CSDHRecurrenceHaematomasEpiduralEvacuationMidline shiftTraumaticDexamethasoneHygromaSystematic reviewHemorrhageManagement of chronicPatients with chronicSurgeryNeurosurgicalCerebralOccursHemisphericPostoperativeDrainage of a chronicOutcomeSpontaneousBrainEmpyemaSeizuresSurgical treatmentSpinalProcedureParenchymalHead TraumaPathogenesisElderlyTreatmentDecompressionCommonlyInflammatoryAbscessInfantsMembranesSevereDementiaBloodPulmonary diseaseWidelySignificant
CSDH16
- The aim of this retrospective study was to investigate the efficacy of saireito for bilateral chronic subdural hematomas (B-CSDH). (scirp.org)
- Introduction Chronic subdural haematoma (cSDH) tends to occur in older patients, often with significant comorbidity. (bmj.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)
- Chronic subdural haematoma (CSDH) is a common condition in the elderly that often requires neurosurgical management. (researchsquare.com)
- For small CSDH, evidence has emerged that statins may reduce haematoma volume and improve outcomes, presumably by reducing local inflammation and promoting vascular repair. (researchsquare.com)
- The second ATorvastatin On Chronic subdural Hematoma (ATOCH-II) study is a multi-center, randomized, placebo-controlled, double blind trial which aims to enroll 240 adult patients with a conservative therapeutic indication for CSDH, randomly allocated to standard treatment with atorvastatin 20 mg combined with low-dose dexamethasone (or matching placebos) daily for 28 days, and with 152 days of follow-up. (researchsquare.com)
- Chronic subdural hematoma (CSDH) represents one of the most common forms of intracranial haemorrhage, causing a variety of diagnostic and therapeutic challenges as rates increase in ageing populations and increased use of antithrombotic agents. (researchsquare.com)
- 15 The positive results of atorvastatin 20 mg daily significantly reduced haematoma volume and improving clinical outcomes 15 has had a major impact on clinical practice in China, with this medical treatment being widely adopted for both primary conservative and adjunctive post-surgical management of CSDH. (researchsquare.com)
- 19-22 We therefore initiated the second Atorvastatin combined with dexamethasone in Chronic subdural Haematoma (ATOCH-II) trial to determine the efficacy and safety of dexamethasone combined with low-dose atorvastatin in patients with CSDH. (researchsquare.com)
- The primary aim of ATOCH-II is to determine whether the combination of low-dose atorvastatin and low-dose dexamethasone is superior to low-dose atorvastatin alone on the composite outcome of haematoma volume, transition to surgery, and death at 28 days in patients with CSDH. (researchsquare.com)
- When septations are clearly visible within a CSDH, craniotomy might be more suitable as a primary procedure as it allows greater access to a septated subdural collection. (neurosurgery.directory)
- Chronic subdural haematoma (cSDH), one of the most common neurosurgical entities, occurs typically in elderly patients. (unibas.ch)
- Background: The primary aim of chronic subdural haematoma (CSDH) treatment is to relieve pressure to improve neurological symptoms. (ku.dk)
- The blood supply from the middle meningeal artery (MMA) to the haematoma membranes has recently become a research target, to enhance our understanding of the processes leading to growth and re-growth of a CSDH. (ku.dk)
- OBJECTIVE The aims of this study were to evaluate a multiyear experience with subdural evacuating port system (SEPS) placement for chronic subdural hematoma (cSDH) in the intensive care unit at a tertiary neurosurgical center and to compare SEPS placement with bur hole evacuation in the operating room. (kaiserpermanente.org)
Recurrence4
- This study focuses on determining factors predictive of haematoma recurrence and presents a scoring system stratifying recurrence risk for individual patients. (neurosurgery.directory)
- Univariate and multivariate analyses were performed searching for risk factors of increased post-operative haematoma volume and haematoma recurrence requiring repeat drainage. (neurosurgery.directory)
