RecurrenceManagement of chronic subduralCSDHHygromaIntracranialTraumaticSystematic review and meta-analysisPrognosisHemorrhagePosttraumatic subduralBilateralEpiduralDexamethasoneAcute hematomaSmall hematomaChronic hematomaPostoperativeArachnoid cystCEREBRAL HEMISPHERESubacuteMidlineVeinsDrainageAnticoagulantsSpontaneousPatientsNeurosurgOutcomesSeizuresBrainPrognosticSymptomsOutcomeEvacuationSurgical treatmentHead injuryAccumulationOccurTreatmentInflammatoryDementiaBloodFactorsGenerallyInfantsScanAbnormalSignificantDetectionRepresents
Recurrence4
- This study focuses on determining factors predictive of haematoma recurrence and presents a scoring system stratifying recurrence risk for individual patients. (neurosurgery.directory)
- Univariate and multivariate analyses were performed searching for risk factors of increased post-operative haematoma volume and haematoma recurrence requiring repeat drainage. (neurosurgery.directory)
- Our proposed scoring system combining haematoma volume, age, and presence of septations might be useful in identifying patients at higher risk for recurrence ((Jack A, O'Kelly C, McDougall C, Max Findlay J. Predicting Recurrence after Chronic Subdural Haematoma Drainage. (neurosurgery.directory)
- All randomised controlled trials analysing symptomatic recurrence rates in patients who underwent burr-hole drainage of chronic subdural haematomas, describing postoperative bed header positioning, were included. (bvsalud.org)
Management of chronic subdural1
CSDH12
- The aim of this retrospective study was to investigate the efficacy of saireito for bilateral chronic subdural hematomas (B-CSDH). (scirp.org)
- Introduction Chronic subdural haematoma (cSDH) tends to occur in older patients, often with significant comorbidity. (bmj.com)
- Chronic subdural haematoma (CSDH) is a common condition in the elderly that often requires neurosurgical management. (researchsquare.com)
- For small CSDH, evidence has emerged that statins may reduce haematoma volume and improve outcomes, presumably by reducing local inflammation and promoting vascular repair. (researchsquare.com)
- The second ATorvastatin On Chronic subdural Hematoma (ATOCH-II) study is a multi-center, randomized, placebo-controlled, double blind trial which aims to enroll 240 adult patients with a conservative therapeutic indication for CSDH, randomly allocated to standard treatment with atorvastatin 20 mg combined with low-dose dexamethasone (or matching placebos) daily for 28 days, and with 152 days of follow-up. (researchsquare.com)
- Chronic subdural hematoma (CSDH) represents one of the most common forms of intracranial haemorrhage, causing a variety of diagnostic and therapeutic challenges as rates increase in ageing populations and increased use of antithrombotic agents. (researchsquare.com)
- 15 The positive results of atorvastatin 20 mg daily significantly reduced haematoma volume and improving clinical outcomes 15 has had a major impact on clinical practice in China, with this medical treatment being widely adopted for both primary conservative and adjunctive post-surgical management of CSDH. (researchsquare.com)
- 19-22 We therefore initiated the second Atorvastatin combined with dexamethasone in Chronic subdural Haematoma (ATOCH-II) trial to determine the efficacy and safety of dexamethasone combined with low-dose atorvastatin in patients with CSDH. (researchsquare.com)
- The primary aim of ATOCH-II is to determine whether the combination of low-dose atorvastatin and low-dose dexamethasone is superior to low-dose atorvastatin alone on the composite outcome of haematoma volume, transition to surgery, and death at 28 days in patients with CSDH. (researchsquare.com)
- Chronic subdural hematoma (CSDH) patients using antithrombotic agents (AT) at high risk for cardiovascular disease are increasing. (jkns.or.kr)
- Chronic subdural hematoma (CSDH) occurs frequently in the elderly and is thought to be related to trauma and to use of drugs such as antiplatelet agents (AP) or anticoagulants (AC) [ 8 , 20 ]. (jkns.or.kr)
- When septations are clearly visible within a CSDH, craniotomy might be more suitable as a primary procedure as it allows greater access to a septated subdural collection. (neurosurgery.directory)
Hygroma1
- C. K. Park, K. H. Choi, M. C. Kim, J. K. Kang and C. R. Choi, "Spontaneous evolution of posttraumatic subdural hygroma into chronic subdural haematoma," Acta Neurochir (Wien), Vol. 127, No.1-2, 1994, pp. 41-47. (scirp.org)
Intracranial9
- Subdural hematoma is the most common type of traumatic intracranial mass lesion. (medscape.com)
- 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)
