A collection of blood outside the BLOOD VESSELS. Hematoma can be localized in an organ, space, or tissue.
Accumulation of blood in the EPIDURAL SPACE between the SKULL and the DURA MATER, often as a result of bleeding from the MENINGEAL ARTERIES associated with a temporal or parietal bone fracture. Epidural hematoma tends to expand rapidly, compressing the dura and underlying brain. Clinical features may include HEADACHE; VOMITING; HEMIPARESIS; and impaired mental function.
Accumulation of blood in the SUBDURAL SPACE between the DURA MATER and the arachnoidal layer of the MENINGES. This condition primarily occurs over the surface of a CEREBRAL HEMISPHERE, but may develop in the spinal canal (HEMATOMA, SUBDURAL, SPINAL). Subdural hematoma can be classified as the acute or the chronic form, with immediate or delayed symptom onset, respectively. Symptoms may include loss of consciousness, severe HEADACHE, and deteriorating mental status.
Accumulation of blood in the SUBDURAL SPACE with delayed onset of neurological symptoms. Symptoms may include loss of consciousness, severe HEADACHE, and deteriorating mental status.
Accumulation of blood in the SUBDURAL SPACE with acute onset of neurological symptoms. Symptoms may include loss of consciousness, severe HEADACHE, and deteriorating mental status.
A rare epidural hematoma in the spinal epidural space, usually due to a vascular malformation (CENTRAL NERVOUS SYSTEM VASCULAR MALFORMATIONS) or TRAUMA. Spontaneous spinal epidural hematoma is a neurologic emergency due to a rapidly evolving compressive MYELOPATHY.
Accumulation of blood in the SUBDURAL SPACE over the CEREBRAL HEMISPHERE.
Subdural hematoma of the SPINAL CANAL.
Bleeding into one or both CEREBRAL HEMISPHERES including the BASAL GANGLIA and the CEREBRAL CORTEX. It is often associated with HYPERTENSION and CRANIOCEREBRAL TRAUMA.
The removal of a circular disk of the cranium.
Tomography using x-ray transmission and a computer algorithm to reconstruct the image.
Any operation on the cranium or incision into the cranium. (Dorland, 28th ed)
Potential cavity which separates the ARACHNOID MATER from the DURA MATER.
Fractures of the skull which may result from penetrating or nonpenetrating head injuries or rarely BONE DISEASES (see also FRACTURES, SPONTANEOUS). Skull fractures may be classified by location (e.g., SKULL FRACTURE, BASILAR), radiographic appearance (e.g., linear), or based upon cranial integrity (e.g., SKULL FRACTURE, DEPRESSED).
Bleeding into one or both CEREBRAL HEMISPHERES due to TRAUMA. Hemorrhage may involve any part of the CEREBRAL CORTEX and the BASAL GANGLIA. Depending on the severity of bleeding, clinical features may include SEIZURES; APHASIA; VISION DISORDERS; MOVEMENT DISORDERS; PARALYSIS; and COMA.
Bleeding within the subcortical regions of cerebral hemispheres (BASAL GANGLIA). It is often associated with HYPERTENSION or ARTERIOVENOUS MALFORMATIONS. Clinical manifestations may include HEADACHE; DYSKINESIAS; and HEMIPARESIS.
Traumatic injuries involving the cranium and intracranial structures (i.e., BRAIN; CRANIAL NERVES; MENINGES; and other structures). Injuries may be classified by whether or not the skull is penetrated (i.e., penetrating vs. nonpenetrating) or whether there is an associated hemorrhage.
The outermost of the three MENINGES, a fibrous membrane of connective tissue that covers the brain and the spinal cord.
A scale that assesses the response to stimuli in patients with craniocerebral injuries. The parameters are eye opening, motor response, and verbal response.
A long flat muscle that extends along the whole length of both sides of the abdomen. It flexes the vertebral column, particularly the lumbar portion; it also tenses the anterior abdominal wall and assists in compressing the abdominal contents. It is frequently the site of hematomas. In reconstructive surgery it is often used for the creation of myocutaneous flaps. (From Gray's Anatomy, 30th American ed, p491)
Surgery performed on the nervous system or its parts.
Traumatic injuries to the cranium where the integrity of the skull is not compromised and no bone fragments or other objects penetrate the skull and dura mater. This frequently results in mechanical injury being transmitted to intracranial structures which may produce traumatic brain injuries, hemorrhage, or cranial nerve injury. (From Rowland, Merritt's Textbook of Neurology, 9th ed, p417)
Bleeding within the SKULL, including hemorrhages in the brain and the three membranes of MENINGES. The escape of blood often leads to the formation of HEMATOMA in the cranial epidural, subdural, and subarachnoid spaces.
Leakage and accumulation of CEREBROSPINAL FLUID in the subdural space which may be associated with an infectious process; CRANIOCEREBRAL TRAUMA; BRAIN NEOPLASMS; INTRACRANIAL HYPOTENSION; and other conditions.
Non-invasive method of demonstrating internal anatomy based on the principle that atomic nuclei in a strong magnetic field absorb pulses of radiofrequency energy and emit them as radiowaves which can be reconstructed into computerized images. The concept includes proton spin tomographic techniques.
The infratentorial compartment that contains the CEREBELLUM and BRAIN STEM. It is formed by the posterior third of the superior surface of the body of the sphenoid (SPHENOID BONE), by the occipital, the petrous, and mastoid portions of the TEMPORAL BONE, and the posterior inferior angle of the PARIETAL BONE.
A surgical procedure that entails removing all (laminectomy) or part (laminotomy) of selected vertebral lamina to relieve pressure on the SPINAL CORD and/or SPINAL NERVE ROOTS. Vertebral lamina is the thin flattened posterior wall of vertebral arch that forms the vertebral foramen through which pass the spinal cord and nerve roots.
The removal of fluids or discharges from the body, such as from a wound, sore, or cavity.
A spontaneous diminution or abatement of a disease over time, without formal treatment.
The paired bands of yellow elastic tissue that connect adjoining laminae of the vertebrae. With the laminae, it forms the posterior wall of the spinal canal and helps hold the body erect.
Bleeding within the SKULL that is caused by systemic HYPERTENSION, usually in association with INTRACRANIAL ARTERIOSCLEROSIS. Hypertensive hemorrhages are most frequent in the BASAL GANGLIA; CEREBELLUM; PONS; and THALAMUS; but may also involve the CEREBRAL CORTEX, subcortical white matter, and other brain structures.
An area occupying the most posterior aspect of the ABDOMINAL CAVITY. It is bounded laterally by the borders of the quadratus lumborum muscles and extends from the DIAPHRAGM to the brim of the true PELVIS, where it continues as the pelvic extraperitoneal space.
Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.
Pathological processes in the ESOPHAGUS.
The removal of secretions, gas or fluid from hollow or tubular organs or cavities by means of a tube and a device that acts on negative pressure.
Radiography of the vascular system of the brain after injection of a contrast medium.
Intracranial or spinal cavities containing a cerebrospinal-like fluid, the wall of which is composed of arachnoidal cells. They are most often developmental or related to trauma. Intracranial arachnoid cysts usually occur adjacent to arachnoidal cistern and may present with HYDROCEPHALUS; HEADACHE; SEIZURES; and focal neurologic signs. (From Joynt, Clinical Neurology, 1994, Ch44, pp105-115)
Agents that prevent clotting.
A surgical operation for the relief of pressure in a body compartment or on a body part. (From Dorland, 28th ed)
Bleeding within the brain as a result of penetrating and nonpenetrating CRANIOCEREBRAL TRAUMA. Traumatically induced hemorrhages may occur in any area of the brain, including the CEREBRUM; BRAIN STEM (see BRAIN STEM HEMORRHAGE, TRAUMATIC); and CEREBELLUM.
Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.
Injuries caused by impact with a blunt object where there is no penetration of the skin.
Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.
Increased intracellular or extracellular fluid in brain tissue. Cytotoxic brain edema (swelling due to increased intracellular fluid) is indicative of a disturbance in cell metabolism, and is commonly associated with hypoxic or ischemic injuries (see HYPOXIA, BRAIN). An increase in extracellular fluid may be caused by increased brain capillary permeability (vasogenic edema), an osmotic gradient, local blockages in interstitial fluid pathways, or by obstruction of CSF flow (e.g., obstructive HYDROCEPHALUS). (From Childs Nerv Syst 1992 Sep; 8(6):301-6)
A scale that assesses the outcome of serious craniocerebral injuries, based on the level of regained social functioning.
Tear or break of an organ, vessel or other soft part of the body, occurring in the absence of external force.
The escape of diagnostic or therapeutic material from the vessel into which it is introduced into the surrounding tissue or body cavity.
Diseases of the bony orbit and contents except the eyeball.
Acute and chronic conditions characterized by external mechanical compression of the SPINAL CORD due to extramedullary neoplasm; EPIDURAL ABSCESS; SPINAL FRACTURES; bony deformities of the vertebral bodies; and other conditions. Clinical manifestations vary with the anatomic site of the lesion and may include localized pain, weakness, sensory loss, incontinence, and impotence.
X-ray image-detecting devices that make a focused image of body structures lying in a predetermined plane from which more complex images are computed.
Bleeding into the intracranial or spinal SUBARACHNOID SPACE, most resulting from INTRACRANIAL ANEURYSM rupture. It can occur after traumatic injuries (SUBARACHNOID HEMORRHAGE, TRAUMATIC). Clinical features include HEADACHE; NAUSEA; VOMITING, nuchal rigidity, variable neurological deficits and reduced mental status.
Death resulting from the presence of a disease in an individual, as shown by a single case report or a limited number of patients. This should be differentiated from DEATH, the physiological cessation of life and from MORTALITY, an epidemiological or statistical concept.
A delicate membrane enveloping the brain and spinal cord. It lies between the PIA MATER and the DURA MATER. It is separated from the pia mater by the subarachnoid cavity which is filled with CEREBROSPINAL FLUID.
Disease having a short and relatively severe course.
Pathological processes involving any part of the AORTA.
Diseases that affect the structure or function of the cerebellum. Cardinal manifestations of cerebellar dysfunction include dysmetria, GAIT ATAXIA, and MUSCLE HYPOTONIA.
The tearing or bursting of the weakened wall of the aneurysmal sac, usually heralded by sudden worsening pain. The great danger of a ruptured aneurysm is the large amount of blood spilling into the surrounding tissues and cavities, causing HEMORRHAGIC SHOCK.
An anticoagulant that acts by inhibiting the synthesis of vitamin K-dependent coagulation factors. Warfarin is indicated for the prophylaxis and/or treatment of venous thrombosis and its extension, pulmonary embolism, and atrial fibrillation with embolization. It is also used as an adjunct in the prophylaxis of systemic embolism after myocardial infarction. Warfarin is also used as a rodenticide.
PROCEDURES that use NEUROENDOSCOPES for disease diagnosis and treatment. Neuroendoscopy, generally an integration of the neuroendoscope with a computer-assisted NEURONAVIGATION system, provides guidance in NEUROSURGICAL PROCEDURES.
Mild to moderate loss of bilateral lower extremity motor function, which may be a manifestation of SPINAL CORD DISEASES; PERIPHERAL NERVOUS SYSTEM DISEASES; MUSCULAR DISEASES; INTRACRANIAL HYPERTENSION; parasagittal brain lesions; and other conditions.
Disorders of the centrally located thalamus, which integrates a wide range of cortical and subcortical information. Manifestations include sensory loss, MOVEMENT DISORDERS; ATAXIA, pain syndromes, visual disorders, a variety of neuropsychological conditions, and COMA. Relatively common etiologies include CEREBROVASCULAR DISORDERS; CRANIOCEREBRAL TRAUMA; BRAIN NEOPLASMS; BRAIN HYPOXIA; INTRACRANIAL HEMORRHAGES; and infectious processes.
Techniques used mostly during brain surgery which use a system of three-dimensional coordinates to locate the site to be operated on.
Abnormal protrusion of both eyes; may be caused by endocrine gland malfunction, malignancy, injury, or paralysis of the extrinsic muscles of the eye.
A surgical specialty concerned with the treatment of diseases and disorders of the brain, spinal cord, and peripheral and sympathetic nervous system.
Abnormal outpouching in the wall of intracranial blood vessels. Most common are the saccular (berry) aneurysms located at branch points in CIRCLE OF WILLIS at the base of the brain. Vessel rupture results in SUBARACHNOID HEMORRHAGE or INTRACRANIAL HEMORRHAGES. Giant aneurysms (>2.5 cm in diameter) may compress adjacent structures, including the OCULOMOTOR NERVE. (From Adams et al., Principles of Neurology, 6th ed, p841)
Acute and chronic (see also BRAIN INJURIES, CHRONIC) injuries to the brain, including the cerebral hemispheres, CEREBELLUM, and BRAIN STEM. Clinical manifestations depend on the nature of injury. Diffuse trauma to the brain is frequently associated with DIFFUSE AXONAL INJURY or COMA, POST-TRAUMATIC. Localized injuries may be associated with NEUROBEHAVIORAL MANIFESTATIONS; HEMIPARESIS, or other focal neurologic deficits.
The symptom of PAIN in the cranial region. It may be an isolated benign occurrence or manifestation of a wide variety of HEADACHE DISORDERS.
Aneurysm caused by a tear in the TUNICA INTIMA of a blood vessel leading to interstitial HEMORRHAGE, and splitting (dissecting) of the vessel wall, often involving the AORTA. Dissection between the intima and media causes luminal occlusion. Dissection at the media, or between the media and the outer adventitia causes aneurismal dilation.