- Our proposed scoring system combining haematoma volume, age, and presence of septations might be useful in identifying patients at higher risk for recurrence ((Jack A, O'Kelly C, McDougall C, Max Findlay J. Predicting Recurrence after Chronic Subdural Haematoma Drainage. (neurosurgery.directory)
- All randomised controlled trials analysing symptomatic recurrence rates in patients who underwent burr-hole drainage of chronic subdural haematomas, describing postoperative bed header positioning, were included. (bvsalud.org)
Haematomas4
- H. Fujisawa, S. Nomura, E. Tsuchida and H. Ito, "Serum protein exudation in chronic subdural haematomas: a mechanism for haematoma enlargement? (scirp.org)
- Patients presenting without paresis can be treated with a platelet activating factor receptor antagonist (type C recommendation), since they seem to promote resolution of the haematoma, especially in patients with hygromas or low-density haematomas on computed tomography. (unibas.ch)
- Several studies have suggested the possible influence of postoperative bed header position on the risk of symptomatic recurrences and medical complications in patients who have been intervened due chronic subdural haematomas. (bvsalud.org)
- How often do chronic extra-cerebral haematomas occur in patients with intracranial arachnoid cysts? (uib.no)
Epidural3
- It can also be divided based on the compartment into which the hemorrhage occurs, namely: (1) intramedullary (including hematomyelia), (2) subarachnoid (SAH), (3) subdural (SDH), and/or (4) epidural (EDH). (medscape.com)
- As a result, knockouts are common and combat sports unfortunately have a high incidence of acute traumatic brain injuries (TBIs) such as concussion, subdural hematoma, epidural hematoma, intracranial hemorrhage, subarachnoid hemorrhage, and cerebral contusion. (medpagetoday.com)
- It is occasionally due to abscess and rarely due to spontaneous epidural hematoma. (msdmanuals.com)
Evacuation3
- Large bone flap is separated followed by irrigation and evacuation of the hematoma. (neurocare.ai)
- Emergency Department Visits for Chronic Subdural Hematomas within 30 Days after Surgical Evacuation with and without Middle Meningeal Artery Embolization. (nih.gov)
- Impact of Frailty on Morbidity and Mortality in Adult Patients Undergoing Surgical Evacuation of Acute Traumatic Subdural Hematoma. (harvard.edu)
Midline shift2
- Such findings may include the thickness or volume of the hematoma, the degree of midline shift, the presence of associated traumatic intradural lesions, and the compression of the brainstem or basal cisterns. (medscape.com)
- Mr A was found to have a large bilateral subdural haematoma with a midline shift of his brain. (hdc.org.nz)
Traumatic7
- In 1840, the French author Balzac described a case of chronic SDH, including its traumatic origin and surgical treatment. (medscape.com)
- Low Risk of Traumatic Intracranial Hematoma Expansion with Factor Xa Inhibitors without Andexanet Reversal. (harvard.edu)
- Traumatic subdural hematoma remains the most common cause of boxing related mortality. (medpagetoday.com)
- The burden of chronic post-traumatic neurological injuries such as headache, dizziness, and cognitive and mood disorders in these sports is also unfortunately high. (medpagetoday.com)
- The true incidence of post-traumatic Parkinsonism, dementia pugilistica (punch drunk syndrome), and chronic traumatic encephalopathy in these sports is likely substantial but remains unknown, coming to medical attention after the combatant has retired. (medpagetoday.com)
- Subdural hematoma is the most common type of traumatic intracranial mass lesion. (medscape.com)
- Acute subdural hematoma is the most common type of traumatic intracranial hematoma, occurring in 24% of patients who present comatose. (medscape.com)
Dexamethasone1
- T. F. Sun, R. Boet and W. S.Poon, "Non-surgical primary treatment of chronic subdural haematoma: Preliminary results of using dexamethasone," B. J Neurosurg, Vol.19, No. 4, 2005, pp. 327-333. (scirp.org)
