons over the years. (surgicalneurologyint.com)
- The use of decompressive craniectomy for the emergency treatment of several pathologic conditions such as severe head injuries, ischemic, and hemorrhagic strokes, cerebral venous thrombosis, severe brain infections, and subarachnoid hemorrhages,[ 5 , 6 , 11 , 16 ] has led to an increase in patients with cranial defect. (surgicalneurologyint.com)
- Patients undergoing craniectomy for neoplasms, infections, or traumas with involvement of the bone (including infectious complications of the previous neurosurgical operations) should be added to this list. (surgicalneurologyint.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)
- All of the patients received tumor resection and intra-operative non-regional epidural hematoma was confirmed through intra-operative ultrasound or CT scan. (biomedcentral.com)
- The method proved to be effective with little complication, and the patients recovered soon. (biomedcentral.com)
- Our case suggests epidural hematoma should be considered in sudden hemiplegia patients with anticoagulation therapy. (sch.ac.kr)
- Anticoagulation therapy with warfarin always has potential risk of various complications even in patients with therapeutic range of international normalized ratio (INR) [ 4 ]. (sch.ac.kr)
- POCSs in patients with BI complicate traditional surgical approaches, necessitating more invasive techniques to secure all mobile cranial parts for optimal outcomes. (thejns.org)
- 11 Geriatric patients experience additional complications that lead to age-related higher mortality during post-trauma hospitalization, such as delirium, pneumonia, and respiratory failure. (reliasmedia.com)
- Treatment complications required further surgical procedures in six patients. (surgicalneurologyint.com)
- In our experience, complications involving skin flaps after DC and post-DC cranioplasty cannot be considered a minor event because of their potential to further compromise the yet fragile conditions of these patients. (surgicalneurologyint.com)
- With the increasing experience, the list of complications affecting patients undergoing DC and post-DC cranioplasty is growing up. (surgicalneurologyint.com)
- This may be troublesome when considering that complications, especially those furtively occurring like hydrocephalus, play a crucial role in DC patients' prognosis, potentially leading to sudden clinical deterioration and death even in yet improving subjects. (surgicalneurologyint.com)
- 9) reviewed 158 patients who underwent epidural spinal injections for low-back pain with or without radiculopathy. (neurosurgery.directory)
- Respiratory system complications in TBI patients may be related to direct thoracic injuries such as pneumothorax, haemothorax, flail chest lung contusion. (e-jnic.org)
Neurologic5
- It can cause fatal complication such as permanent neurologic deficit. (sch.ac.kr)
- Detailed neurologic examination and spinal magnetic resonance imaging identified extensive, spontaneous spinal epidural hematoma. (sch.ac.kr)
- The risk of hematoma expansion and neurologic deterioration is highest within the first few hours after presentation. (medlink.com)
- The neurologic deficits depend on the location, size, and expansion of the hematoma. (medlink.com)
- Because of undulating neurologic deficits in the lower limb, the patient was admitted to cranial computer tomography and magnetic resonance tomography examination of the spine. (openorthopaedicsjournal.com)
Postoperative2
- 1 , 2 The presentation of this potentially fatal complication includes severe perioperative or postoperative bleeding, a false aneurysm of the ICA or a carotid cavernous fistula. (bmj.com)
- Prolonged postoperative analgesia is best ensured by insertion of an epidural catheter, using an opioid and local anesthetic combination infused continuously over the first few postoperative days. (medscape.com)
Occur1
- Intra-cranial bleeding can also spontaneously occur, especially in the elderly. (emoryhealthcare.org)
Fatal2
- In addition, cerebral edema associated with skull fractures is a common and frequently fatal complication of head injury and may develop within minutes or hours of injury. (medscape.com)
- Around 15% to 20% of epidural hematomas are fatal [ 2 ]. (sch.ac.kr)
Trauma2
Vault2
- Herein, the authors present a case of BI repair in a patient with HCS and POCSs, requiring a novel technique of cranial vault suspension, with long-term follow-up. (thejns.org)
- Using this cranial vault suspension and fusion technique results in lasting neurological improvement and construct stability. (thejns.org)
Evacuation2
- The incidence is 1.4%, among the three most frequent reasons of re-operation during the early time (with the other two as brain edema and hematoma in the empty space left by lesion evacuation). (biomedcentral.com)