Dissecting intramural haematoma of the oesophagus. (1/1119)

The largest series of patients (n = 10) with dissecting intramural haematoma of the oesophagus is described. The typical features, chest pain with odynophagia or dysphagia and minor haematemesis are usually present but not always elicited at presentation. If elicited, these symptoms should suggest the diagnosis and avoid mistaken attribution to a cardiac origin for the pain. Precipitating factors such as a forced Valsalva manoeuvre cannot be identified in at least half the cases. Early endoscopy is safe, and confirms the diagnosis when an haematoma within the oesophageal wall or the later appearances of a longitudinal ulcer are seen. Dissecting intramural haematoma of the oesophagus has an excellent prognosis when managed conservatively.  (+info)

Intimal tear without hematoma: an important variant of aortic dissection that can elude current imaging techniques. (2/1119)

BACKGROUND: The modern imaging techniques of transesophageal echocardiography, CT, and MRI are reported to have up to 100% sensitivity in detecting the classic class of aortic dissection; however, anecdotal reports of patient deaths from a missed diagnosis of subtle classes of variants are increasingly being noted. METHODS AND RESULTS: In a series of 181 consecutive patients who had ascending or aortic arch repairs, 9 patients (5%) had subtle aortic dissection not diagnosed preoperatively. All preoperative studies in patients with missed aortic dissection were reviewed in detail. All 9 patients (2 with Marfan syndrome, 1 with Takayasu's disease) with undiagnosed aortic dissection had undergone >/=3 imaging techniques, with the finding of ascending aortic dilatation (4.7 to 9 cm) in all 9 and significant aortic valve regurgitation in 7. In 6 patients, an eccentric ascending aortic bulge was present but not diagnostic of aortic dissection on aortography. At operation, aortic dissection tears were limited in extent and involved the intima without extensive undermining of the intima or an intimal "flap." Eight had composite valve grafts inserted, and all survived. Of the larger series of 181 patients, 98% (179 of 181) were 30-day survivors. CONCLUSIONS: In patients with suspected aortic dissection not proven by modern noninvasive imaging techniques, further study should be performed, including multiple views of the ascending aorta by aortography. If patients have an ascending aneurysm, particularly if eccentric on aortography and associated with aortic valve regurgitation, an urgent surgical repair should be considered, with excellent results expected.  (+info)

Primary percutaneous transluminal coronary angioplasty performed for acute myocardial infarction in a patient with idiopathic thrombocytopenic purpura. (3/1119)

A 72-year-old female with idiopathic thrombocytopenic purpura (ITP) complained of severe chest pain. Electrocardiography showed ST-segment depression and negative T wave in I, aVL and V4-6. Following a diagnosis of acute myocardial infarction (AMI), urgent coronary angiography revealed 99% organic stenosis with delayed flow in the proximal segment and 50% in the middle segment of the left anterior descending artery (LAD). Subsequently, percutaneous transluminal coronary angioplasty (PTCA) for the stenosis in the proximal LAD was performed. In the coronary care unit, her blood pressure dropped. Hematomas around the puncture sites were observed and the platelet count was 28,000/mm3. After transfusion, electrocardiography revealed ST-segment elevation in I, aVL and V1-6. Urgent recatheterization disclosed total occlusion in the middle segment of the LAD. Subsequently, PTCA was performed successfully. Then, intravenous immunoglobulin increased the platelet count and the bleeding tendency disappeared. A case of AMI with ITP is rare. The present case suggests that primary PTCA can be a useful therapeutic strategy, but careful attention must be paid to hemostasis and to managing the platelet count.  (+info)

Hemorrhage after an acute ischemic stroke.MAST-I Collaborative Group. (4/1119)

BACKGROUND AND PURPOSE: Hemorrhagic transformation is frequently seen on CT scans obtained in the subacute phase of ischemic stroke. Its prognostic value is controversial. METHODS: We analyzed 554 patients with acute ischemic stroke enrolled in the Multicenter Acute Stroke Trial-Italy (MAST-I) study in whom a second CT scan was performed on day 5. Presence of 1) intraparenchymal hemorrhages (hematoma or hemorrhagic infarction), 2) extraparenchymal bleeding (intraventricular or subarachnoid) and 3) cerebral edema (shift of midline structure, sulcal effacement or ventricular compression) alone or in association were evaluated. Death or disability at 6 months were considered as "unfavorable outcome." RESULTS: Patients who developed intraparenchymal hemorrhages, extraparenchymal bleeding, or cerebral edema had unfavorable outcome (83%, 100%, and 80%, respectively), but multivariate analysis demonstrated that only extraparenchymal bleeding (collinearity) and cerebral edema (OR=6.8; 95% CI, 4.5 to 10.4) were significant independent prognostic findings. Unfavorable outcome correlated with size of intraparenchymal hemorrhage (chi2 for trend=30.5, P<0.0001). Nevertheless, when a large hematoma was present the negative effect was mostly due to concomitant extraparenchymal bleeding (chi2=51.6, P<0.0001), and when hemorrhagic infarction was detected the negative effect was mostly explained by the association with cerebral edema (chi2=36.6, P<0.0001). CONCLUSIONS: Extraparenchymal bleeding and cerebral edema are the main prognostic CT scan findings in the subacute phase of ischemic stroke. Stroke patients with a high risk for developing these 2 types of brain damage should be identified. Measures to prevent and adequately treat their development should be implemented.  (+info)

Clinical and neuroradiological features of intracranial vertebrobasilar artery dissection. (5/1119)

BACKGROUND AND PURPOSE: We sought to determine the clinical and neuroradiological features of intracranial vertebrobasilar artery dissection. METHODS: The clinical features and MR findings of 31 patients (20 men and 11 women) with intracranial vertebrobasilar artery dissections confirmed by vertebral angiography were analyzed retrospectively. The vertebral angiography revealed the double lumen sign in 11 patients (13 arteries) and the pearl and string sign in 20 patients (28 arteries). RESULTS: The patients ranged in age from 25 to 82 years (mean, 54.8 years). Clinical symptoms due to ischemic cerebellar and/or brain stem lesions were common, but in 3 cases the dissections were discovered incidentally while an unrelated disorder was investigated. Headache, which has been emphasized as the only specific clinical sign of vertebrobasilar artery dissection, was found in 55% of the patients. Intramural hematoma on T1-weighted images has been emphasized as a specific MR finding. The positive rate of intramural hematoma was 32%. Double lumen on 3-dimensional (3-D) spoiled gradient-recalled acquisition (SPGR) images after the injection of contrast medium was identified in 87% of the patients. The 3-D SPGR imaging method is considered useful for the screening of vertebrobasilar artery dissection. CONCLUSIONS: Intracranial vertebrobasilar artery dissection is probably much more frequent than previously considered. Such patients may present no or only minor symptoms. Neuroradiological screening for posterior circulation requires MR examinations, including contrast-enhanced 3-D SPGR. Angiography may be necessary for the definite diagnosis of intracranial vertebrobasilar artery dissection because the sensitivity of the finding of intramural hematoma is not satisfactory.  (+info)

Localization of a bone imaging agent in a calcified hematoma. (6/1119)

A patient with chronic renal failure and secondary hyperparathyroidism had iliac bone biopsy. The procedure was complicated by a soft-tissue hematoma, which had calcified. A 3-4-cm palpable mass was visible in the lower left abdominal wall. Intense uptake of 99mTc-HMDP corresponded with the location of the calcified hematoma in this patient.  (+info)

Progression of mass effect after intracerebral hemorrhage. (7/1119)

BACKGROUND AND PURPOSE: While the evolution of mass effect after cerebral infarction is well characterized, similar data regarding intracerebral hemorrhage (ICH) are scant. Our goal was to determine the time course and cause for progression of mass effect after ICH. METHODS: Patients with spontaneous supratentorial ICH who underwent >/=2 CT scans were identified in our prospectively collected database. CT lesion size and midline shift of the pineal and septum pellucidum were retrospectively measured and correlated with clinical and CT characteristics. Causes for increased midline shift were determined by 2 independent observers. RESULTS: Seventy-six patients underwent 235 scans (3.1+/-1.3 per patient). Initial CT was obtained within 24 hours of ICH in 66. Twenty-five scans were repeated on day 1, 80 on days 2 through 7, 31 on days 8 through 14, and 24 >14 days after ICH. Midline shift was present on 88% of the initial scans. There were 17 instances of midline shift progression: 10 occurred early (0.2 to 1.7 days) and were associated with hematoma enlargement, and 7 occurred late (9 to 21 days) and were associated with edema progression. Progression of mass effect due to edema occurred with larger hemorrhages (P<0.05). Of 65 scans repeated for clinical deterioration, only 10 were associated with increased mass effect. CONCLUSIONS: Progression of mass effect after ICH occurred at 2 distinct time points: within 2 days, associated with hematoma enlargement, and in the second and third weeks, associated with increase in edema. The clinical significance of later-developing edema is unclear.  (+info)

Massive subependymal hemorrhage caused by an occult vascular malformation--two case reports. (8/1119)

Two patients presented with massive subependymal hemorrhage caused by vascular anomalies occult to angiography, computed tomography (CT) scanning, and magnetic resonance (MR) imaging. A 47-year-old male initially presented with a headache and became comatose 3 weeks later. CT and MR imaging demonstrated a massive hematoma in the right caudate head projecting into the lateral ventricle. A 60-year-old male sustained heaviness of his left extremities 8 days prior to admission and his condition gradually deteriorated. Neuroimaging revealed a right thalamic hematoma adjacent to the lateral ventricle. Cerebral angiography, CT, and MR imaging failed to detect any vascular anomaly. The hematomas increased in size gradually and were surgically explored. The histological diagnosis was arteriovenous malformation for the first case and cavernous angioma for the second case that had ruptured repeatedly. These cases were unique in the unusual location in the subependyma, and diagnostic neuroimaging modalities could not disclose the vascular anomalies, and the hematomas enlarged progressively to become critically symptomatic. Surgical intervention is mandatory for mass reduction and correct diagnosis of such lesions, with favorable outcome as long as the surgery is not delayed until too late.  (+info)