Hygroma1
- C. K. Park, K. H. Choi, M. C. Kim, J. K. Kang and C. R. Choi, "Spontaneous evolution of posttraumatic subdural hygroma into chronic subdural haematoma," Acta Neurochir (Wien), Vol. 127, No.1-2, 1994, pp. 41-47. (scirp.org)
Systematic review4
- Postoperative bed header position after burr-hole drainage of chronic subdural haematoma: systematic review and meta-analysis of randomised controlled trials]. (bvsalud.org)
- Embolic Agent Choice in Middle Meningeal Artery Embolization as Primary or Adjunct Treatment for Chronic Subdural Hematoma: A Systematic Review and Meta-analysis. (nih.gov)
- Middle Meningeal Artery Embolization for Chronic Subdural Hematoma: Meta-Analysis and Systematic Review. (nih.gov)
- Embolization of the middle meningeal artery in patients with chronic subdural hematoma-a systematic review and meta-analysis. (nih.gov)
Hemorrhage1
Management of chronic2
- Neurosurgical and Perioperative Management of Chronic Subdural Hematoma. (zonmw.nl)
- Nonpharmaceutical management of chronic cough has an important role in well selected patients. (koreamed.org)
Patients with chronic7
- Low incidence of seizures in patients with chronic subdural haematoma. (bmj.com)
- Xenon-enhanced computed tomographic measurement of cerebral blood flow in patients with chronic subdural hematomas. (qxmd.com)
- We compared clinical symptoms with extent of brain shift on computed tomographic (CT) scans and quantitative and three-dimensional measurements of cerebral blood flow (CBF) on xenon-enhanced CT scans in 10 patients with chronic subdural hematomas. (qxmd.com)
- Assessment of hypothalamo-pituitary endocrine functions in patients with chronic subdural hematomas has not been published yet, although dysfunction of hypothalamo-pituitary unit can be expected (he. (endocrine-abstracts.org)
- Background: In patients with chronic obstructive pulmonary disease (COPD), decreased muscle mass is a frequently encountered comorbidity in clinical practice. (koreamed.org)
- In patients with chronic renal failure, spontaneous tendon rupture may occur due to degenerative changes in the tendon. (koreamed.org)
- Therefore, the NLR has a possible predictive value in patients with chronic. (koreamed.org)
Surgery3
- The remainder, including eight saireito-treated hematomas, resolved without further surgery, generally within eight weeks of the surgical side procedure. (scirp.org)
- The primary outcome is a composite good outcome defined by any reduction from baseline in haematoma volume and survival free of surgery at 28 days. (researchsquare.com)
- Four (9.5%) patients required return to surgery: 2 patients for explantation due to infection, 1 patient for lead repositioning, and 1 patient for chronic subdural hematoma. (thejns.org)
Neurosurgical3
- A subdural hematoma (SDH) is a common neurosurgical disorder that often requires surgical intervention. (medscape.com)
- In 1883, Hulke first described successful neurosurgical treatment of chronic SDH. (medscape.com)
- This includes the establishment of a new rat model of chronic intracranial venous hypertension and its effects on CBF and behaviour (together with the Institute for neurosurgical pathophysiology, University of Mainz), as well as intraoperative assessment of CBF-regulation during resection of cerebral arteriovenous malformations and in temporomesial epilepsy. (unige.ch)
Cerebral1
Occurs1
- Subdural hematoma occurs not only in patients with severe head injury but also in patients with less severe head injuries, particularly those who are elderly or who are receiving anticoagulants. (medscape.com)
Hemispheric4
- Axial CT image showing left hemispheric chronic subdural hematoma with neomembrane and compression of the left hemisphere. (torontonotes.ca)
- The Rapid SDH module on the RapidAI platform reportedly offers a sensitivity rate of 93 percent for detection of hemispheric subdural hematoma on non-contrast computed tomography (CT) scans. (diagnosticimaging.com)
