• Note the high signal density of acute blood and the (mild) midline shift of the ventricles. (medscape.com)
  • In ruptured aneurysms, stent-assisted coil embolization is associated with increased morbidity and mortality and should only be considered when less risky options have been excluded. (ajnr.org)
  • Intracerebral hemorrhage (ICH) in children is a rare but often disabling disease, leading to high rates of morbidity and mortality in this population [ 1 ]. (hindawi.com)
  • Spinal epidural empyema (SEE), also called spinal epidural abscesses (SEA), posts a significant risk of neurological morbidity and mortality (e.g., rates of 4-31% worldwide). (surgicalneurologyint.com)
  • They are usually associated with a significant morbidity and mortality. (surgicalneurologyint.com)
  • Given the low incidence of these traumas, their actual morbidity and mortality have not been clearly established in the literature. (biomedcentral.com)
  • Rates of mortality and morbidity can be high, even with the best medical and neurosurgical care (see Prognosis). (medscape.com)
  • Chronic subdural hematomas have a better prognosis if properly managed. (wikipedia.org)
  • We believe that 54% of patients with extradural haematoma with BFDPs having a good outcome is an underappreciated prognosis, and the perceived poor prognosis of BFDPs (from all causes) has influenced decision making deeming surgery inappropriately futile in some cases. (resus.me)
  • Prognosis of patients with bilateral fixed dilated pupils secondary to traumatic extradural or subdural haematoma who undergo surgery: a systematic review and meta-analysis. (resus.me)
  • Conclusions and implications of key findings Despite the poor overall prognosis of patients with closed head injury and bilateral fixed and dilated pupils, our findings suggest that a good recovery is possible if an aggressive surgical approach is taken in selected cases, particularly those with extradural haematoma. (resus.me)
  • One patient each had mixed subacute/chronic subdural haematoma and severe cervical spondylotic myelopathy. (bvsalud.org)
  • Introduction Chronic subdural haematoma (cSDH) tends to occur in older patients, often with significant comorbidity. (bmj.com)
  • 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)
  • BACKGROUND: Medically refractory idiopathic intracranial hypertension (IIH) is frequently treated with venous sinus stenosis stenting with high success rates. (bvsalud.org)
  • 6 8 16 17 20 - 25 ] To our knowledge, intracranial bullet extraction through an endoscopic transnasal craniectomy (ETC) has never been reported before, which is also related to the low frequency of favorable positioning of the bullet and to the high mortality rate. (surgicalneurologyint.com)
  • 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)
  • Computed tomography angiography for detection of middle meningeal artery lesions associated with acute epidural hematomas. (medscape.com)
  • Eligible studies were publications that featured patients with bilateral fixed and dilated pupils who underwent surgical evacuation of traumatic extra-axial haematoma, and reported on the rate of favourable outcome (Glasgow Outcome Score 4 or 5). (resus.me)
  • Admission volume determines outcome for patients with acute pancreatitis. (umassmed.edu)
  • Management and outcome of traumatic epidural hematoma in 41 infants and children from a single center. (medscape.com)
  • Bilateral acute epidural hematoma with good outcome. (medscape.com)
  • Gutowski P, Meier U, Rohde V, Lemcke J, von der Brelie C. Clinical Outcome of Epidural Hematoma Treated Surgically in the Era of Modern Resuscitation and Trauma Care. (medscape.com)
  • Outcomes included incidence of postoperative acute bleeding, recurrence rate, and morbidity or mortality rate. (jkns.or.kr)
  • Leur incidence en Afrique sub-saharienne et plus particulièrement au Gabon est mal connue. (bvsalud.org)
  • Adjusted incidence rates of admission and prevalence proportions were calculated. (springeropen.com)
  • The population adjusted incidence rate of admissions of SDH increased from 13/100,000 in 1988 to 38/100,000 in 2011. (springeropen.com)
  • Bir SC, Maiti TK, Ambekar S, Nanda A. Incidence, hospital costs and in-hospital mortality rates of epidural hematoma in the United States. (medscape.com)
  • The incidence of intraoperative acute diffuse brain swelling in patients with isolated traumatic ASDH was 21.88% (56/256). (biomedcentral.com)
  • This information is urgently needed in clinical work to estimate the incidence of intraoperative acute diffuse brain swelling based on preoperative clinical and imaging data, and this information can help neurosurgeons accurately determine the surgical risk and to provide reasonable suggestions to patients' families. (biomedcentral.com)
  • citation needed] Intracerebral hemorrhage and ruptured cortical vessels (blood vessels on the surface of the brain) can also cause subdural hematoma. (wikipedia.org)
  • The volume of intracerebral hematoma was calculated on CT scan images in all the patients except one (on MRI) according to ABC/XYZ volume estimation on the first imaging done [ 2 ]. (hindawi.com)
  • Traumatic brain injury (TBI), also known as acquired brain injury, head injury, or brain injury, causes substantial disability and mortality. (medscape.com)
  • 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)
  • Subdural hematomas (SDH) are most often described as resulting from traumatic brain injury (TBI) of varying degrees. (springeropen.com)
  • Acute subdural haematoma (ASDH) is a common and serious injury in traumatic brain injury (TBI) patients. (biomedcentral.com)
  • Delayed admission to appropriate care has been shown increase mortality following traumatic brain injury (TBI). (biomedcentral.com)