TY - JOUR. T1 - Impact of blood pressure changes and course on hematoma growth in acute intracerebral hemorrhage. AU - Rodriguez-Luna, D.. AU - Piñeiro, S.. AU - Rubiera, M.. AU - Ribo, M.. AU - Coscojuela, P.. AU - Pagola, J.. AU - Flores, A.. AU - Muchada, M.. AU - Ibarra, B.. AU - Meler, P.. AU - Sanjuan, E.. AU - Hernandez-Guillamon, M.. AU - Alvarez-Sabin, J.. AU - Montaner, J.. AU - Molina, C. A.. PY - 2013/9/1. Y1 - 2013/9/1. N2 - Background and purpose: An association between high blood pressure (BP) in acute intracerebral hemorrhage (ICH) and hematoma growth (HG) has not been clearly demonstrated. Therefore, the impact of BP changes and course on HG and clinical outcome in patients with acute ICH was determined. Methods: In total, 117 consecutive patients with acute (,6 h) supratentorial ICH underwent baseline and 24-h CT scans, CT angiography for the detection of the spot sign and non-invasive BP monitoring at 15-min intervals over the first 24 h. Maximum and minimum BP, maximum BP ...
Following joint hemorrhages, intramuscular hemorrhages are the second most prevalent bleeding pattern in hemophiliac patients. Hematomas of the iliopsoas muscle are a well-known complication of hemophilia; however, obturator muscle hematomas are rare. We herein report a case of spontaneous bleeding of the bilateral external obturator muscles, which occured three times within a period of 9 months in a hemophilia patient with factor VIII inhibitors. To the best of our knowledge, this is the first published case of an obturator externus muscle hematoma in hemophilia. In addition to hip hemarthrosis, iliopsoas hematomas and acute appendicitis, obturator muscle hematoma should be considered as one of the diagnostic alternatives for pelvic pain in hemophilia. patients. Magnetic resonance imaging enables rapid diagnosis of obturator muscle hematoma. ...
TY - JOUR. T1 - Postoperative Hematoma in Microvascular Reconstruction of the Head and Neck. AU - Chen, Yi-Fan. AU - Wang, Tian-Hsiang. AU - Chiu, Yen-Hao. AU - Chang, Dun-Hao. PY - 2018/2. Y1 - 2018/2. N2 - BACKGROUND: Free tissue transfer has become a safe and reliable means for repairing soft tissue and bony defects of the head and neck region. Although the success rate is high, the incidence of postoperative complications is common. One significant complication is postoperative hematoma formation. However, few published studies have addressed its incidence, etiology, or outcome. We performed a retrospective analysis to investigate this issue.METHODS: A retrospective review was conducted of 293 consecutive microvascular free tissue transfers in the head and neck region in a single institute from January 2013 to December 2015. Patients with postoperative hematoma were identified, and demographic data, perioperative conditions, medications, and outcomes were evaluated by chart review.RESULTS: A ...
TY - JOUR. T1 - Acute aortic intramural hematoma. T2 - An analysis from the international registry of acute aortic dissection. AU - Harris, Kevin M.. AU - Braverman, Alan C.. AU - Eagle, Kim A.. AU - Woznicki, Elise M.. AU - Pyeritz, Reed E.. AU - Myrmel, Truls. AU - Peterson, Mark D.. AU - Voehringer, Matthias. AU - Fattori, Rossella. AU - Januzzi, James L.. AU - Gilon, Dan. AU - Montgomery, Daniel G.. AU - Nienaber, Christoph A.. AU - Trimarchi, Santi. AU - Isselbacher, Eric M.. AU - Evangelista, Arturo. PY - 2012/9/11. Y1 - 2012/9/11. N2 - Background-Acute aortic intramural hematoma (IMH) is an important subgroup of aortic dissection, and controversy surrounds appropriate management. Methods and Results-Patients with acute aortic syndromes in the International Registry of Acute Aortic Dissection (1996-2011) were evaluated to examine differences between patients (based on the initial imaging test) with IMH or classic dissection (AD). Of 2830 patients, 178 had IMH (64 type A [42%], 90 type B ...
Seventy cases of intracerebral hematomas were analysed, forty-six of spontaneous origin and remainder of traumatic one, which had been experienced in Seoul National University Hospital between March, 1970 and June, 1975. The results were as follows: A. Among forth-six cases of spontaneous intracerebral hematomas, twenty-six cases(52%) were primary intracerebral hematomas, normotensive or hypertensive, seven aneurismal ruptures(15%), seven arteriovenous malformations(15%), two cerebral rete mirabilies, one tumor bleeding, one leukemia, one idiopathic thrombocytopenic and one due to other blood dyscrasia. 1. Among twenty-six cases of primary intracerebral hematomas, angiography was performed in all and fourteen cases were operated. The sites of hemorrhage were as follows: a. Putaminal hemorrhage:17 cases(65%)(two cases associated with intraventricular hematoma). b. Thalamic hemorrhage:5 cases(19%)(two cases associated with intraventricular hematoma). c. Subcortical hemorrhage:4 cases(16%). 2. ...
TY - JOUR. T1 - Early elective surgical exploration of spontaneous intracerebral hematomas of unknown origin. T2 - Clinical article. AU - Elhammady, Mohamed. AU - Baskaya, Mustafa K.. AU - Heros, Roberto. PY - 2008/12/1. Y1 - 2008/12/1. N2 - Object. The management of non-life threatening spontaneous intraparenchymal hemorrhage with no obvious medical etiology in patients and the lack of findings on images has not been clearly defined. In general, the current practice is to treat these patients conservatively and repeat studies to rule out a treatable cause 6 weeks to 3 months later; more often than not these repeated studies fail to reveal any findings, and the patient is treated conservatively. For years, the senior author (R.C.H.) has treated these patients with early surgical exploration. This study was undertaken prospectively to ascertain the frequency of positive findings during surgical exploration. Methods. Between 2000 and 2007, the authors prospectively collected data from 9 cases (4 ...
Post-admission hematoma expansion in patients with intracerebral hemorrhage (ICH) comprises a simultaneous major clinical problem and a possible target for medical intervention. In any case, the ability to predict and observe hematoma expansion is of great clinical importance. We review radiological concepts in predicting and observing post-admission hematoma expansion. Hematoma expansion can be observed within the first 24 h after symptom onset, but predominantly occurs in the early hours. Thus capturing markers of on-going bleeding on imaging techniques could predict hematoma expansion. The spot sign observed on computed tomography angiography is believed to represent on-going bleeding and is to date the most well investigated and reliable radiological predictor of hematoma expansion as well as functional outcome and mortality. On non-contrast CT, the presence of foci of hypoattenuation within the hematoma along with the hematoma-size is reported to be predictive of hematoma expansion and ...
TY - JOUR. T1 - International Heterogeneity in Diagnostic Frequency and Clinical Outcomes of Ascending Aortic Intramural Hematoma. AU - Pelzel, Jamie M.. AU - Braverman, Alan C.. AU - Hirsch, Alan T.. AU - Harris, Kevin M.. PY - 2007/11/1. Y1 - 2007/11/1. N2 - Background: Differing diagnostic frequencies and management strategies for intramural hematoma (IMH) have been described in North American (NA)/European and Japanese/Korean studies. Methods: All publications including type-A aortic IMH were reviewed for details on patient demographics, treatment strategy, and clinical outcomes. Publications were stratified by the geographic region (NA/Europe or Japan/Korea). Results: IMH, as a percentage of aortic dissection, occurs more frequently in Japan/Korea versus NA/Europe (31.7% vs 10.9%, P , .0001). The proportion of patients treated with early medical therapy is greater in Japanese/Korean studies (77.9% vs 48.8% in NA/Europe, P , .0001). However, the overall mortality is significantly lower in ...
This distinction is vitally important. The pregnancy loss rate ranges from 7.7% for small hematoma to over 18.8% for large hematomas. For moderate sized hematomas, the loss rate is about 9.2%. In other words, women with small and moderate hematomas are not at an increased risk of pregnancy loss compared to the average pregnant woman, and small and moderate hematomas (or misdiagnosis) accounts for most ultrasonographic diagnoses of hematomas.. The actual measured impact on miscarriage rate (and potential preterm delivery rate or abruption rate) varies widely in studies. Some data sets indicate no increased risk of miscarriage whatsoever, while others record significantly higher rates of miscarriage. The likely explanation of this difference is the size of the hematoma. Older data indicated higher rates of miscarriage, and this older data showed lower rates of subchorionic hematoma. In other words, the older data sets are more likely to contain symptomatic women (those who present with pain and ...
Gastric hematoma is a rare disorder. Here we report a case of a large gastric intramural hematoma mimicking an impending rupture of a visceral artery aneurysm. A 60-year-old Japanese woman complained of left flank pain. Computed tomography with intravenously administered contrast agent showed a solid mass of 5 × 5 × 8 centimeter in the left middle abdominal quadrant. On completion of computed tomography, the working diagnosis was an impending rupture of an aneurysm located in a branch of the superior mesenteric artery. Transcatheter arterial embolization was performed, but angiography of the superior mesenteric artery and the inferior mesenteric artery did not indicate extravasation of the contrast agent and we did not observe any aneurysmal structure. We decided to perform surgery. The operational findings revealed that the mass was a gastric intramural hematoma. On encountering an intra-abdominal mass found to be attached to a gastric wall, a gastric intramural hematoma should be considered.
OBJECTIVE: Early hematoma expansion is a known cause of morbidity and mortality in patients with intracerebral hemorrhage (ICH). The goal of this study was to identify clinical predictors of ICH growth in the acute stage.. MATERIALS AND METHODS: We studied 201 patients with acute (,6h) deep ganglionic ICH. Patients underwent CT scan at baseline and hematoma expansion (,33% or ,12.5ml increase) was determined on the second scan performed within 24h. Fourteen clinical and neuroimaging variables (age, gender, GCS at admission, hypertension, diabetes mellitus, kidney disease, stroke, hemorrhagic, antiplatelet use, anticoagulant use, hematoma density heterogeneity, hematoma shape irregularity, hematoma volume and presence of IVH) were registered. Additionally, blood pressure was registered at initial systolic BP (i-SBP) and systolic BP 1.5h after admission (1.5h-SBP). The discriminant value of the hematoma volume and 1.5h-SBP for hematoma expansion were determined by the receiver operating ...
Vaginal Wall Hematoma: Hi all, Anyone experience a vaginal wall hematoma after delivery? And if youve had 2nd, 3rd babies etc did you experience one again? - BabyCenter Australia
Mycotic aneurysms are produced by an infected embolus from vegetations on the heart valves in bacterial endocarditis, which breaks off and lodges in the cerebral blood vessels. The wall of the embolized vessel becomes infected, invasion by inflammatory cells and necrosis of the wall are often followed by rupture and formation of a aneurysmal sac. These aneurysms are very are in incidence and are usually located more peripherally in the vascular tree than berry aneurysms, are more irregular in shape and are not necessarily located at bifurcations. Recently we experienced a case of mycotic aneurysm with intracerebral hematoma which had developed in a subacute bacteria endocarditis patient. The patient was 44 years old male patient with dilated right pupil and left hemiplegia. He was treated surgically by evacuation of intracerebral hematoma and excision of mycotic aneurysm. We also experienced another case of mycotic aneurysm with intracerebral hematoma in 17 years old male patient who had been ...
Thirty-four hematomas occurred after nonstent strategies (balloon only in 25 and rotablator with or without adjunct balloon in 9). In the nonstented group, the hematoma was located only within the lesion in 38% of patients (13 of 34), in both the lesion and the reference in 41% of patients (14 of 34), and only within the reference artery in 21% of patients (7 of 34). In the nonstented group, 9 of 34 hematomas were proximal and 12 of the 34 hematomas were distal to the lesion. Thirty-eight hematomas were detected after stenting. In the stented lesions, all hematomas were located at the edge of the stent (distal edge in 55% [21 of 38] and proximal edge in 45% [17 of 38]). Thus, overall, combining nonstent and stent interventions, 36% of the hematomas (26 of 72) involved the proximal reference artery, 18% (13 of 72) were confined to the lesion, and 46% (33 of 72) involved the distal reference artery. The location of the largest hematoma was in a normal segment of artery in 18% (13 of 72), at the ...
Did you know that the warning signs of an intracranial hematoma, which is a potentially life-threatening brain injury, can take several weeks to surface? When you receive a direct blow to the head or you are in a vehicle that abruptly stops, you could sustain a serious head injury.. An intracranial hematoma is known to occur from a car accident, semi truck accident, motorcycle crash and slip and fall accident. It is characterized by a ruptured blood vessel that can cause blood to fill in the brain or in between the brain and skull. As the pressure builds in the brain, so do the symptoms.. If you have a loved one who has been involved in a California accident, watch for physical, mental and emotional changes. Be aware that these changes can be subtle. Some of the symptoms of an intracranial hematoma include increased headaches, vomiting, tiredness, confusion, increased blood pressure and in severe cases, seizures and unconsciousness.. There is treatment available for an intracranial hematoma, ...
We have shown the importance of hematoma shape in predicting poor clinical outcome in ICH. Hematomas with an irregular shape were associated with both combined death and disability, and disability alone, at 90 days. Conversely, hematoma density was not associated with either of these outcomes.. The relationship between irregularity in shape of the hematoma and poor outcome has previously been shown to be associated with higher 30-day mortality in a study of 106 patients (P=0.006).7 The proposed mechanism was that irregular-shaped hematomas had a higher risk of hematoma growth, which is known to be associated with poor outcome in patients with ICH.10,11 Although growth seems to be the logical link between irregularity and poor outcome, there might be other factors involved. It is well recognized that ICH is a dynamic phenomenon3 and new bleeding occurring at the border of the hematoma could produce irregularity of shape. Irregular-shaped hematomas might also lead to more persisting inflammation ...
TY - JOUR. T1 - Postoperative hematoma [3]. AU - Haines, Stephen J. AU - Oliver, M.. AU - Ransohoff, J.. AU - Taylor, W. A.S.. PY - 1995/1/1. Y1 - 1995/1/1. UR - http://www.scopus.com/inward/record.url?scp=0029371695&partnerID=8YFLogxK. UR - http://www.scopus.com/inward/citedby.url?scp=0029371695&partnerID=8YFLogxK. M3 - Letter. C2 - 7666241. AN - SCOPUS:0029371695. VL - 83. SP - 568. EP - 569. JO - Journal of Neurosurgery. JF - Journal of Neurosurgery. SN - 0022-3085. IS - 3. ER - ...
Accurate measurement of hematoma volume is clinically important because hematoma volume has been used widely to correlate with treatment strategy, functional outcome, and mortality. An inaccurately assessed hematoma volume would inevitably influence initial treatment decisions, resulting in an undesirable outcome.7 Precise hematoma volume assessment is also critical for clinical trials, in which hematoma volume change may be a surrogate end point.8. In this study, the ABC/2 formula demonstrated an overall 8.03 cm3 (16.38%) estimation error compared with 3D Slicer method. When grouping by hematoma size, percent deviation had no significant difference. Possibly, estimation error increased with hematoma volume at a similar speed. But when grouping by hematoma shape, percent deviation was significantly different. Estimation error was more common and of greater magnitude when hematoma shape was irregular or multilobular. Compared with hematoma size, estimation error of the ABC/2 formula correlated ...