- The Food and Drug Administration (FDA) has granted 510(k) clearance for RapidAI's Rapid SDH, an artificial intelligence (AI)-enabled module that reportedly notifies radiologists of suspected hemispheric subdural hematomas within one minute of reviewing a computed tomography (CT) scan. (diagnosticimaging.com)
- In addition to flagging suspected cases of hemispheric subdural hematomas, RapidAI said the Rapid SDH module facilitates multidisciplinary collaboration for the management of these patients via automated notification sent via the RapidAI app, PACS and e-mail. (diagnosticimaging.com)
Postoperative1
- T. H. Tsai, A. S. Lieu, S. L. Hwang, T. Y. Huang and Y. F. Hwang, "A comparative study of the patients with bilateral or unilateral chronic subdural hematoma: precipitating factors and postoperative outcomes," J Trauma. (scirp.org)
Drainage of a chronic2
- Outcome after drainage of a chronic SDH has also been found to correlate with preoperative neurologic status. (medscape.com)
- Overall, 80 percent to 90 percent of patients have significant brain function improvement after drainage of a chronic SDH. (thestranger.com)
Outcome1
- Secondary outcomes include functional outcome on the modified Rankin scale (mRS) and modified Barthel Index at 28 days, surgical transition, and reduction in haematoma volumes at 14, 28 and 90 days. (researchsquare.com)
Spontaneous1
- Subdural hematoma may also be spontaneous or caused by a procedure, such as a lumbar puncture (see Etiology). (medscape.com)
Brain12
- A subdural hematoma is a collection of blood between the covering of the brain (dura) and the surface of the brain. (medlineplus.gov)
- With any subdural hematoma, tiny veins between the surface of the brain and its outer covering (the dura) stretch and tear, allowing blood to collect. (medlineplus.gov)
- Medicines that may be used depend on the type of subdural hematoma, how severe the symptoms are, and how much brain damage has occurred. (medlineplus.gov)
- Acute subdural hematomas have high rates of death and brain injury. (medlineplus.gov)
- A cranial CT of the Motörhead fan showed right-sided chronic subdural hematoma - a collection of blood and blood breakdown products between the surface of the brain and its outermost covering or dura, according to the U.S. National Institutes of Health. (cbc.ca)
- A chronic subdural hematoma (SDH) is an old clot of blood on the surface of the brain beneath its outer covering. (thestranger.com)
- A subdural hematoma (SDH) is a collection of blood below the inner layer of the dura but external to the brain and arachnoid membrane (see the images below). (medscape.com)
- Generally, acute subdural hematomas are less than 72 hours old and are hyperdense compared with the brain on computed tomography scans. (medscape.com)
- Chronic subdural hematomas develop over the course of weeks and are hypodense compared with the brain. (medscape.com)
- Acute subdural hematoma is commonly associated with extensive primary brain injury. (medscape.com)
- In recognition of this fact, a subdural hematoma that is not associated with an underlying brain injury is sometimes termed a simple or pure subdural hematoma. (medscape.com)
- The term complicated has been applied to subdural hematomas in which a significant injury of the underlying brain has also been identified. (medscape.com)
Empyema3
- 8. Buckholt MA, Lee JH, Tzipori S. Prevalence of Enterocytozoon raw pig products had subdural empyema, which led to bieneusi in swine: an 18-month survey at a slaughterhouse meningitis, sepsis, and status epilepticus. (cdc.gov)
- Common manifestations of S. suis infection are meningitis, endocarditis, septicemia, and arthritis but not subdural empyema ( 2 ). (cdc.gov)
- Subdural empyema is a rare but serious infection that causes a collection of pus between the dura and arachnoid layers of the meninges ( 5 ). (cdc.gov)
Seizures1
- Seizures often occur at the time the hematoma forms, or up to months or years after treatment. (medlineplus.gov)
Surgical treatment1