- The fourth patient had an intraoperative ICA stroke requiring suction thrombectomy, thrombolysis, stent placement and evacuation of an epidural hematoma. (bmj.com)
Surgeries2
- Epidural intracranial hematoma is one of the most common complications of surgeries for intracranial tumors. (biomedcentral.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)
Severe2
- The non-regional epidural hematoma is related to severe fluctuation of the intracranial pressure during the operation. (biomedcentral.com)
- PTS is a frequent complication of severe TBI in children. (bvsalud.org)
Lesion2
- Cerebral edema may accompany diffuse axonal injury or a space-occupying lesion, such as an intracranial hematoma. (medscape.com)
- 17. Surash S, Bhargava D, Tyagi A. Bilateral extradural hematoma formation following excision of a thoracic intradural lesion. (theunj.org)
Palsy1
- Bilateral traumatic abducens nerve palsy without skull fracture or intracranial hematoma-a report of 3 cases and consideration of the mechanism of injury (author's transl). (csnn.eu)
Cranioplasty3
- Rienzo AD, Pangrazi PP, Riccio M, Colasanti R, Ghetti I, Iacoangeli M. Skin flap complications after decompressive craniectomy and cranioplasty: Proposal of classification and treatment options. (surgicalneurologyint.com)
- The list of complications reported after decompressive craniectomy (DC) and cranioplasty is progressively increasing. (surgicalneurologyint.com)
- In last years, some reports focused attention on complications occurring after decompressive craniectomy (DC) and postdecompressive cranioplasty. (surgicalneurologyint.com)
Cervical3
- Clival epidural hematoma in traumatic sixth cranial nerve palsies combined with cervical injuries. (csnn.eu)
- 2017. Rare Complications of Cervical Spine Surgery: Horner's Syndrome. . (cornell.edu)
- 2017. Epidural Hematoma Following Cervical Spine Surgery. . (cornell.edu)
Underwent1
Pitfalls1
- 6. Wong W, Mathis M. Vertebroplasty and kyphoplasty: techniques for avoiding complications and pitfalls. (theunj.org)
Hydrocephalus2
- Neurological complications include hydrocephalus, Chiari I malformations, and basilar invagination (BI). (thejns.org)
- Quick and reliable setting of programmable pressure valves (PPVs) is important in the treatment of idiopathic normal pressure hydrocephalus (iNPH), especially for reducing overdrainage complications and related medical costs. (go.jp)
Paranasal sinuses1
- Infection of the paranasal sinuses is a risk factor for cranial subdural empyema, as the infection can spread to the space by way of emissary veins. (logicalimages.com)
Prognosis1
- On the basis of these hypotheses, we designed a method to control EDH using continuous vaccum epidural drainage, intending to improve the overall prognosis. (biomedcentral.com)
Surgery4
- Results and complications of the two methods were compared, including duration of surgery, cosmetic results (visual analog scale for cosmesis [VASC]), and costs of the implants. (surgicalneurologyint.com)
- Purpose To report our experience with intraoperative complications involving the internal carotid artery (ICA) during trans-sphenoidal surgery and their outcome with reconstructive endovascular management. (bmj.com)
- In this paper we present our experience with intraoperative complications involving the ICA during trans-sphenoidal surgery and their outcome with reconstructive endovascular management. (bmj.com)
- Complications involving skin flaps and requiring re-surgery were observed and treated in 38 cases. (surgicalneurologyint.com)
Incidence2
- however, surgical ligation is associated with a high incidence of major complications. (bmj.com)
- These registries have identified changes in epidemiology , recovery patterns, complication incidence, and the impact of practice changes like early decompression. (neurosurgery.directory)
Brain4
- An epidural hematoma means that bleeding occurs outside the brain and its covering. (drmirkin.com)
- Since bleeding outside the brain is usually from a broken artery at high pressure, epidural bleeding often kills the patient. (drmirkin.com)
- In the first few days after the injury, maintaining adequate brain perfusion and oxygenation and preventing complications of altered sensorium are important. (msdmanuals.com)
- The skull base forms the floor of the cranial cavity and separates the brain from other facial structures. (medscape.com)
Outcomes1
- Percutaneous vertebroplasty was emphasized to be followed by rare intracranial complications, awareness of which is very important for the surgeon for complications prevention and treatment outcomes improvement. (theunj.org)
Patient2
Injuries2
Mesh1
- Complications: one epidural hematoma in the custom-made group, one delayed failure in precurved group due to wound dehiscence with mesh exposure. (surgicalneurologyint.com)