To report our experience using a multilevel patient management algorithm to direct transarterial embolization (TAE) in managing spontaneous intramuscular hematoma (SIMH). From May 2006 to January 2014, twenty-seven patients with SIMH had been referred for TAE to our Radiology department. Clinical status and coagulation characteristics of the patients are analyzed. An algorithm integrating CT findings is suggested to manage SIMH. Patients were classified into three groups: Type I, SIMH with no active bleeding (AB); Type II, SIMH with AB and no muscular fascia rupture (MFR); and Type III, SIMH with MFR and AB. Type II is furthermore subcategorized as IIa, IIb and IIc. Types IIb, IIc and III were considered for TAE. The method of embolization as well as the material been used are described. Continuous variables are presented as mean ± SD. Categorical variables are reported as percentages. Technical success, clinical success, complications and 30-day mortality (d30 M) were analyzed. Two pa
A severe Intramuscular Hematoma will need close management under the supervision of a health care provider, find out what you need to do if you experience a serious injury.
BACKGROUND: Although pre-injury antithrombotic agents, including antiplatelets and anticoagulants, are historically associated with expansion of traumatic intraparenchymal hemorrhage (tIPH), the literature has poorly elucidated the actual risk of hematoma expansion on repeat computed tomography (CT). The objective is to determine the effect of antithrombotic agents on hematoma expansion in tIPH by comparing patients with and without pre-injury antithrombotic medication. METHODS: The volume of all tIPHs over a 5-year period at an academic Level 1 Trauma Center was measured retrospectively. The initial tIPH was divided into three equally-sized quantiles. The third tertile, representing the largest subset of tIPH, was then removed from the study population because these patients reflect a different pathophysiological mechanism that may require a more acute and aggressive level of care with reversal agents and/or operative management. Per institutional policy, all patients with small- to moderate-sized
Successful Treatment of Rapidly Progressive Life-Threatening Esophageal Submucosal Hematoma in a Patient With van der Hoeve Syndrome
medication for another condition, the treating doctor may opt to discontinue or Location, symptoms, and size of a hematoma are the typical factors that Septal: Blood collects in the septum, the area of the nose between the nostrils. A perianal hematoma is a pool of blood from a ruptured blood vessel that has collected near the anus. All Rights Reserved. If it travels, it is called an embolus. A hematoma is a larger collection of blood, usually caused by surgery, injury, or a greater trauma. This content is not available in your region. A primary care doctor can diagnose a soft tissue hematoma in a physical exam. However, depending on the size, location and cause of the hematoma, the area may need to be drained surgically, or … A hematoma is a common problem that occurs as a result of damage to one of the larger blood vessels in the body. A hematoma forms when blood gets out of the blood vessels and clots and is most commonly caused by some type of trauma (though there are many possible ...
TY - JOUR. T1 - Surgery for intracerebral hematoma. T2 - The search for the elusive right candidate. AU - Rabinstein, Alejandro A.. AU - Wijdicks, Eelco F.M.. PY - 2006/9/1. Y1 - 2006/9/1. N2 - The value of surgery for patients with intracerebral hemorrhage (ICH) remains a topic of debate. Although several studies have been unable to prove the benefit of surgical intervention of ICH, there is available evidence to suggest that some patients may experience favorable outcome with surgery. Identifying optimal candidates and the timing of surgery for the treatment of ICH are crucial issues. Studies have explored the value of early and ultra-early surgical intervention, as well as the role of stereotactic hematoma evacuation. The International Surgical Trial in Intracerebral Hemorrhage suggested that favorable surgical outcome was more likely for patients with superficial hematomas, and patients who underwent craniotomy in the trial seemed to fare better than those treated with other surgical ...
i) Bleeding/hematoma formation/device erosion. The exact incidence of significant bleeding and hematoma is unknown. It is, however, estimated to be between 2.0% and 5.0%. In a systemic review of implantation related complications of ICDs and CRTs in randomized clinical trials, van Rees et al. reported the incidence of pocket hematoma in 2.2% of nonthoracotomy ICD recipients and 2.4% in the CRT recipients.. The true incidence of pocket hematoma, however, more than likely is higher as most randomized trials reported only those hematomas requiring evacuation and drainage. In a study by Wiegand et al., high-dose heparin, combined aspirin, and thienopyridine treatment after coronary stenting, and low operator experience were independent predictors with a hazard ratio [HR] of 4.2, 5.2, and 1.6, respectively, for development of postoperative hematoma.. Interestingly, in patients with atrial fibrillation, postoperative high-dose heparin substantially increased the hematoma rate without reducing the rate ...
Sublingual hematoma secondary to excessive anticoagulation is a rare but potentially fatal condition, and few cases have been documented in the literature. We report the case of a 73-year-old Caucasian woman who attended our Accident and Emergency department with massive sublingual hematoma causing superior displacement of the tongue. The condition was found to be the result of an elevated international normalized ratio, further complicated by a traumatic mandibular denture. In summary, we recommend the immediate reversal of anticoagulation therapy on admission of patients with severe sublingual hematoma. We further advise surgical decompression/drainage if required and to continue meticulous monitoring. In all cases of early recognition of sublingual hematoma, prompt medical treatment and continuous clinical monitoring is essential, and may prevent the need for a surgical airway procedure.
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The main findings of this study were as follows: (1) long-term (10-year) clinical outcomes of type A IMH were favorable when the patients were treated with emergent surgery in complicated cases and otherwise supportive medical therapy with timely operation in cases with progression of hematoma; (2) occurrence of any relevant adverse clinical events after acute stage in medically treated patients was relatively low; and (3) the initial maximum aortic diameter was the strongest predictor for early and late progression of ascending IMH in medically treated patients.. There has been a controversy regarding the treatment of type A IMH. The most common therapeutic strategy for IMH has been the same as that for classic AD, because proximal location of IMH was considered an independent predictor of progression, contained rupture, or aneurysm formation.2,3,7,8 However, the evolution of type A IMH appears to be more benign than that of AD and studies from Asian countries reported low mortality rates in ...
TY - JOUR. T1 - Spontaneous breast hematoma as a complication of anticoagulation therapy requiring angiography and embolization. AU - Dunlap, Robert. AU - Kisner, Carson. AU - Georgiades, Christos S.. AU - Demmert, Andrew. AU - Lyons, Gray R.. PY - 2021/1. Y1 - 2021/1. N2 - Spontaneous breast hematoma is a rare complication of therapeutic anticoagulation therapy with few cases reported in the literature. We present a case of spontaneous breast hematoma resulting in hypotension and symptomatic anemia. Angiography demonstrated multiple sites of hemorrhage within the breast, which was treated with gelatin sponge embolization. This case highlights the role of interventional radiology in the treatment of breast hematoma, as well as reviews the arterial vascular anatomy of the breast.. AB - Spontaneous breast hematoma is a rare complication of therapeutic anticoagulation therapy with few cases reported in the literature. We present a case of spontaneous breast hematoma resulting in hypotension and ...
Treatment of ear hematoma depends on how quickly the hematoma is diagnosed, the size of the hematoma and, oftentimes, your vets personal treatment preferences. There are several ways to treat cat ear hematoma. One popular surgery involves making an incision on the underside of the ear, draining the blood, and then suturing the ear. The ear may be bandaged or not. This procedure creates little scarring and carries little risk of hematoma recurrence. Another surgical option involves draining the blood and then taping the ear over a rolled bandaged to allow it time to heal. This procedure is often used in show cats, because it produces no scarring at all. However, this procedure requires more intensive post-op care to prevent infection and permanent disfigurement. If the hematoma is small or old, your vet might perform a needle aspiration. In this procedure, a syringe is used to remove the fluid. If there are no blood clots in the ear, it can be allow to heal without surgery. Some vets may also ...
The diabetic mice tended to have greater hematoma expansion than non-diabetic mice, which was as expected from this model of type 1 diabetes.. Injecting the PK inhibitor into diabetic rats resulted in a smaller hematoma spread. In diabetic mice that were engineered to not make the PK protein, hematoma expansion was lower than in diabetic mice that did make this protein.. To see whether the effects on hematoma expansion were dependent on high blood glucose levels (as found in diabetics), diabetic mice were injected with insulin to lower their blood glucose, before they were injected with PK. The large hematoma expansion that would have normally happened in these mice did not occur. In case the process of making the rats diabetic had affected their PK activity rather than the high glucose, the researchers injected non-diabetic rats with glucose to produce a spike of glucose in their blood stream. The hematoma expansion in these hyperglycaemic rats was found to be greater than in the control ...
Hematoma A hematoma or haematoma, is a localized collection of blood outside the blood vessels, usually in liquid form within the tissue. Examples: Intracranial hematoma. Scalp hematoma.
INTRODUCTION. Even when performed with the proper technique, spinal anesthesia carries the risk of bleeding. Compression of the nervous tissue secondary to the formation of a hematoma can cause neurological damage 1,2, which, if not diagnosed and treated in a timely fashion, can result in permanent damage 3.. After regional anesthesia, bleeding disorders are the greatest risk factors for the development of spinal hematoma 2,3, although there are other known factors, such as difficult or traumatic insertion of the needle. Due to the lack of randomized clinical trials, the risk of hematoma is unknown in patients receiving antithrombotic treatment 4-6. Considering that the incidence of hematoma is extremely low, those studies would have to include a large number of patients, above 100,000, which is not feasible. The literature stresses the importance of monitoring the patient, especially taking into consideration that retrospective analysis demonstrated that the early diagnosis and surgical ...
Intraorbital haematoma is a rare clinical entity which can be caused by orbital traumas, neoplasms, surgeries nearby sinuses and orbit, vascular malformations, acute sinusitis, systemic abnormalities, barotrauma and valsalva maneuver. A 74-year-old male presented with sudden onset of ocular pain, upper eye lid swelling, proptosis and diplopia after a commercial flight. After complete ophthalmic ocular examination including pupillary light reflexes and laboratory examinations; computed tomography and magnetic resonance imaging of orbit revealed a subperiostal mass-like lesion in the right retrobulbar-extraconal region which was compatible with intraorbital haematoma. Visual acuity was not compromised so we planned a conservative approach with close observation. We administered systemic corticosteroid and topical dorzolamide/timolol combination therapy. At the first month follow-up, intraorbital haematoma resolved without significant sequelae. Intraorbital haematoma can be managed by conservative approach
Hemodynamic instability secondary to left atrial (LA) compression by an aortic aneurysm is a rare entity. We report the case of a 43-year old woman with no previous diagnosis of congestive heart failure who was admitted for an initial diagnosis of pulmonary embolism (PE) based on shortness of breath, hypotension and D-Dimers elevation. The electrocardiogram and blood counts were within normal limits. The chest X-ray revealed widening of the mediastinum. Transthoracic echocardiography demonstrated LA compression by a large descending thoracic aortic aneurysm. Left and right ventricle systolic functions were preserved. Chest angiography showed LA and left pulmonary artery (LPA) compression by a descending aortic aneurysm and an intramural hematoma with no evidence of PE evidence. Emergency surgery could not be done because of her financial status. She was treated medically and was discharged 1 week later with significant improvement. However she remained hypotensive.
Hemodynamic instability secondary to left atrial (LA) compression by an aortic aneurysm is a rare entity. We report the case of a 43-year old woman with no previous diagnosis of congestive heart failure who was admitted for an initial diagnosis of pulmonary embolism (PE) based on shortness of breath, hypotension and D-Dimers elevation. The electrocardiogram and blood counts were within normal limits. The chest X-ray revealed widening of the mediastinum. Transthoracic echocardiography demonstrated LA compression by a large descending thoracic aortic aneurysm. Left and right ventricle systolic functions were preserved. Chest angiography showed LA and left pulmonary artery (LPA) compression by a descending aortic aneurysm and an intramural hematoma with no evidence of PE evidence. Emergency surgery could not be done because of her financial status. She was treated medically and was discharged 1 week later with significant improvement. However she remained hypotensive.
TY - JOUR. T1 - Benign traumatic intracerebellar hematoma. AU - Pozzati, E.. AU - Piazza, G.. AU - Padovani, R.. AU - Gaist, G.. PY - 1981. Y1 - 1981. N2 - Prompt surgical intervention is thought to be necessary in patients with traumatic intracerebellar hematoma. The case reported here ran a benign course without operation. Pertinent serial computed tomographic scans are presented. It is concluded that not all traumatic hematomas of the cerebellum require operation.. AB - Prompt surgical intervention is thought to be necessary in patients with traumatic intracerebellar hematoma. The case reported here ran a benign course without operation. Pertinent serial computed tomographic scans are presented. It is concluded that not all traumatic hematomas of the cerebellum require operation.. UR - http://www.scopus.com/inward/record.url?scp=0019435506&partnerID=8YFLogxK. UR - http://www.scopus.com/inward/citedby.url?scp=0019435506&partnerID=8YFLogxK. M3 - Article. C2 - 7207764. AN - ...
Semantic Scholar extracted view of [Case of intramural hematoma of the small intestine caused by anticoagulants]. by Hiroki Sato et al.
This patient stayed for a longer observation period and had no further complications. Complications of renal biopsy include: perirenal (retroperitoneal) or intra-renal hematoma hematuria AV fistula or pseudoaneurysm
Intracerebral hematoma (ICH) are socially significant disease with high mortality or severe disability. The classic method of surgical treatment of ICH is wide craniotomy / craniectomy with open evacuation. As a possible ...
Decreased Platelet Count & Intracerebral Hematoma & Seizure Symptom Checker: Possible causes include Disseminated Intravascular Coagulation. Check the full list of possible causes and conditions now! Talk to our Chatbot to narrow down your search.
This months cases include stroke and intracerebral hematoma in a postpartum woman and bacterial meningitis in a 10-year-old girl.
Perirenal hematoma characteristics determined by computed tomography may be suggestive of the need for angiographic embolization in patients who present with blunt renal trauma, a study from the University of Texas Southwestern Medical Center, Dallas, suggests.