- Hematoma, Subdural, Intracranial" is a descriptor in the National Library of Medicine's controlled vocabulary thesaurus, MeSH (Medical Subject Headings) . (harvard.edu)
- This graph shows the total number of publications written about "Hematoma, Subdural, Intracranial" by people in Harvard Catalyst Profiles by year, and whether "Hematoma, Subdural, Intracranial" was a major or minor topic of these publication. (harvard.edu)
- Below are the most recent publications written about "Hematoma, Subdural, Intracranial" by people in Profiles. (harvard.edu)
- Chronic intracranial subdural hematoma after spinal anesthesia for a cesarean section: a case report. (harvard.edu)
- Low Risk of Traumatic Intracranial Hematoma Expansion with Factor Xa Inhibitors without Andexanet Reversal. (harvard.edu)
- Clinical manifestations from raised intracranial pressure by enlarging hematoma. (neurocare.ai)
Traumatic3
- A subdural hematoma (SDH) is a type of bleeding in which a collection of blood-usually but not always 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)
- People on these medications can have a subdural hematoma after a relatively minor traumatic event. (wikipedia.org)
- Impact of Frailty on Morbidity and Mortality in Adult Patients Undergoing Surgical Evacuation of Acute Traumatic Subdural Hematoma. (harvard.edu)
Systematic review and meta-analysis1
- Postoperative bed header position after burr-hole drainage of chronic subdural haematoma: systematic review and meta-analysis of randomised controlled trials]. (bvsalud.org)
Prognosis1
- Chronic subdural hematomas have a better prognosis if properly managed. (wikipedia.org)
Hemorrhage2
- citation needed] Intracerebral hemorrhage and ruptured cortical vessels (blood vessels on the surface of the brain) can also cause subdural hematoma. (wikipedia.org)
- Even though a component of this hematoma has a convex-medial appearance, the other characteristics (crossing the sutures and wrapping around the parenchyma) are define this as a subdural rather than epidural hemorrhage. (neurosurgicalatlas.com)
Posttraumatic subdural1
- Figure 3: The acute posttraumatic subdural hematoma in this patient is seen on CT along the right tentoral leaf (left) and along the posterior aspect of the falx (right). (neurosurgicalatlas.com)
Bilateral2
- T. H. Tsai, A. S. Lieu, S. L. Hwang, T. Y. Huang and Y. F. Hwang, "A comparative study of the patients with bilateral or unilateral chronic subdural hematoma: precipitating factors and postoperative outcomes," J Trauma. (scirp.org)
- An 11-month-old girl presented to hospital with a massive subdural haematoma and bilateral retinal haemorrhages following an allegedly minor fall. (springer.com)
Epidural3
- 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)
- verification needed] 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)
- Much more common than epidural hemorrhages, subdural hemorrhages generally result from shearing injuries due to various rotational or linear forces. (wikipedia.org)
Dexamethasone1
- T. F. Sun, R. Boet and W. S.Poon, "Non-surgical primary treatment of chronic subdural haematoma: Preliminary results of using dexamethasone," B. J Neurosurg, Vol.19, No. 4, 2005, pp. 327-333. (scirp.org)
Acute hematoma2
- With an acute hematoma, symptoms start soon after the injury. (alberta.ca)
- Figure 4: Axial CT images near the vertex demonstrate a dense acute hematoma superficial to the right parietal lobe (left) and a low density chronic subdural hematoma in the same patient 2 weeks later (right). (neurosurgicalatlas.com)
Small hematoma1
- You may not need treatment if you have a small hematoma that is not causing symptoms. (alberta.ca)
Chronic hematoma1
- With a chronic hematoma, it may be days or weeks before symptoms appear. (alberta.ca)
Postoperative1
- Several studies have suggested the possible influence of postoperative bed header position on the risk of symptomatic recurrences and medical complications in patients who have been intervened due chronic subdural haematomas. (bvsalud.org)
Arachnoid cyst1
- In juveniles, an arachnoid cyst is a risk factor for subdural hematoma. (wikipedia.org)
CEREBRAL HEMISPHERE2
- This condition primarily occurs over the surface of a CEREBRAL HEMISPHERE, but may develop in the spinal canal (HEMATOMA, SUBDURAL, SPINAL). (embl.de)
- Figure 6: This thin FLAIR-hyperintense early chronic subdural hematoma (left) wraps around the right cerebral hemisphere. (neurosurgicalatlas.com)
Subacute2
- 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)
- Figure 5: These subacute subdural hematomas are intermediate to bright in signal intensity on T1 (top row left) and hyperintense on both T2 (top row right) and FLAIR (bottom row). (neurosurgicalatlas.com)