- In a more comprehensive review of the literature on the surgical treatment of acute subdural hematomas, lucid intervals were noted in up to 38% of cases. (medscape.com)
Spinal3
- Chronic intracranial subdural hematoma after spinal anesthesia for a cesarean section: a case report. (harvard.edu)
- He also performs spinal cord stimulation and microvascular decompression for chronic pain syndromes and trigeminal neuralgia. (superdoctors.com)
- may cause acute, subacute, or chronic spinal cord compression. (msdmanuals.com)
Procedure4
- Large hematomas or solid blood clots may need to be removed through a procedure called a craniotomy , which creates a larger opening in the skull. (medlineplus.gov)
- Results: We established anatomical landmarks to locate the MMA and found that particularly the anterior MMA branch can be occluded through a single burr hole at the pterion during the same procedure as haematoma decompression. (ku.dk)
- In a simulated setting, soMMA can be performed during the same procedure as haematoma decompression. (ku.dk)
- Following an evaluation, doctors performed a procedure to address a chronic subdural hematoma that was likely the result of a minor head injury. (thestranger.com)
Parenchymal1
- In one study, 82% of comatose patients with acute subdural hematomas had parenchymal contusions. (medscape.com)
Head Trauma2
- See also Subdural Hematoma , Emergent Management of Subdural Hematoma , Imaging in Subdural Hematoma , Closed Head Trauma , Head Injury , and Forensic Autopsy of Blunt Force Trauma . (medscape.com)
- Chronic subdural hematoma can occur in the elderly after apparently insignificant head trauma. (medscape.com)
Pathogenesis1
- Ischemic heart disease: pathogenesis and morphological features of angina pectoris, chronic ischemic heart disease, myocardial infarction (timing of the progression of ischemic necrosis in myocardial infarction: evaluation methods). (unibo.it)
Elderly1
Treatment3
- J. L. Voelker, "Nonoperative treatment of chronic subdural hematoma," Neurosurg Clin. (scirp.org)
- Chronic cough is a common problem that can be refractory to medical treatment. (koreamed.org)
- A minority of chronic subdural hematoma cases derived from acute subdural hematomas that have matured (ie, liquefied) because of lack of treatment. (medscape.com)
Decompression1
- In a large series of patients who developed intracranial hematomas requiring emergent decompression, more than half had lucid intervals and were able to make conversation between the time of their injury and subsequent deterioration. (medscape.com)
Commonly1
- In infants and young children, a subdural hematoma may occur after child abuse and are commonly seen in a condition called shaken baby syndrome . (medlineplus.gov)
Inflammatory1
Abscess1
- Acute compression may follow subacute and chronic compression, especially if the cause is abscess or tumor. (msdmanuals.com)
Infants1
- Multiple fractures in the long bones of infants suffering from chronic subdural hematoma. (bvsalud.org)
Membranes1
- Slow extravasation of blood into the subdural space between the dura and arachnoid membranes. (neurocare.ai)
Severe1
- A subdural hematoma is most often the result of a severe head injury. (medlineplus.gov)
Dementia1
- Chronic subdural hematoma is a common treatable cause of dementia. (medscape.com)
Pulmonary disease2
- Non-neoplastic smoke-related lung disease: chronic obstructive pulmonary disease, small airways disease/respiratory bronchiolitis, Langerhans cell histiocytosis of the lung. (unibo.it)
- However, the change in the pathogenic distribution of community-acquired pneumonia (CAP) in chronic obstructive pulmonary disease (COPD) patients and the serotype. (koreamed.org)
Widely2
- Sleep disturbances, as well as tinnitus and chronic pain, are widely reported in U.S. military service members and veterans. (frontiersin.org)
- Presentation varies widely in acute subdural hematoma (see Clinical). (medscape.com)
Significant1
- Significant trauma is not the only cause of subdural hematoma. (medscape.com)