A hematoma is caused by a break in the wall of a blood vessel. The break may be spontaneous, as in the case of an aneurysm, or caused by trauma. In the case of a minor or major blow to the effected part of the brain may lead to sudden death, other located hematomas that receive minor or major blows may cause some severe complications in the area of which it is in.The word hematoma came into usage around 1850. It was devised from Greek roots -- hemat-, referring to the blood + -oma, from soma meaning body = a bloody body, or a collection of blood.The many different kinds of hematomas are defined by location and include: epidural hematoma...
We saw the dr. today and he said I have a subchorionic hematoma. 2% of all pregnant women have these, but of pregnant women who beed during pregnancy that percentage increases to 30%. He said that is what caused the bleeding last week. What is left is the remainder. It is currently 3.5x3.5 cm. I still have a 50/50 chance of having a miscarriage. But he did say everything will probably be fine right after he said you are still in danger of a miscarriage. The chance of miscarriage from a subchorionic hematoma are greater by three things 1) age of mother, 2) age of baby 3) size of hematoma. The older the mom, the younger the baby and the bigger the hematoma the higher your chances of miscarriage. I have the age thing for me on my side. But for the baby I am considered in the danger zone until completion of week 13. You are also in greater danger as long as the hematoma is larger than the baby. Right now the baby is 2.1 cm and the hematoma is larger. But there is a strong heartbeat and the ...
TY - JOUR. T1 - Retroperitoneal Hematoma Causing Peritoneal Dialysis Catheter Malfunction. AU - Smith, Alison A.. AU - Fonseca, Adam N.. AU - Naljayan, Mihran V.. AU - Paramesh, Anil S.. PY - 2016/3/1. Y1 - 2016/3/1. N2 - BACKGROUND: We present the unusual complication of peritoneal dialysis (PD) catheter dysfunction in a patient who developed a retroperitoneal hematoma following an endoscopic procedure and review the existing literature regarding this rare complication.CASE REPORT: A 60-year-old man with end stage renal disease presented with PD catheter dysfunction. Computed tomography scan of his abdomen showed a large left retroperitoneal hematoma. He underwent a diagnostic laparoscopy and PD catheter revision. The retroperitoneal hematoma had ruptured into the peritoneum with clots clogging the catheter. Clots were evacuated and the catheter was flushed. He restarted on low volume PD three days after surgery and increased to full volume within a week with no further issues.CONCLUSIONS: This ...
Surgical treatment is often recommended for traumatic iliopsoas hematoma. Open surgeries lead to severe surgical trauma, and minimally invasive surgeries cannot completely remove the hematoma. A new treatment protocol for traumatic iliopsoas hematoma by retroperitoneoscopic approach has been introduced. The goal of this study was to determine the safety and efficacy of retroperitoneoscopic approach used to remove iliopsoas hematoma. Between January 2009 and July 2012, 13 patients were diagnosed of traumatic iliopsoas hematoma. Retroperitoneoscopic surgeries were performed on all patients to remove the hematomas after admission. The size of hematoma, VASA score and neurologic status were dynamic evaluated before and after surgery. Soft tissue damage and complications caused by retroperitoneoscopic approach also were recorded and evaluated. We performed retroperitoneoscopic surgery to remove traumatic iliopsoas hematoma successfully on 13 patients without complications. The mean procedure time was 52.5 ±
Introduction: A middle-aged male with a history of bilateral inguinal hernia repair was admitted for acute abdominal pain. The patient reported that he took prescribed hydrocodone and a saw palmetto supplement prior to surgery. He denied any recent trauma after the procedure, and he was unable to schedule a follow-up appointment with the surgeon or the primary care physician. Clinical Findings: Diagnosis: The CT angiography of the abdomen/pelvis was indicative of new interval development of a large left retroperitoneal hematoma. Intervention: No emergent intervention was required following the evaluation by the surgery and interventional radiology (IR) departments. Outcome: There was no evidence of overt bleeding over the 3-day hospital course, and his hemoglobin was within normal limits. The patient was stable for discharge as the hematoma would slowly absorb over the next 2 months. Conclusions: A retroperitoneal hematoma (RPH) has a multi-factorial etiology, such as endovascular procedures and
The specific clinical feature of tetanus is whole body muscle spasms. These spasms are intensely painful and sometime lead to some injuries. Vertebral fractures have been reported as a common complication of tetanus, however iliopsoas hematoma is a rare complication. We describe a case of iliopsoas hematoma in a tetanus patient who had not been treated with any anticoagulant or antiplatelet agents. A 72-year-old female patient was transferred to our hospital 7 days after the onset of tetanus. An iliopsoas hematoma was identified in her right iliopsoas muscle on computed tomography. There was no extravasation; thus, the hematoma improved with conservative therapy. There were no episodes that suggested a bleeding tendency, or no factors associated with hemorrhagic conditions. This is the first report of iliopsoas hematoma as a complication in a tetanus patient who did not received anticoagulation therapy. The possibility of IPH as a complication of tetanus should be considered before and during the
Retroperitoneal haematomas in obstetrics are uncommon. The causes and pathogenesis of retroperitoneal haematomas lack clarity and the aim of this review is to recognise retroperitoneal haematomas as a separate entity from commonly seen vaginal and pelvic haematomas. It is time to raise awareness among obstetricians to recognise retroperitoneal haematomas as an important cause of maternal morbidity and mortality which requires high clinical suspicion and multidisciplinary input. As retroperitoneal haematomas are rare but can cause serious threat to maternal wellbeing, resources should be directed towards their management ...
Mediastinal hematoma rarely occurs after a minor traffic injury. A woman in her forties was transferred to the emergency room by ambulance due to a traffic accident. Computed tomography (CT) revealed no abnormal findings, and she went home. Two days after the accident, the contrast-enhanced CT was repeated, which revealed cervical and mediastinal hematomas. Because it was possible that there was active bleeding from the right inferior thyroid artery, embolization of the right inferior thyroid artery was performed; however, her condition further deteriorated, so we performed emergency surgery to achieve hemostasis and remove the hematoma. Because of oozing from the right thyroid lobe, we performed right hemithyroidectomy and drainage of mediastinal space and right thoracic cavity. Since there was no bleeding site in the mediastinum, we thought that the mediastinal hematoma was due to bleeding from the thyroid gland. Her postoperative course was uneventful, and she is doing well at 9 months of follow-up
What is an extradural haematoma?. An extradural haematoma is a collection of blood in the epidural space. Extradural means outside the dura.. What causes an extradural haematoma?. Spinal extradural haematoma. A spinal extradural haematoma is less common than an intracranial extradural haematoma. Sometimes a spinal extradural haematoma can occur after trauma or an injury around the spinal area. For example, it can (rarely) occur after a lumbar puncture (a procedure where a sample of fluid that surrounds the brain and spinal cord is taken with a needle to help diagnose conditions such as meningitis). It may also (rarely) occur after an epidural anaesthetic (a common type of pain relief used during childbirth and for other reasons). Intracranial extradural haematoma. An extradural haematoma usually occurs inside the head, most commonly after a fractured skull caused by a head injury. The fractured skull bone can cause separation of the dura mater from the inside of the skull and can cause damage ...
Nasal septal hematoma is a condition affecting the nasal septum. It can be associated with trauma. Because the septal cartilage has no blood supply of its own and receives all of its nutrients and oxygen from the perichondrium, an untreated septal hematoma may lead to destruction of the septum. Immediate drainage is necessary. Failure to recognise septal hematomas, or treat in a timely fashion, can cause a saddle nose deformity. To treat a septal haematoma it is incised & drained to prevent avascular necrosis of the septal hyaline cartilage which depends on diffusion of nutrients from its attached nasal mucosa. Small hematomas can be aspirated with a wide-bore needle. Large hematomas are drained by an incision parallel to nasal floor. Systemic antibiotics are given after the incision and drainage to prevent local infection. Ginsburg CM (April 1998). Nasal septal hematoma. Pediatr Rev. 19 (4): 142-3. doi:10.1542/pir.19-4-142. PMID 9557069. Dubach P, Aebi C, Caversaccio M (December 2008). ...
Acute airway obstruction (AAO) after anterior cervical fusion (ACF) can be caused by postoperative retropharyngeal hematoma, which requires urgent recognition and treatment. However, the causes, evaluation, and appropriate treatment of this complication are not clearly defined. The purpose of this retrospective review of a prospective database was to investigate etiologic factors related to the development of AAO due to postoperative hematoma after ACF and formulate appropriate prevention and treatment guidelines. Cervical spinal cases treated at our academic institutions from 1998 to 2013 were evaluated. Demographic data, including factors related to hemorrhagic tendency, and operative data were analyzed. Patients who developed a hematoma were compared with those who did not to identify risk factors. Cases complicated by hematoma were reviewed, and times until development of hematoma and surgical evacuation were determined. Degrees of airway compromise and patient behavior were classified and evaluated
Inguinal Mass & Retroperitoneal Hematoma & Vertebral Fractures Symptom Checker: Possible causes include Hematoma. Check the full list of possible causes and conditions now! Talk to our Chatbot to narrow down your search.
INTRODUCTION: Spontaneous retroperitoneal hemorrhage is a distinct clinical entity that can present as a rare life-threatening event characterized by sudden onset of bleeding into the retroperitoneal space, occurring in association with bleeding disorders, intratumoral bleeding, or ruptures of any retroperitoneal organ or aneurysm. The spontaneous form is the most infrequent retroperitoneal hemorrhage, causing significant morbidity and representing a diagnostic challenge. CASE PRESENTATION: We report the case of a patient with coronary artery disease who presented with transient ischemic attack, in whom anticoagulant therapy with heparin precipitated a massive spontaneous atraumatic retroperitoneal hemorrhage (with international normalized ratio 2.4), which was treated conservatively. CONCLUSION: Delay in diagnosis is potentially fatal and high clinical suspicion remains crucial. Finally, it is a matter of controversy whether retroperitoneal hematomas should be surgically evacuated or ...
TY - JOUR. T1 - Does dabigatran increase the risk of delayed hematoma expansion in a rat model of collagenase-induced intracerebral hemorrhage?. AU - Tanoue, Shunsuke. AU - Inamasu, Joji. AU - Yamada, Masayuki. AU - Toyama, Hiroshi. AU - Hirose, Yuichi. N1 - Funding Information: Sources of funding: J.I. received financial support from the Japan Brain Foundation and Fujita Research Foundation . Publisher Copyright: © 2015 National Stroke Association.. PY - 2015/2/1. Y1 - 2015/2/1. N2 - Background Delayed hematoma expansion is common in intracerebral hemorrhage (ICH) patients using warfarin. Dabigatran induces fewer hemorrhagic complications compared with warfarin. However, the natural history of dabigatran-related ICH remains unclear. This study aims to clarify whether dabigatran increases the risk of delayed hematoma expansion in a rat ICH model. Methods Male Wistar rats were treated with 2 dosages of dabigatran etexilate (DE: 10 mg/kg, n = 4; 20 mg/kg, n = 3) 30 minutes before ICH induction ...
Discussion. The chronic intradiploic hematoma lesion was first described by Chorbski and Davis in 19341 and was named by Sato et al.2 To date, only 12 cases of chronic intradiploic hematoma have been reported in the literature.1-11 Other names found in the literature for intradiploic hematoma include non-neoplastic cyst of diploe, traumatic cyst, and giant cell repetitive granuloma.4,6,9,10,12. The exact pathogenesis of the intradiploic hematoma is not clear. However, chronic intradiploic hematomas associated with anticoagulant use, birth trauma, and shunt surgery have been reported. Moreover, acute hematomas in the various layers of the scalp and the skull usually resolve spontaneously.1 However, trauma can initiate bleeding in the diploic space. If the resulting diploic hematoma is not absorbed, the surrounding connective tissue usually encapsulates the hematoma and creates a cyst.1 The natural history of this connective tissue can show various stages of differentiation, i.e., fibrous tissue, ...
Spontaneous retropharyngeal haematoma is an unusual condition and difficult to diagnosis early especially in infants. It has multiple aetiological factors and can present to a number of specialists including the otolaryngologist. We describe an unusual case of a spontaneous huge retropharyngeal haematoma in 1-year-old male child which demonstrates the dramatic presentation and emphasizes the need for immediate surgical approach.
Intracranial hematomas, whatever its causes, represent an important disabling, and dreaded adults lesion. This brains condition has not well been studied in developing countries. The aim of our study is to overview the management of intracaranial hematomas in Abidjan. It is a retrospective analytical and descriptive study, involving patients who had been admitted and monitored by neurosurgeons for intracranial hematomas, documented in brain CT scan and had been operated on from 1 January 2007 to December 31, 2009 in Abidjan. These 30 patients were 23 men and 7 women. The average age was 58.6 years old. 90% of the patients were admitted with wakefulness issues. Half had a Glasgow score of less than 8. The brain scanner allowed identification of an intraparenchymal hematoma associated or not with a cerebral ventricle contamination in 28 patients. There were 18 external ventricle derivations with or without decompressive craniectomy and 12 independent decompressive craniectomy. The evolution was marked
Spontaneous intracerebral haemorrhage: a clinical review.: This article provides a clinical overview of spontaneous intracerebral haemorrhage, focusing on clini
TY - JOUR. T1 - Transesophageal echocardiography in the diagnosis of diseases of the thoracic aorta. T2 - Part 1. Aortic dissection, aortic intramural hematoma, and penetrating atherosclerotic ulcer of the aorta. AU - Willens, Howard J.. AU - Kessler, Kenneth M.. PY - 1999/1/1. Y1 - 1999/1/1. KW - Acute aortic syndrome. KW - Aortic dissection. KW - Aortic intramural hematoma. KW - Penetrating aortic ulcer. KW - Thoracic aorta. KW - Transesophageal echocardiography. UR - http://www.scopus.com/inward/record.url?scp=0033388643&partnerID=8YFLogxK. UR - http://www.scopus.com/inward/citedby.url?scp=0033388643&partnerID=8YFLogxK. U2 - 10.1378/chest.116.6.1772. DO - 10.1378/chest.116.6.1772. M3 - Article. C2 - 10593804. AN - SCOPUS:0033388643. VL - 116. SP - 1772. EP - 1779. JO - Chest. JF - Chest. SN - 0012-3692. IS - 6. ER - ...
TY - JOUR. T1 - Vulvovaginal hematomas complicating delivery. T2 - Rationale for drainage of the hematoma cavity. AU - Zahn, Christopher M.. AU - Hankins, Gary. AU - Yeomans, Edward R.. PY - 1996/8. Y1 - 1996/8. N2 - OBJECTIVE: To review the management of puerperal vulvovaginal hematomas and report on the use of closed system drainage in cases in which operative intervention was used. STUDY DESIGN: A retrospective review of medical records for a five-year period was conducted. The charts of all patients in whom puerperal vulvovaginal hematomas occurred were reviewed and data extracted regarding possible etiologic factors, details of delivery, characterization of the hematoma, surgical intervention and type of drain used. Also recorded was length of stay and postoperative complications. RESULTS: Eleven patients with hematomas were identified, for an incidence of 1/526. All patients received antibiotics; transfusion was required in eight patients. Drains were used in nine patients: Penrose in four ...