Midline3
- Bullock et al reported that „an acute [subdural hematoma] SDH with a thickness greater than 10 mm, or a midline shift greater than 5 mm on computed tomography (CT) scan should be surgically evacuated, regardless of the patient's Glasgow Coma Scale (GCS) score. (ceus.hu)
- Figure 2: This axial CT image through the brain demonstrates a dense subdural hematoma superficial to the left frontal lobe, crossing the expected location of the coronal suture (anterior midline arrows). (neurosurgicalatlas.com)
- Thin subdural blood is also present along the posterior falx (posterior midline arrow). (neurosurgicalatlas.com)
Veins5
- It usually results from tears in bridging veins that cross the subdural space. (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)
- As the brain shrinks with age, the subdural space enlarges and the veins that traverse the space must cover a wider distance, making them more vulnerable to tears. (wikipedia.org)
- The elderly also have more brittle veins, making chronic subdural bleeds more common. (wikipedia.org)
- 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)
Drainage2
- Silicone drainage is placed into the subdural space and drainage is done by connecting to a drainage system. (neurocare.ai)
- Conclusion: Septations within CSDHs are associated with larger post-operative residual haematoma collections requiring repeat drainage. (neurosurgery.directory)
Anticoagulants1
- 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)
Spontaneous2
- Subdural hematoma may also be spontaneous or caused by a procedure, such as a lumbar puncture (see Etiology). (medscape.com)
- Zurich, who provided Accidental Death Coverage, claimed that the subdural hematoma was caused by a spontaneous bleed due to the use of Coumadin (a blood thinner), and not by the fall. (stennettcasino.com)
Patients4
- In one study, 82% of comatose patients with acute subdural hematomas had parenchymal contusions. (medscape.com)
- M. Muramatsu, T. Yoshikawa and K. Hanabusa, "Effectiveness of kampo medicine gorei-san-ryo for chronic subdural hematoma in very elderly patients," No Shinkei Geka, Vol. 33, No. 10, 2005, pp. 965-969. (scirp.org)
- In addition to flagging suspected cases of hemispheric subdural hematomas, RapidAI said the Rapid SDH module facilitates multidisciplinary collaboration for the management of these patients via automated notification sent via the RapidAI app, PACS and e-mail. (diagnosticimaging.com)
- BACKGROUND: Elderly patients operated for an acute subdural hematoma (ASDH) frequently have a poor outcome, with a high frequency of death, vegetative status, or severe disability (Glasgow Outcome Score, GOS, 1-3). (minervamedica.it)
Neurosurg1
Outcomes2
- Chronic subdural hematomas have better outcomes in most cases. (medlineplus.gov)
- Secondary outcomes include functional outcome on the modified Rankin scale (mRS) and modified Barthel Index at 28 days, surgical transition, and reduction in haematoma volumes at 14, 28 and 90 days. (researchsquare.com)
Seizures1
- Seizures often occur at the time the hematoma forms, or up to months or years after treatment. (medlineplus.gov)
Brain16
- 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)
- This can cause ischemic brain damage by two mechanisms: one, pressure on the cortical blood vessels, and two, vasoconstriction due to the substances released from the hematoma, which causes further ischemia by restricting blood flow to the brain. (wikipedia.org)
- A subdural hematoma is a collection of blood between the covering of the brain (dura) and the surface of the brain. (medlineplus.gov)
- Medicines that may be used depend on the type of subdural hematoma, how severe the symptoms are, and how much brain damage has occurred. (medlineplus.gov)
- Acute subdural hematomas have high rates of death and brain injury. (medlineplus.gov)
- A subdural hematoma (SDH) is a collection of blood below the inner layer of the dura but external to the brain and arachnoid membrane (see the images below). (medscape.com)
- Generally, acute subdural hematomas are less than 72 hours old and are hyperdense compared with the brain on computed tomography scans. (medscape.com)
- Chronic subdural hematomas develop over the course of weeks and are hypodense compared with the brain. (medscape.com)
- Acute subdural hematoma is commonly associated with extensive primary brain injury. (medscape.com)
- In recognition of this fact, a subdural hematoma that is not associated with an underlying brain injury is sometimes termed a simple or pure subdural hematoma. (medscape.com)