Background and rationale Acute intracerebral haemorrhage (ICH) results from rupture of cerebral vasculature leading to bleeding into the cerebral parenchyma. ICH represents 10-50% of stroke, depending on the population studied, is associated with significant morbidity and mortality, and has limited treatment options. The INTERACT2 trial was designed to assess the role of blood pressure lowering therapy in intracerebral haemorrhage. Guideline therapy (target systolic blood pressure [SBP] ,180 mmHg) was compared against intensive lowering (SBP ,140 mmHg). The outcomes assessed in this trial were death or major disability (according to the modified Rankin scale at 90 days) following ICH. Hyperglycaemia has been widely studied in acute illnesses as myocardial infarction, ischaemic stroke, traumatic brain injury and ICH, and is associated with adverse outcomes. The incidence of hyperglycaemia in the acute phase is due to a combination of factors: diabetic pathophysiology and stress hyperglycaemia. ...
TY - JOUR. T1 - Thermo-sensitive assembly of the biomaterial REP reduces hematoma volume following collagenase-induced intracerebral hemorrhage in rats. AU - Park, Joohyun. AU - Kim, Jong Youl. AU - Choi, Seong Kyoon. AU - Kim, Jae Young. AU - Kim, Jae Hwan. AU - Jeon, Won Bae. AU - Lee, Jong Eun. PY - 2017/8. Y1 - 2017/8. N2 - Intracerebral hemorrhage (ICH) frequently results in severe disabilities and high mortality. RGD-containing elastin-like polypeptide (REP), a modified elastin-like polypeptide (ELP), is a thermally responsive biopolymer. REP has high affinity for cells and is known to show non-immunotoxicity, -cytotoxicity, and -inflammatory responses. Here we found that administration of REP in the acute phase of the ICH rat model reduced the hematoma volume, decreased the number of activated microglia, attenuated the expression of von Willebrand Factor (vWF), and prevented the leakage of immunoglobulin G (IgG) into the cerebral parenchyma without any occlusion of intact microvessels. ...
Neck haematoma following thyroid surgery can present with respiratory distress which is generally attributed to airway obstruction. We recently had a 63-year-old female patient who underwent total thyroidectomy for toxic nodular goitre. However, within 4 hours of surgery, she developed sudden respiratory distress which was managed by prompt evacuation of the neck haematoma. Just before the haematoma evacuation, the patient had hypertension and bradycardia along with the distress. The arterial blood gas analysis sampled at that time was normal. Intraoperatively, the tracheal framework was found rigid and non-pliable. Considering the various clinical-biochemical findings observed, we think that the cause of the respiratory distress in the index case was transiently elevated intracranial pressure, secondary to bilateral internal jugular veins compression. We hypothesise that in many patients with immediate postoperative neck haematoma, the Cushings reflex would at least contribute partly, if not ...
Objectives: We sought to describe the frequency and location of headache in intracerebral hematoma (ICH) and to analyze its clinical and CT predictors by means of multivariate analysis. Background: Headache is more common in intracerebral hemorrhage than in ischemic stroke, and its frequency varies with hematoma location, but the pathophysiologic mechanisms of headache associated with ICH are not fully known. Methods: We examined a cohort of 289 patients with ICH during a 14-month period in a university hospital. Clinical, including the presence and location of headache, and CT features were collected by two neurologists. Results: One hundred and sixty-five (57%) patients with ICH had a headache at the onset of their stroke. Headache was more common in cerebellar and lobar hemorrhages than in deep ones (thalamic, caudate, capsuloputaminal, brainstem). Headache was also more common in women, patients younger than 70 years, those who vomited, and those with meningeal signs, a Glasgow Coma Scale ...
TY - JOUR. T1 - Platelet Count and Function in Spontaneous Intracerebral Hemorrhage. AU - Ziai, Wendy C.. AU - Torbey, Michel T.. AU - Kickler, Thomas S.. AU - Oh, Sangjin. AU - Bhardwaj, Anish. AU - Wityk, Robert J.. PY - 2003/7. Y1 - 2003/7. N2 - Impaired platelet function has been associated with an increased propensity for intracerebral hemorrhage (ICH). The role of platelet count and dysfunction in spontaneous ICH (SICH) is poorly understood. We tested the hypotheses that patients with SICH have subtle platelet dysfunction associated with ICH progression and larger ICH size. In a retrospective case series, we compared platelet counts in patients with SICH with age-matched controls with neuromuscular disorders admitted to a Neurosciences Critical Care Unit (NCCU). In a subset of patients, platelet function was measured within one week of ICH. Computerized tomography (CT) scans were performed within 24 hours of the event and ICH volume determined by the ABC/2 method. Comparison of 43 patients ...
Twenty-two patients who had evidence of spontaneous intracerebral hemorrhage in brain computerized tomographic(CT) scan specially with small vascular malformations who were angiographically verified and unknown causes, were reviewed. The majority of patients were in first and second decades of life. The duration of symptoms from onset to admission showed relatively short in verified cases and even distributed from 1 day to 1 month in unknown cases. The most common presenting symptoms and signs were headache and papilledema in unknown cases. In brain CT scan, variable findings were seen as hematoma with surrounding eidence of vascular anomaly, hematoma only and blood-fluid level in verified cases, and tumor-like findings in unknown cases. The most common site of hematoma were parietal and occipital lobes in verified cases and were parietal and infratentorial area in unknown cases. The results achieved with excision of these cases were good. These small vascular malformations require special ...
Our prospective, cohort study demonstrates that the use of aspirin may be associated with an increased risk of developing subchorionic hematomas in early pregnancies.
TY - JOUR. T1 - Statin use in spontaneous intracerebral hemorrhage. T2 - A systematic review and meta-analysis. AU - Jung, Jin-Man. AU - Choi, Jeong Yoon. AU - Kim, Hyun Jung. AU - Seo, Woo Keun. PY - 2015/10/1. Y1 - 2015/10/1. N2 - Background: Nonrandomized observational studies have been conducted to evaluate the effects of statins on clinical outcomes in patients with intracerebral hemorrhage. Several studies on the effects of statin administration in patients with intracerebral hemorrhage have been published recently, but the findings are inconsistent. Aim: To evaluate the effects of statins administered prior to hospital admission and during hospitalization on mortality and functional outcomes in patients with intracerebral hemorrhage. Summary of review: We searched for relevant literature using multiple comprehensive databases and performed a systematic review and meta-analysis. Sixteen studies met our selection criteria. Preintracerebral hemorrhage statin use was not associated with ...
Background: Intracerebral hemorrhage (ICH) is the most fatal subtype of stroke. Despite limited effective therapy, there is no accepted clinical grading scale to predict in- hospital mortality, especially in developing nations. The purpose of this study was to assess the predictors of in- hospital mortality among a sample of Iranian patients with spontaneous ICH for use at the time of the first evaluation.Methods: This prospective study was carried from January 2010 to the end of January 2011. Demographic, clinical, and laboratory data of ICH patients were collected. Hematoma volume and perihematoma edema (PHE) were measured on brain computed tomography scan using ABC/2 formula. Logistic regression analysis was performed to determine independent variables contributing to in- hospital mortality.Results: Of a total 167 consecutive ICH patients, 98 patients met inclusion criteria. Mean ± standard deviation age of patients was 70.16 ± 12.52.
Penetrating atherosclerotic ulcer is characterized by ulceration that penetrates through the elastic lamina into the media, and is associated with a variable amount of haematoma within the aortic wall. Haematoma formation may extend along the media, resulting in aortic dissection. In some cases, haematoma extension causes stretching of the weakened aortic wall, leading to the formation of a saccular aneurysm. Rupture is an eventual outcome. This entity has to be distinguished from atheromatous ulcers that are confined to the intima layer, aneurysms and classic aortic dissection. Although they typically involve the descending thoracic aorta (mostly the middle or distal portion), penetrating atherosclerotic ulcers can also involve the abdominal aorta and seldom are multiple. Typical CT features of penetrating ulcers include focal involvement with adjacent subintimal haematoma located beneath the frequently calcified and inwardly displaced intima, often associated with thickening or enhancement of ...
Hematoma formation ia a common injury in athletics involving physical contact. In martial arts it usually results from a blow or kick to a soft area. A hematoma is a collection of blood in a area near an injury. Bleeding from the injured tissue collects in one place pushing other tissue away, forming a pocket of blood. The primary goal of treating hematoma is aimed at stopping any more bleeding, then absorbing the blood that has already collected. Immediately applying pressure & ice to the injured area will help stop further bleeding & reduce swelling. An elastic wrap applied with an ice pack incorporated into the wrapping accomplishes both purposes. Large hematomas are best treated by puncturing the wound with a needle, but this should only be done by a physician under strict steril conditions. After pressure & ice have been applied the site should be protected from any further injury until the healing process is complete. Dicolouration of the skin may be extensive during the healing process & ...
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View details of top subungual hematoma hospitals in Chennai. Get guidance from medical experts to select best subungual hematoma hospital in Chennai
We report a series of five patients that came to our hospital within a 8-month period. The patients were between 63 to 78 years old. One of them was in therapy with warfarin, one was in therapy with acetilsaliciliate and clopidogrel and in an another patient, a coagulation disorder was detected. Diagnosis was suspected in all cases by clinical exam and ultrasonography, but CT-scan was necessary in three cases. All patients underwent conservative treatment, mainly pain relief and rest. In two cases blood transfusion was performed and in two cases clotting abnormalities were corrected with vitamin K and fresh frozen plasma. After being discharged, patients were followed up on as outpatients. ...
Case Presentation: 62-year-old male presenting to the hospital for left sided abdominal pain. His past medical history is significant for chronic obstructive pulmonary disease (COPD) requiring six liters of oxygen via nasal cannula daily, hypertension [...]. ...
Details of the image Retroperitoneal haematoma (subcostal artery puncture - percutaneous renal biopsy) Modality: CT (non-contrast)
A hematoma (US spelling) or haematoma (UK spelling) is a localized collection of blood outside the blood vessels, due to either disease or trauma including injury or surgery and may involve blood continuing to seep from broken capillaries. A hematoma is initially in liquid form spread among the tissues including in sacs between tissues where it may coagulate and solidify before blood is reabsorbed into blood vessels. An ecchymosis is a hematoma of the skin larger than 10mm. They may occur among/within many areas such as skin and other organs, connective tissues, bone, joints and muscle. A collection of blood (or even a hemorrhage) may be aggravated by anticoagulant medication (blood thinner). Blood seepage and collection of blood may occur if heparin is given via an intramuscular route; to avoid this, heparin must be given intravenously or subcutaneously. It is not to be confused with hemangioma, which is an abnormal buildup/growth of blood vessels in the skin or internal organs. Some hematomas ...
Posterior Mediastinal Hematomas (PMHs) secondary to a fall from standing height are uncommon, with only one previous case reported in the literature. We describe a case of a 78-year-old male with multiple medical comorbidities, who was transferred to
Management Strategies of Intracerebral Hematomas - click here to listen In this podcast, topic editor Dr. Marc Mayberg of The Swedish Neuroscience Institute, Seattle, Washington, speaks with Dr. David Newell, also of The Swedish Neuroscience Institute. They discuss Dr. Newell and colleagues article Minimally Invasive Treatment of Intracranial Hemorrhage which appears in this months issue.
Background: Bilateral Intracranial hematoma is an uncommon sequela of closed head injury. Approach to this complicated problem is poorly defined. The present study tries to find out the incidence, and possible markers for the earlier detection of the problem.Materials and Methods: In this descriptive study all head trauma patients undergoing surgical decompression from September 2006 to October 2008 in Kashan Beheshti Hospital, were included. Cases were studied for age, sex, cause of trauma, skull fracture, Glasgow Coma Scale Score, pre-operative CT findings, and the number of surgical procedures. Using SPSS software, the obtained data was analyzed through descriptive statistics, Chi Square and t-test.Results: During a 24-month period, for 96 admitted patients with traumatic injuries, 121 surgical procedures were performed. Due to the hematomas, 73 (75.3) and 23 (24.7) cases had one and more than one surgical operation, respectively. In addition, the age range was between 6 months and 83 years ...
Graves disease is the only indication in which patients undergoing thyroidectomy are at increased risk of postoperative hematoma formation. ...
Intracerebral hemorrhage (ICH) causes 10% to 15% of first-ever strokes, with a 30-day mortality rate of 35% to 52% with only 20% expected to be functionally independent at 6 months. No medical or surgical interventions have been found to alter the natural evolution of this disease. The high risk for mortality and poor outcomes seems to occur despite relatively small hematoma volumes and small amounts of neuronal tissue at risk for injury. The reasons for this observation remain unknown; however perihematomal edema formation and inflammation that follows ICH seems to play an important role.. The Simvastatin for Intracerebral Hemorrhage Study is a prospective double blinded placebo controlled randomized (1:1) clinical trial that compares outcomes in patients receiving generic simvastatin 80 mg for 14 days or until death or discharge with patients in the placebo group.. The hypothesis for our study is that statins ameliorate perihematomal edema evolution thereby reducing mortality and improving ...
Pack of 3 Sim Finger - Subungual Hematoma Drain Trainer- Let Your Design Medical help you become the best medical professional you can be. This year we are proud to release to the public our simulation finger. Get practice draining a hematoma behind
We report a case of a falcotentorial meningioma accompanied by hematoma in the temporal lobe. A healthy 51 year-old-female with no history of hypertension presented with sudden onset of consciousness disturbance and right hemiparesis. Computed tomography revealed a hematoma 5.5 cm in diameter surrounded by thick edematous brain in the left temporal lobe and a tumor 3.5 cm in diameter in the pineal region. Bilateral carotid angiography detected occlusion of the Galenic vein and straight sinus. No causative abnormality of hemorrhage was apparent. However, the left basal vein of Rosenthal had disappeared, and anastomotic venous channels could be observed in the medial left temporal lobe, contiguous to the hematoma. Emergency craniotomy failed to detect any abnormality which could cause hemorrhage in the brain parenchyma surrounding the hematoma. Subtotal removal of the tumor, histologically diagnosed as fibrous meningioma, was achieved three months later employing an occipital transtentorial ...

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  • In contrast, epidural hematomas are usually caused by tears in arteries , resulting in a build-up of blood between the dura mater and the skull . (wikipedia.org)
  • The symptoms of a subdural hematoma have a slower onset than those of epidural hematomas because the lower-pressure veins involved bleed more slowly than arteries. (wikipedia.org)
  • MRI may be useful to identify small epidural hematomas from subdural ones. (medlineplus.gov)
  • 15 to 20% of patients with epidural hematomas die of the injury . (bionity.com)
  • [4] Thus only 20 to 30% of epidural hematomas occur outside the region of the temporal bone. (bionity.com)
  • On images produced by CT scans and MRIs, epidural hematomas usually appear convex in shape because their expansion stops at skull's sutures, where the dura mater is tightly attached to the skull. (bionity.com)
  • Epidural hematomas may occur in combination with subdural hematomas, or either may occur alone. (bionity.com)
  • [4] CT scans reveal subdural or epidural hematomas in 20% of unconscious patients. (bionity.com)
  • Unlike in epidural hematomas , which are usually caused by tears in arteries , subdural bleeding usually results from tears in veins that cross the subdural space. (bionity.com)
  • [2] Unlike epidural hematomas , which cannot expand past the sutures of the skull, subdural hematomas can expand along the inside of the skull, creating a convex shape that follows the curve of the brain, stopping only at the dural reflections like the tentorium and falx cerebri. (bionity.com)
  • Epidural hematomas occur most commonly after a head trauma, which may cause a temporary loss of consciousness or a coma. (clinicaladvisor.com)
  • Epidural hematomas are buildups of blood between the dura mater and the skull.No matter what type of hematoma you have, hematomas are especially dangerous and potentially fatal. (seriousaccidents.com)
  • They have a convex appearance in the early stage of bleeding, which may cause problems in distinguishing between subdural and epidural hematomas. (seriousaccidents.com)
  • Unlike epidural hematomas, subdural hematomas can expand past the sutures of the skull and expand along the inside. (seriousaccidents.com)
  • Subdural hematomas can also be found in the elderly and some alcoholics who have evidence of veins with increased lengths.Subdural hematomas are more common than epidural hematomas and manifest themselves in a variety of ways. (seriousaccidents.com)
  • Subdural hematomas develop slower than epidural hematomas because of the lower pressure in veins compared to arteries. (seriousaccidents.com)
  • Epidural hematomas are mainly caused by blunt force trauma. (seriousaccidents.com)
  • A CT scan or an MRI might actually reveal an epidural hematoma.Epidural hematomas are most common from blows to the side of the head. (seriousaccidents.com)
  • Rarely will it be on the opposite side (or the contrecoup injury).Epidural hematomas, like any other hematoma, occur outside of the brain tissue. (seriousaccidents.com)
  • Although epidural hematomas are less common than subdural hematomas, quick action of everybody around the patient is very important. (nethealthbook.com)
  • 10 months ago I hit my head, fractured my skull and a large hematoma formed on my forehead. (medhelp.org)
  • Fracturing your thigh bone ( femur ) is commonly associated with a significant amount of bleeding and will often result in a large hematoma. (healthline.com)
  • It might take months for a large hematoma to be fully absorbed. (healthline.com)
  • If you have a large hematoma that doesn't go away for several days following your injury, your doctor might suggest that it be drained. (healthline.com)
  • I have a large hematoma in my left but each day it has traveled down, and the back of my leg down to my ankle is all black. (emedicinehealth.com)
  • I had a large hematoma after a TOT (transobturator tape) operation 18 months ago. (emedicinehealth.com)
  • Muscle Pain - I had a very large hematoma in my right thigh two months ago. (drugs.com)
  • It has been over 3 year now and I still have pain/discomfort on my right breast after having a biopsy in which I got a very large hematoma. (healingwell.com)
  • Subdural hematomas can also occur after a minor head injury. (medlineplus.gov)
  • Some subdural hematomas occur without cause (spontaneously). (medlineplus.gov)
  • 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)
  • Seizures often occur at the time the hematoma forms, or up to months or years after treatment. (medlineplus.gov)
  • Chronic subdural hematoma can occur in the elderly after apparently insignificant head trauma. (medscape.com)
  • Hematomas can occur anywhere in your body, including your leg. (healthline.com)
  • Subdural hematomas usually occur because veins on the inside of the dura that connect the brain cortex and the venous sinuses (bridging veins) are ruptured as the result of a blow to the head. (encyclopedia.com)
  • Another type of subdural hematoma called a chronic subdural hematoma can occur in people over age 60. (encyclopedia.com)
  • The cause of epidural hematoma is usually traumatic , although spontaneous hemorrhage is known to occur. (bionity.com)
  • Most of the time, subdural hematomas occur around the tops and sides of the frontal and parietal lobes . (bionity.com)
  • When serious hematoma complications do occur, they require emergency surgery. (millerandzois.com)
  • There are factors that increase risk for subdural hematoma, although some occur spontaneously. (brainandspinalcord.org)
  • Intracranial hematomas resulting from a traumatic brain injury are life-threatening and have been reported to occur as the primary injury in 40% of patients with severe head injury. (businesswire.com)
  • For an acute hematoma, symptoms generally occur in the first 24 hours, while for a subacute Hematoma, they occur in the first 2-10 days after a head injury. (ecureme.com)
  • A hematoma is a collection of blood, usually clotted, outside of a blood vessel that may occur because of an injury to the wall of a blood vessel allowing blood to leak out into tissues where it does not belong. (emedicinehealth.com)
  • Subdural hematomas usually occur at the tops and sides of the brain (the frontal and parietal lobes). (seriousaccidents.com)
  • During several weeks, the original hematoma is encapsulated by a membrane consisting of weak neocapillaries from where recurrent small bleedings occur. (clinicaltrials.gov)
  • EDHs are about half as common as a subdural hematomas and usually occur in young adults. (uclahealth.org)
  • These traumatic subdural hematomas are always associated with considerable brain damage and occur immediately after the injury. (brain-surgery.com)
  • Importantly, an auricular hematoma can also occur on the posterior ear surface, or even both surfaces. (wikipedia.org)
  • Signs and symptoms of acute hematomas may appear in minutes, if not immediately, [1] but can also be delayed as much as two weeks. (wikipedia.org)
  • [2] Symptoms of chronic subdural hematomas are usually delayed four to seven weeks. (wikipedia.org)
  • 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)
  • Hematomas on articulations can reduce mobility of a member and present roughly the same symptoms as a fracture. (wikipedia.org)
  • Individuals who show any immediate symptoms of subdural hematoma should be taken to the emergency room. (encyclopedia.com)
  • Small hematomas that do not cause symptoms may not need to be treated. (encyclopedia.com)
  • Subchorionic hematomas can be hard to pick up because they don't always result in noticeable symptoms, especially when they're small. (whattoexpect.com)
  • Blood collects between these layers of tissue that surround the brain and create pressure, which can lead to symptoms of subdural hematoma. (brainandspinalcord.org)
  • In some cases, very small subdural hematomas that don't produce signs or symptoms don't have to be removed. (brainandspinalcord.org)
  • Medical care and treatment of a hematoma will depend upon its location, what body parts are affected, and what symptoms are present. (emedicinehealth.com)
  • Symptoms of a hematoma depend upon their location, size, and whether they cause associated swelling, edema or pressure on adjacent structures such as blood vessels and nerves. (emedicinehealth.com)
  • Further information about the symptoms of Subdural hematoma is available including a list of symptoms of Subdural hematoma , other diseases that might have similar symptoms in differential diagnosis of Subdural hematoma , or alternatively return to research other symptoms in the symptom center . (cureresearch.com)
  • Remember: The vast majority of subchorionic hematomas dissolve on their own. (whattoexpect.com)
  • It can cause bleeding and that's what makes it scary, but like the PP, subchorionic hematomas usually clear up on their own. (babycenter.com)
  • Subchorionic hematomas? (whattoexpect.com)
  • I researched subchorionic hematomas as much as possible and found out there is a 50/50 chance of the pregnancy continuing and that should all go well, it should resolve itself at about 20 weeks. (naturallysavvy.com)
  • That Monday I went for a follow up ultrasound and found out that one of the subchorionic hematomas (SCH) was gone! (naturallysavvy.com)
  • In a 2009 study, Dr. Kutteh found subchorionic hematomas in 30-40% of patients in the study, regardless of fertility treatment or natural conception. (fertilityauthority.com)
  • Acute subdural hematomas are often life-threatening. (wikipedia.org)
  • Acute subdural hematomas have high rates of death and brain injury. (medlineplus.gov)
  • Generally, acute subdural hematomas are less than 72 hours old and are hyperdense compared with the brain on computed tomography scans. (medscape.com)
  • 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)
  • In one study, 82% of comatose patients with acute subdural hematomas had parenchymal contusions. (medscape.com)
  • A minority of chronic subdural hematoma cases derived from acute subdural hematomas that have matured (ie, liquefied) because of lack of treatment. (medscape.com)
  • Abe M, Udono H, Tabuchi K, Uchino A, Yoshikai T, Taki K. Analysis of ischemic brain damage in cases of acute subdural hematomas. (medscape.com)
  • However, what follows applies to acute subdural hematomas in children only. (encyclopedia.com)
  • Acute subdural hematomas that are due to trauma are the most lethal of all head injuries and have a high mortality rate if they are not rapidly treated with surgical decompression. (bionity.com)
  • Spontaneous Retropharyngeal Hematoma. (medscape.com)
  • Spontaneous retropharyngeal hematoma: diagnosis by MR imaging. (medscape.com)
  • Subdural hematoma may also be spontaneous or caused by a procedure, such as a lumbar puncture (see Etiology). (medscape.com)
  • Spontaneous resolution of acute cranial subdural hematomas. (medscape.com)
  • We report the case of a chronically anticoagulated 37-year-old male who developed a spontaneous hematoma of the epiglottis secondary to a supra-therapeutic INR. (hindawi.com)
  • Spontaneous hematoma of the rectus abdominis muscle: critical review of 50 cases with emphasis on early diagnosis and treatment. (springer.com)
  • Linhares MM, LopesFilho GJ, Bruna PC, Ricca AB, Sato NY, Sacalabrini M. Spontaneous hematoma of the rectus abdominis sheath: a review of 177 cases with report of 7 personal cases. (springer.com)
  • Tomoharu S, Kazuyoshi H, Toyokazu Y. Spontaneous hematoma of the lateral abdominal wall caused by a rupture of a deep circumflex iliac artery: report of two cases. (springer.com)
  • Çil BE, Türkbey B, Canyiğit M, Geyik S, Yavuz K. An unusual complication of carotid stenting: spontaneous rectus sheath hematoma and its endovascular management. (springer.com)
  • Spontaneous perinephric hematoma with no associated pa thology or provocation is a rare clinical phenomenon. (scirp.org)
  • Evidence of the efficacy of conservative management for spontaneous perinephric hematoma with a 2 - year follow up. (scirp.org)
  • The most common etiology of spontaneous perinephric hematoma is renal angiomyolipoma. (scirp.org)
  • Regardless of the pathology and the origin of the bleeding, spontaneous perinephric hematoma has clinical manifestation described as Lenk's triad, associated with acute flank pain, flank mass and hypovolemic-shock. (scirp.org)
  • Favoring the latter mode of management, we present an unusual case of spontaneous perinephric hematoma effectively treated conservatively. (scirp.org)
  • In five small retrospective series, tranexamic acid (TXA), an antifibrinolytic drug, showed a beneficial effect on the spontaneous resolution of the hematoma and, with that, the necessity for surgery. (clinicaltrials.gov)
  • A spontaneous retroclival subdural hematoma was suspected. (appliedradiology.com)
  • Mori K, Maeda M. Surgical treatment of chronic subdural hematoma in 500 consecutive cases: clinical characteristics, surgical outcome, complications, and recurrence rate. (medscape.com)
  • Recent studies have shown that hematoma size or the presence of underlying distal phalanx fractures do not result in a difference in complications. (medscape.com)
  • If the hematoma remains unresolved, potential complications include increased intracranial pressure (ICP), ipsilateral dilated pupil due to compression of the oculomotor nerve, and the Cushing response comprised of hypotension, irregular breathing, as well as bradycardia. (clinicaladvisor.com)
  • Current management options for ICH focus on the reduction of hematoma expansion and prevention of medical complications ( 9 ). (pnas.org)
  • Chronic subdural hematoma-incidence, complications, and financial impact. (harvard.edu)
  • This procedure creates little scarring and carries little risk of hematoma recurrence. (vetinfo.com)
  • This leaves the perichondrium relatively exposed to damage from direct trauma and shear forces, created by a force pushing across the ear like a punch, and increasing the risk of hematoma formation. (wikipedia.org)
  • Chronic subdural hematoma (cSDH) is one of the most common neurosurgical conditions. (clinicaltrials.gov)
  • Antiplatelet therapy in patients with chronic subdural hematoma (cSDH) presents significant neurosurgical challenges. (clinicaltrials.gov)
  • Endovascular middle meningeal artery (MMA) embolization is an emerging treatment for chronic subdural hematoma (cSDH). (clinicaltrials.gov)
  • However, typical chronic subdural hematoma (CSDH) had developed by 9 months after the head trauma. (biomedsearch.com)
  • Rationale: Chronic subdural hematoma (cSDH) is a frequently occurring disease, occurring mainly in the elderly. (clinicaltrials.gov)
  • 1. INTRODUCTION AND RATIONALE Chronic subdural hematoma (cSDH) is a frequently occurring neurological disease of the elderly and common in daily neurosurgical practice. (clinicaltrials.gov)
  • The incidence of chronic subdural hematoma (CSDH) in the general population has been rising. (scirp.org)
  • The development of a hygroma, much like a hematoma, induces the formation of neo-membranes accompanied by neovascularization, and these fragile vessels promote repeated microhemorrhage and eventual development of CSDH [8]. (scirp.org)
  • This type of subdural hematoma is among the deadliest of all head injuries. (medlineplus.gov)
  • 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)
  • Not all these head injuries involve subdural hematoma, but it is the most common type of bleeding in the brain to result from trauma. (encyclopedia.com)
  • The timely recognition of hemorrhages, particularly of extracerebral hematomas, accompanying head injuries is a matter of life and death for the patient. (springer.com)
  • Usually the result of serious or minor head injuries, subdural hematomas cause blood to collect in the brain. (mddionline.com)
  • Serious head injuries can lead to subdural hematoma. (brainandspinalcord.org)
  • However, even minor head injuries, especially in the elderly, can lead to chronic subdural hematomas. (brainandspinalcord.org)
  • Subdural hematoma occurs with greatest frequency in older people who have suffered head injuries, which can seem minor if they involve merely bumping one's head on a cabinet or car door. (livingchurch.org)
  • Subdural hematomas are usually caused by head injuries. (seriousaccidents.com)
  • This study was prospectively conducted on 20 patients with chronic subdural hematomas operated upon in the period from February 2017 to July 2017 in Neurosurgery Department at Fayoum University. (scirp.org)
  • Treatment for an aural hematoma ranges from needle aspiration of the blood and any clots that have accumulated in the pinna to surgical drainage. (cornell.edu)
  • The surgical approach to treating aural hematoma is commonly taken, he notes, and most veterinarians are well-equipped to perform it. (cornell.edu)
  • Surgical correction for hematomas is the most common form of correction. (wikihow.com)
  • The early identification of a brain hematoma can play a significant role in facilitating transportation of critically injured patients to facilities, which can both verify Infrascanner's early diagnosis and offer surgical intervention. (businesswire.com)
  • This study seeks to assess the safety and efficacy of middle meningeal artery embolization for chronic subdural hematoma as an adjunct to standard treatments, which include medical management and surgical evacuation. (clinicaltrials.gov)
  • Middle meningeal artery embolization has emerged recently as a minimally invasive and successful method of preventing re-accumulation of subdural hematoma, particularly for patients that are not obvious surgical candidates or those with recurrent or refractory hematomas. (clinicaltrials.gov)
  • The pupils often are fixed and dilated, a poor prognostic sign, if surgical evacuation of the epidural hematoma is not done very quickly. (nethealthbook.com)
  • A subdural hematoma is most often the result of a severe head injury. (medlineplus.gov)
  • I asked my surgeon to evacuate hematoma because I had severe pain and also I was scared that it might start infection. (medhelp.org)
  • An indication of more severe damage to the lung than pulmonary contusion, a hematoma also takes longer to clear. (wikipedia.org)
  • However, if you have low platelet or other bleeding problems , you may develop blood disorder brusing or hematomas more easily and they may be more severe. (chemocare.com)
  • Acute subdural hematoma (ASDH) has a high mortality rate and is a severe medical emergency . (bionity.com)
  • Acute bleeds develop after high speed acceleration or deceleration injuries and are increasingly severe with larger hematomas. (bionity.com)
  • Because the absorption of NIR light is greater on the side of the brain containing a hematoma than on the side with no hematoma, our device can pinpoint where severe trauma has occurred. (mddionline.com)
  • If the subdural hematoma is severe and life-threatening, emergency surgery may be needed. (brainandspinalcord.org)
  • By far the most common cause of a subdural hematoma is severe brain injury after a road traffic accident or a fall from a great height. (brain-surgery.com)
  • The news broke via Barley Arts Promotion, the promoter behind the Milan show, who explained in a Facebook post the cancellation was ''caused by a severe hematoma which makes it impossible at the moment on stage. (contactmusic.com)
  • Tawab, M. , Reda, M. and El-Fiki, A. (2019) Endoscopic Assisted Microscopic Fenestration of Inner Membrane in Cases of Chronic Subdural Hematoma. (scirp.org)
  • A subchorionic bleed (also known as a subchorionic hematoma) is the accumulation of blood between the uterine lining and the chorion (the outer fetal membrane, next to the uterus) or under the placenta itself . (whattoexpect.com)
  • Doctors found a subdural hematoma, an accumulation of blood under a membrane that covers the brain that usually occurs after a blow to the head. (taipeitimes.com)
  • Subgaleal hematoma (SGH), an abnormal accumulation of blood under the galeal aponeurosis of the scalp, is more commonly observed in newborns and. (no-pasaran.mobi)
  • Katano H, Kamiya K, Mase M, Tanikawa M, Yamada K. Tissue plasminogen activator in chronic subdural hematomas as a predictor of recurrence. (medscape.com)
  • Stanisic M, Lund-Johansen M, Mahesparan R. Treatment of chronic subdural hematoma by burr-hole craniostomy in adults: influence of some factors on postoperative recurrence. (medscape.com)
  • The goals of surgery are to remove the hematoma, prevent recurrence and retain the natural appearance of the ears. (acvs.org)
  • In Reply: Subdural Pneumocephalus Aspiration Reduces Recurrence of Chronic Subdural Hematoma. (harvard.edu)
  • A subdural hematoma ( SDH ) is a type of bleeding in which a collection of blood -usually associated with a traumatic brain injury -gathers between the inner layer of the dura mater and the arachnoid mater of the meninges surrounding the brain . (wikipedia.org)
  • An epidural hematoma (EDH) is bleeding between the inside of the skull and the outer covering of the brain (called the dura). (medlineplus.gov)
  • 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)
  • 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)
  • The findings suggest that preoperative diastolic blood pressure, intraoperative use of gelfoam for dura coverage and postoperative drain output are risk factors for symptomatic epidural hematoma after lumbar decompression surgery. (nih.gov)
  • A subdural hematoma (SDH) happens in the space between the covering of brain (the dura) and the brain. (epnet.com)
  • In a subdural hematoma, blood collects immediately beneath the dura mater. (harvard.edu)
  • Epidural or extradural hematoma is a buildup of blood occurring between the dura mater (the brain's tough outer membrane) and the skull . (bionity.com)
  • [2] As the hematoma expands, it strips the dura from the inside of the skull, causing an intense headache. (bionity.com)
  • A subdural hematoma (SDH) is a form of traumatic brain injury in which blood gathers between the dura (the outer protective covering of the brain ) and the arachnoid (the middle layer of the meninges ). (bionity.com)
  • In a subdural hematoma, bleeding occurs between the dura (the outermost level of the brain) and the next layer, which is called the arachnoid. (brainandspinalcord.org)
  • Epidural hematoma (EDH) is an intracranial hemorrhage between the outer membrane of the brain (dura mater) and the skull, usually caused by trauma. (clinicaladvisor.com)
  • Subdural hematomas, for example, are hematomas in which blood builds up in one of the layers of the dura mater (the outer protective covering of the brain). (seriousaccidents.com)
  • It consists of an extracerebral encapsulated collection of mostly liquefied old hematoma, located between the dura and arachnoid. (clinicaltrials.gov)
  • An epidural hematoma (EDH) occurs when blood accumulates between the skull and the dura mater, the thick membrane covering the brain. (uclahealth.org)