- The term complicated has been applied to subdural hematomas in which a significant injury of the underlying brain has also been identified. (medscape.com)
- A subdural hematoma is a buildup of blood between the layers of tissue that cover the brain. (alberta.ca)
- Our client's husband died as a result of a subdural hematoma (bleeding on the brain). (stennettcasino.com)
- Extraordinary experiences with The Unseen Therapist by Claudia Logan, a registered nurse: Pneumonia, suspicious breast cancer nodule, thyroid meds no longer needed, blood clots disappeared, atrial fibrillation, mitral valve leak, subdural hematoma, brain tumor operation, "impossible" brain dead response. (emofree.com)
- Subdural hematoma is a medical term for bleeding between the brain and the skull. (geriatricswithaloha.com)
- A cranial CT of the Motörhead fan showed right-sided chronic subdural hematoma - a collection of blood and blood breakdown products between the surface of the brain and its outermost covering or dura, according to the U.S. National Institutes of Health. (cbc.ca)
Prognostic1
- Careful attention to the density and thickness of the falx can aid in detection of even very thin hematomas that may have prognostic implications in an otherwise normal study. (neurosurgicalatlas.com)
Symptoms2
- Signs and symptoms of acute hematomas may appear in minutes, if not immediately, but can also be delayed as much as two weeks. (wikipedia.org)
- Symptoms of chronic subdural hematomas are usually delayed more than three weeks after Injury. (wikipedia.org)
Outcome1
- The primary outcome is a composite good outcome defined by any reduction from baseline in haematoma volume and survival free of surgery at 28 days. (researchsquare.com)
Evacuation1
- Large bone flap is separated followed by irrigation and evacuation of the hematoma. (neurocare.ai)
Surgical treatment1
- In a more comprehensive review of the literature on the surgical treatment of acute subdural hematomas, lucid intervals were noted in up to 38% of cases. (medscape.com)
Head injury2
- A subdural hematoma is most often the result of a severe head injury. (medlineplus.gov)
- Subdural hematomas can also occur after a minor head injury. (medlineplus.gov)
Accumulation1
- Accumulation of blood in the SUBDURAL SPACE between the DURA MATER and the arachnoidal layer of the MENINGES. (embl.de)
Occur3
- 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)
- Chronic subdural hematoma can occur in the elderly after apparently insignificant head trauma. (medscape.com)
Treatment1
- A minority of chronic subdural hematoma cases derived from acute subdural hematomas that have matured (ie, liquefied) because of lack of treatment. (medscape.com)
Inflammatory1
Dementia1
- Chronic subdural hematoma is a common treatable cause of dementia. (medscape.com)
Blood3
- Large hematomas or solid blood clots may need to be removed through a procedure called a craniotomy , which creates a larger opening in the skull. (medlineplus.gov)
- Slow extravasation of blood into the subdural space between the dura and arachnoid membranes. (neurocare.ai)
- Surgeons removed the hematoma or blood clot. (cbc.ca)
Factors2
- Factors increasing the risk of a subdural hematoma include very young or very old age. (wikipedia.org)
- Frequency and natural history of subdural haemorrhages in babies and relation to obstetric factors. (springer.com)
Generally1
- The remainder, including eight saireito-treated hematomas, resolved without further surgery, generally within eight weeks of the surgical side procedure. (scirp.org)
Infants1
- Infants, too, have larger subdural spaces and are more predisposed to subdural bleeds than are young adults. (wikipedia.org)
Scan1
- The Food and Drug Administration (FDA) has granted 510(k) clearance for RapidAI's Rapid SDH, an artificial intelligence (AI)-enabled module that reportedly notifies radiologists of suspected hemispheric subdural hematomas within one minute of reviewing a computed tomography (CT) scan. (diagnosticimaging.com)
Abnormal1
- A patient may not even feel anything abnormal despite the finding of a subdural hematoma. (geriatricswithaloha.com)
Significant1
- Significant trauma is not the only cause of subdural hematoma. (medscape.com)
Detection1
- The Rapid SDH module on the RapidAI platform reportedly offers a sensitivity rate of 93 percent for detection of hemispheric subdural hematoma on non-contrast computed tomography (CT) scans. (diagnosticimaging.com)
Represents1
- There is associated enhancement of the dura on contrast-enhanced T1 weighted image (right) that likely represents granulation tissue and hyperemia reactive to the hematoma. (neurosurgicalatlas.com)