  • Beneath a Tough Mother (Dura Mater) - Chronic Subdural Hematoma. (harvard.edu)
  • The grey area in the top left is organizing hematoma, causing midline shift and compression of the ventricle. (bionity.com)
  • Computed tomography scan of the brain revealed a large heterogeneous subdural fluid collection over the left cerebral hemisphere, causing effacement of the adjacent sulci and a large left-to-right midline shift, consistent with an acute on chronic subdural hematoma. (nih.gov)
  • This type of subdural hematoma is often seen in older adults. (medlineplus.gov)
  • Research more detailed information about the causes of Subdural hematoma , other possibly hidden causes of Subdural hematoma , or other general information about Subdural hematoma . (cureresearch.com)
  • A subdural hematoma occurs when a blood vessel near the surface of the brain bursts. (harvard.edu)
  • Thus they expand inward toward the brain rather than along the inside of the skull, as occurs in subdural hematoma . (bionity.com)
  • European Journal of Obstetrics & Gynecology and Reproductive Biology, Subchorionic hematoma occurs more frequently in in vitro fertilization pregnancy , October 2014. (whattoexpect.com)
  • A subdural hematoma occurs when blood vessels between the brain and its outermost membrane rupture, causing leaking blood that results in compression of the brain tissue. (brainandspinalcord.org)
  • The greater the amount of bleeding that occurs, the larger the hematoma. (emedicinehealth.com)
  • Auricular hematoma most often occurs in the potential space between the helix and the antihelix (scapha) and extends anteriorly into the fossa triangularis. (wikipedia.org)
  • Subdural hematomas are usually characterized on the basis of their size and location and the amount of time elapsed since the inciting event age (ie, whether they are acute, subacute, or chronic). (medscape.com)
  • Subacute subdural hematoma: findings in CT, MRI and operations and review of onset mechanism]. (medscape.com)
  • Subdural hematomas are divided into acute , subacute, and chronic , depending on their speed of onset. (bionity.com)
  • Subacute Subacute hematomas have characteristics of acute and chronic hematomas. (seriousaccidents.com)
  • In cats, ear hematomas form when a blood vessel in the ear ruptures and the space between the skin and cartilage begins to fill with blood. (vetinfo.com)
  • Hematomas form when a blood vessel leaks into surrounding tissue. (emedicinehealth.com)
  • An aural hematoma is when blood accumulates between the skin and the cartilage of your dog's ear flap. (wikihow.com)
  • In an auricular hematoma, blood accumulates between the perichondrium and cartilage. (wikipedia.org)
  • Treatment of ear hematoma depends on how quickly the hematoma is diagnosed, the size of the hematoma and, oftentimes, your vet's personal treatment preferences. (vetinfo.com)
  • A non-contrast head CT scan will confirm the diagnosis of EDH, and will pinpoint the exact location of the hematoma and any associated skull fracture. (medlineplus.gov)
  • In some cases, a SCH could lead to miscarriage depending on size and location of the hematoma in relation to the embryo. (fertilityauthority.com)
  • He recommends a decompressive laminectomy and evacuation of the hematoma. (millerandzois.com)
  • Rapid evacuation of the hematoma restores close contact between the cartilage and perichondrium, thereby reducing the likelihood of deformity by minimizing the ischemia that would otherwise result from a remaining hematoma. (wikipedia.org)
  • Risk factors for postoperative retropharyngeal hematoma after anterior cervical spine surgery. (medscape.com)
  • Miao W, Ma X, Liang D, Sun Y. Treatment of hematomas after anterior cervical spine surgery: a retrospective study of 15 cases. (medscape.com)
  • A hematoma, also spelled haematoma, or blood suffusion is a localized bleeding outside of blood vessels, due to either disease or trauma including injury or surgery and may involve blood continuing to seep from broken capillaries. (wikipedia.org)
  • Following hematoma surgery, your vet will take steps to treat any underlying conditions that may have contributed to the hematoma's development. (vetinfo.com)
  • Most hematomas will resolve themselves with proper care, but rarely the hemotoma will need to undergo an additional surgery to relieve the pain and aide in healing. (ehow.co.uk)
  • Symptomatic epidural hematoma after lumbar decompression surgery. (nih.gov)
  • Postoperative symptomatic epidural hematoma (SEH) is a serious complication of lumbar spine surgery. (nih.gov)
  • From 2002 to 2010, out of 15,562 who underwent lumbar decompression procedure with/without instrumentation, 25 patients required reoperation for epidural hematoma after the initial spinal surgery. (nih.gov)
  • After spine decompression surgery, early detection and evacuation of hematoma are the key to avoid neurologic deterioration and have better clinical outcomes. (nih.gov)
  • Answer to the letter to editor of N. Todd concerning "symptomatic epidural hematoma after lumbar decompression surgery" by Kao FC et al. (nih.gov)
  • Letter to editor concerning "symptomatic epidural hematoma after lumbar decompression surgery" by Kao FC et al (2014) Eur Spine J. doi:10.1007/s00586-014-3297-8. (nih.gov)
  • If you have a hematoma over your shinbone, your doctor may recommend surgery. (healthline.com)
  • A hematoma is a larger collection of blood, usually caused by surgery, injury, or a greater trauma. (chemocare.com)
  • Moreno Gallego A, Aguayo JL, Flores B. Ultrasonography and computed tomography reduce unnecessary surgery in abdominal rectus sheath haematoma. (springer.com)
  • Not sure what the cost of draining the hematoma would be, but from what I'm reading the cost of surgery ranges from $200 - $900. (babycenter.com)
  • This wrongful death claim was filed in Baltimore City when a surgeon at UMMC Midtown failed to notice a hematoma blocking a patient's airway after neck surgery. (millerandzois.com)
  • The decision to discharge her suggests the hematoma is too small to be drained via surgery and is low-risk, according to medical sources not involved in the treatment. (taipeitimes.com)
  • Treatment for hematoma often includes surgery, depending on the severtity. (brainandspinalcord.org)
  • As Episcopalians awaited word Tuesday about Presiding Bishop Michael Curry's urgent brain surgery in Richmond, Virginia, two medical-school professors explained the risks and outlook associated with draining a chronic subdural hematoma. (livingchurch.org)
  • A month after surgery, the chances of dying from hematoma hover around 5 percent. (livingchurch.org)
  • Emergency Surgery may be needed to drain the hematoma (blood clot), and relieve the pressure on the brain. (ecureme.com)
  • Few months later the hematoma went away but since the day of surgery I have experienced the same pain/urine freq and now I am being treated by a urologist for possible Interstitial cystitis. (ajlounyinjurylaw.com)
  • I went to a breast specialist and she said she could do surgery to remove the hematoma or I could just wait to see if my body would reabsorb it. (healingwell.com)
  • Factors Predicting the Need for Surgery of the Opposite Side After Unilateral Evacuation of Bilateral Chronic Subdural Hematomas. (harvard.edu)
  • This was a retrospective study of five patients who were treated surgically for organized hematoma. (hindawi.com)
  • However, depending on the size, location and cause of the hematoma, the area may need to be drained surgically, or take a longer period of time to resolve. (chemocare.com)
  • Otherwise, the hematoma should be surgically removed. (encyclopedia.com)
  • As with other types of intracranial hematomas, the blood may be aspirated surgically to remove the mass and reduce the pressure it puts on the brain. (bionity.com)
  • Hematomas are generally treated surgically by having your vet lance the pocket of blood and then stitching up the ear. (wikihow.com)
  • A retrospective study was made to identify possible risk factors of postoperative spinal epidural hematoma by reviewing the clinical cases of this rare complication and analyzing the postoperative evaluations of patients. (nih.gov)
  • The anatomy of the epidural space means that spinal epidural hematoma has a different profile from cranial epidural hematoma. (bionity.com)
  • With small subdural hematomas, the blood may slowly be reabsorbed over several weeks without much damage. (encyclopedia.com)
  • Evolution of brain tissue injury after evacuation of acute traumatic subdural hematomas. (medscape.com)
  • Acute subdural hematoma is commonly associated with extensive primary brain injury. (medscape.com)
  • Some hematomas are visible under the surface of the skin (commonly called bruises) or possibly felt as masses/lumps. (wikipedia.org)
  • Pulmonary hematomas take longer to heal than simple pneumatoceles and commonly leave the lungs scarred. (wikipedia.org)
  • Epidural hematoma commonly results from a blow to the side of the head and is frequently caused by a fracture that passes through an arterial channel in the bone , most commonly a break in temporal bone interrupting middle meningeal artery, a branch of the external carotid . (bionity.com)
  • If blood is spontaneously draining from the hematoma, drainage is also unlikely to be of additional benefit. (medscape.com)
  • A hematoma can spontaneously resolve," says Dr. Flanders, "but that can take weeks, and by the time the ear heals, it will tend to be deformed. (cornell.edu)
  • What are the contraindications for subungual hematoma drainage? (medscape.com)
  • If nail removal is indicated to explore for complex nail bed lacerations (eg, if nail edges are disrupted with a deep laceration), subungual hematoma drainage is not indicated. (medscape.com)
  • Subungual hematoma drainage is not necessary if the hematoma is not painful. (medscape.com)
  • Pingel C, McDowell C. Subungual Hematoma, Drainage. (medscape.com)
  • Admitted into the hospital for 4 days for observation and drainage of the hematoma, though drainage ended up not being performed. (ajlounyinjurylaw.com)
  • Subdural hematomas may cause an increase in the pressure inside the skull , which in turn can cause compression of and damage to delicate brain tissue. (wikipedia.org)
  • Rapid bleeding causes a collection of blood (hematoma) that presses on the brain. (medlineplus.gov)
  • Chronic subdural hematomas develop over the course of weeks and are hypodense compared with the brain. (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)
  • Subdermal hematoma (under the skin) Intramuscular hematoma (inside muscle tissue) Skull/brain: Subgaleal hematoma - between the galea aponeurosis and periosteum Cephalohematoma - between the periosteum and skull. (wikipedia.org)
  • A subdural hematoma is a collection of blood in the space between the outer and middle layers of the covering of the brain. (encyclopedia.com)
  • Infants are more prone to subdural hematoma than toddlers and older children, because the brain of infants has more room than the brain of older children to move around in the skull when shaken or hit. (encyclopedia.com)
  • The outcome of subdural hematoma depends on how promptly treatment is received and how much damage the brain has received. (encyclopedia.com)
  • Argentine President Cristina Fernandez has been told by doctors to take a month off because of a subdural hematoma on her brain, forcing her to abandon campaigning for important congressional elections set for later this month. (taipeitimes.com)
  • A screening device that assists first responders and clinicians in the identification of brain hematomas , the Infrascanner Model 2000 uses near-infrared light to detect brain hematomas after traumatic brain injury. (mddionline.com)
  • The Model 2000 imaging device uses near-infrared ( NIR ) light to detect brain hematomas after traumatic brain injury. (mddionline.com)
  • With the ability to detect the hematoma in patients before they are transported to a medical facility, proper intervention can begin to prevent further brain damage. (mddionline.com)
  • He probably did not suffer any brain damage from the hematoma, according to Anderson. (livingchurch.org)
  • PHILADELPHIA--( BUSINESS WIRE )--InfraScan, a medical device company specializing in brain injury diagnostic products, announced today that it has obtained U.S. Food and Drug Administration approval to market the Infrascanner™ Model 2000, a noninvasive handheld brain hematoma detector. (businesswire.com)
  • The hematoma is outside the brain, but still puts pressure on it. (ecureme.com)
  • CT scan of the brain and the orbit showed the large epidural clot communicating with an ipsilateral retrobulbar hematoma through a sphenoid bone fracture. (proz.com)
  • The subdural hematoma (shown here in green) does not include bleeding within the substance of the brain. (sciencephoto.com)
  • This is called a hematoma, and it is a diffuse brain injury. (seriousaccidents.com)
  • After a single blow to the head, diffuse brain injuries affect multiple parts of the brain as well as the blood vessels around it.Hematomas are classified according to where the bleeding in the brain is located. (seriousaccidents.com)
  • Surgeons treat EDH by removing the clot to lower pressure on the brain and stopping bleeding to prevent the hematoma from returning. (uclahealth.org)
  • This epidural hematoma causes brain pressure that is building up slowly and there is an initial "lucid interval", in which the patient is conscious and thinks perhaps that other than a headache nothing much has happened. (nethealthbook.com)
  • Parenchymal hematoma triggers a series of reactions leading to primary and secondary brain injuries and permanent neurological deficits. (pnas.org)
  • Occasionally an artery on or near the surface of the brain will burst, causing a very large and emergent subdural hematoma to develop. (brain-surgery.com)
  • At that time, an MRI of the brain and cervical spine, ordered to ensure a bland nature of the hemorrhage and to completely exclude any underlying mass, demonstrated the hematoma to have predominantly low signal on T2 FSE images and high signal on T1, consistent with intracellular methemoglobin. (appliedradiology.com)
  • Chronic subdural hematomas have a better prognosis if properly managed. (wikipedia.org)
  • Subdural hematomas are most often caused by head injury , in which rapidly changing velocities within the skull may stretch and tear small bridging veins . (wikipedia.org)
  • Large hematomas or solid blood clots may need to be removed through a larger opening in the skull ( craniotomy ). (medlineplus.gov)
  • On a CT scan , subdural hematomas are crescent-shaped, with a concave surface away from the skull. (bionity.com)
  • Occasionally, if the hematoma is very large or has solidified, a large opening in skull may be needed (this is called a craniotomy). (ecureme.com)
  • During the operation a linear skull fracture and organised chronic epidural haematoma were found. (biomedsearch.com)
  • Hematomas are often described based upon their location in the body, whether it is in the skull (intracranial), under the fingernail (subungual), or in the earlobe. (emedicinehealth.com)
  • When speeds rapidly change inside of the skull after a hard blow to the head, this sudden shift might stretch and tear small blood veins.On a CT scan, subdural hematomas appear as crescent-shaped objects. (seriousaccidents.com)
  • The neurosurgeon places a burr hole right over the center of the hematoma to drain it and relieve the pressure inside the skull. (nethealthbook.com)
  • Also the larger the hematoma the longer to be reabsorbed. (drugs.com)
  • Higa K, Hirata K, Hirota K, Nitahara K, Shono S. Retropharyngeal hematoma after stellate ganglion block: Analysis of 27 patients reported in the literature. (medscape.com)
  • With the increased use of helical CT in the evaluation of trauma patients, posttraumatic adrenal hematoma is more frequently diagnosed. (nih.gov)
  • 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)
  • Acute subdural hematoma is the most common type of traumatic intracranial hematoma, occurring in 24% of patients who present comatose. (medscape.com)
  • Kotwica Z, Brzezinski J. Acute subdural haematoma in adults: an analysis of outcome in comatose patients. (medscape.com)
  • Tanaka A, Yoshinaga S, Kimura M. Xenon-enhanced computed tomographic measurement of cerebral blood flow in patients with chronic subdural hematomas. (medscape.com)
  • One-year outcome following craniotomy for traumatic hematoma in patients with fixed dilated pupils. (medscape.com)
  • Traumatic acute subdural hematoma: major mortality reduction in comatose patients treated within four hours. (medscape.com)
  • To study the clinical and pathological characteristics of patients with organized hematoma with malignant features in maxillary sinuses. (hindawi.com)
  • Data from patients with subdural hematoma, who reported starting treatments within the last 5 years. (patientslikeme.com)
  • In the hallmark of epidural hematoma, patients may regain consciousness during what is called a lucid interval, only to descend suddenly and rapidly into unconsciousness later. (bionity.com)
  • Patients on these medications can have a subdural hematoma with a minor injury. (bionity.com)
  • Even months and years after a hematoma-draining procedure, patients who are accustomed to putting in long, busy days often find they can no longer maintain the same schedule. (livingchurch.org)
  • Patients with chronic subdural hematoma undergo CT scans and neurologic assessments on hospital admission, as well as follow up CT scans and neurologic assessments to assess for any change in neurologic status or hematoma size. (clinicaltrials.gov)
  • Retroclival hematoma is an uncommon finding, typically occurring in the epidural space in pediatric patients following significant blunt trauma. (appliedradiology.com)
  • Inokuchi G, Kurita N, Baba M, Hata Y, Okuno T. Retropharyngeal hematoma from parathyroid hemorrhage in a hemodialysis patient. (medscape.com)
  • Objective To study hematoma location and morphology of intracerebral hemorrhage (ICH) associated with oral anticoagulants (OAC) and delineate causes and mechanism. (gu.se)
  • This page includes the following topics and synonyms: Subgaleal Hematoma, Subgaleal Hemorrhage. (no-pasaran.mobi)
  • Subgaleal hematoma, also known as subaponeurotic hemorrhage, is a serious complication of birth that is associated with vacuum-assisted delivery. (thefreelibrary.com)
  • Autopsy was remarkable for extensive subgaleal hematoma, and moderate subarachnoid and subdural hemorrhage. (thefreelibrary.com)
  • Here we report that intranasal delivery of IL-4, a well-known antiinflammatory cytokine, facilitates microglia- and macrophage-mediated hematoma resolution and improves long-term functional recovery in two different mouse models of intracerebral hemorrhage. (pnas.org)
  • Hematomas aren't generally dangerous or painful, but getting it treated is usually more comfortable for your dog and can prevent the formation of cauliflower ear. (wikihow.com)
  • The most common cause of cauliflower ear is blunt trauma to the ear leading to a hematoma which, if left untreated, eventually heals to give the distinct appearance of cauliflower ear. (wikipedia.org)
  • Perichondral hematoma and consequently cauliflower ear are diagnosed clinically. (wikipedia.org)
  • There are many types of treatment for the perichondral hematoma that can lead to cauliflower ear, but the current body of research is unable to identify a single best treatment or protocol. (wikipedia.org)
  • Huang YH, Ohara K. Medical pearl: subungual hematoma: a simple and quick method for diagnosis. (medscape.com)
  • William C, Lain D. Internal oblique hematoma: an alternative computed tomography diagnosis for flank pain. (springer.com)
  • Casey RG, Mahmoud M, Carroll K, Hurley M. Rectus sheath haematoma: an unusual diagnosis. (springer.com)
  • Nonpalpable rectus sheath hematoma clinically masquerading as appendicitis: US and CT diagnosis. (springer.com)
  • The diagnosis of epidural hematoma requires a patient to be cared for in a facility with a neurosurgeon on call to decompress the hematoma if necessary and stop the bleed by ligating the injured vessel branches. (bionity.com)
  • Although the various blood thinners may have contributed to the hemorrhaging, the plaintiffs' attorneys seem to focus their argument on the delayed hematoma diagnosis. (millerandzois.com)
  • Despite a high rate of mortality associated with subgaleal hematoma, it has received relatively little attention in the medical literature Lack of awareness may lead to delayed diagnosis and serious consequences for infants. (thefreelibrary.com)
  • Seaberg DC, Angelos WJ, Paris PM. Treatment of subungual hematomas with nail trephination: a prospective study. (medscape.com)
  • Although a serious hematoma as a result of a vasectomy is very rare, treatment should always begin by reporting the side effect to a doctor. (ehow.co.uk)
  • This form of treatment is not often used to treat sudural hematoma. (brainandspinalcord.org)
  • Regardless of treatment the hematoma will eventually be resorbed by the body and a new nail will grow out. (aocd.org)
  • Before considering treatment of the headache, it is important to find out the cause of the headache, in this case an epidural hematoma. (nethealthbook.com)
  • Our in vitro and in vivo preclinical studies support the view that IL-4 treatment has the therapeutic potential to promote hematoma resolution and functional restoration in hemorrhagic stroke victims. (pnas.org)
  • Controlled nail trephination for subungual hematoma. (medscape.com)
  • Subungual hematoma. (medscape.com)
  • A subungual hematoma is a transient condition where blood and fluid collect underneath the fingernail or toenail. (aocd.org)
  • Subgaleal hematoma developed one to eight days after minor head trauma in four children and in two infants, one with presumed trauma. (no-pasaran.mobi)
  • Subgaleal hematoma: the need for increased awareness of risk. (thefreelibrary.com)
  • Subgaleal hematoma results from injury to the scalp with subsequent bleeding into the potential space between the galea aponeurotica and the pericranium. (thefreelibrary.com)
  • The major reported risk factor for subgaleal hematoma is use of a vacuum extractor to assist with the delivery of the infant. (thefreelibrary.com)
  • We report six consecutive cases of subgaleal hematoma in infants cared for at the Doernbecher Neonatal Intensive Care Unit (NICU) between November 1991 and June 1995. (thefreelibrary.com)
  • People presenting with possible auricular hematoma often have additional injuries (for example, head/neck lacerations) due to the frequently traumatic causes of auricular hematoma. (wikipedia.org)
  • However, because of potentially more remarkable injuries often associated with auricular hematoma, auricular hematoma can easily be overlooked without directed attention. (wikipedia.org)