  • While advancements in neurosurgical ICUs (NICU) have improved outcomes of care globally, ICU mortality remains a major clinical issue in developing nations. (bvsalud.org)
  • CONCLUSION: The GCS-P is a useful predictor of 30-day mortality, although its usefulness for other clinical outcomes remains to be proven. (bvsalud.org)
  • We assessed the influence of age on outcomes of patients with TBI and sought to identify prognostic factors for in-hospital mortality of TBI among elderly patients. (elsevierpure.com)
  • Outcomes in octogenarians with subdural hematomas. (umassmed.edu)
  • 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)
  • 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)
  • Many survivors do not regain previous levels of functioning, especially after an acute subdural hematoma severe enough to require surgical drainage. (sage-answers.com)
  • Although there is no consensus regarding the criteria that should be used to indicate angiotomography for BCVI diagnosis, we conclude that the criteria used in the current study led to a diagnosis of BCVI in 0.93% of 2,467 trauma patients, BCVI injuries were associated with more severe traumas and did not affect mortality. (biomedcentral.com)
  • Note that spasticity and hyperactive reflexes may not be present with an acute lesion. (medscape.com)
  • In one study, 82% of comatose patients with acute subdural hematomas had parenchymal contusions. (medscape.com)
  • A total of 82 patients with BFDP who underwent surgical evacuation of either subdural or extradural haematoma were identified from five studies - 57 with subdural (SDH) and 25 with extradural haematomas (EDH). (resus.me)
  • 24 hours) versus late (>24 hours) open reduction and internal fixation of open or closed femur fractures on mortality, infection, and venous thromboembolism (VTE) in trauma patients. (resus.me)
  • At the time of admission to the hospital, patients with acute SDHs have low scores on the Glasgow Coma Scale (GCS). (hyderabadneurosurgeon.co.in)
  • There is an approximate 20 percent to 30 percent recovery rate of brain function in these patients. (hyderabadneurosurgeon.co.in)
  • Il s'agit d'une étude rétrospective descriptive et analytique, multicentrique portant sur des patients de moins de 5ans pris en charge pour une affection neurochirurgicale de Janvier 2019 à Décembre 2021 à Libreville. (bvsalud.org)
  • Multivariable analysis was conducted to determine prognostic factors for in-hospital mortality among elderly patients. (elsevierpure.com)
  • 0.001) were associated with in-hospital mortality in elderly patients with TBI. (elsevierpure.com)
  • Conclusions: Elderly patients with TBI showed significantly higher in-hospital mortality. (elsevierpure.com)
  • Delayed increases in in-hospital mortality were observed among elderly patients with mild TBI. (elsevierpure.com)
  • Level of consciousness on admission was the strongest predictor of in-hospital mortality among elderly patients. (elsevierpure.com)
  • In hospital mortality of patients with SDH and without SE decreased from 17.9% to 10.3% while in hospital mortality of patients with SDH and SE did not statistically change. (springeropen.com)
  • Despite a decline in the overall SDH related mortality, SE increased the risk of in-hospital death in patients with a primary diagnosis of SDH. (springeropen.com)
  • Nationwide volume and mortality after elective surgery in cirrhotic patients. (umassmed.edu)
  • Kopacz AA, Miears H, Collins RA, Nagy L. Novel Predictive Markers on Computed Tomography for Predicting Early Epidural Hematoma Growth in Pediatric Patients. (medscape.com)
  • Smith SW, Clark M, Nelson J, Heegaard W, Lufkin KC, Ruiz E. Emergency department skull trephination for epidural hematoma in patients who are awake but deteriorate rapidly. (medscape.com)
  • Results 53 (10%) patients suffered myocardial injury, while 24 (4.5%) suffered acute renal injury. (bmj.com)
  • Four (9.5%) patients required return to surgery: 2 patients for explantation due to infection, 1 patient for lead repositioning, and 1 patient for chronic subdural hematoma. (thejns.org)
  • The purpose of this retrospective study was to investigate the risk factors for intraoperative acute diffuse brain swelling in patients with isolated traumatic acute subdural haematomas (ASDH). (biomedcentral.com)
  • This study identified the risk factors for intraoperative acute diffuse brain swelling in patients with isolated traumatic ASDH. (biomedcentral.com)
  • An increased risk of intraoperative acute diffuse brain swelling occurs in patients with bilaterally dilated pupils, subarachnoid haemorrhage and a shorter time from injury to surgery. (biomedcentral.com)
  • These findings should help neurosurgeons obtain information before surgery about intraoperative acute diffuse brain swelling in patients with isolated traumatic ASDH. (biomedcentral.com)
  • In this study, we aimed to explore the risk factors for intraoperative acute diffuse brain swelling in patients with isolated traumatic ASDH. (biomedcentral.com)
  • Vitals are not reliable - most patients are on beta blockers so their heart rate may not be elevated, and 'normal' blood pressure may actually be hypotensive for a geriatric patient who will often run much higher at baseline. (sjrhem.ca)
  • The associated mortality rate of those requiring abdominal surgery is upwards of 7x greater than younger patients with similar presentations. (sjrhem.ca)
  • Patients can suffer serious injuries including fractures, subdural haematoma , excessive bleeding and even death(Hitcho et al. (ukessays.ae)
  • Patients from five acute elderly wards in Nottingham University Hospital, NHS Trust are eligible for this study. (ukessays.ae)
  • 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)
  • Multivariate analysis revealed the Charlson comorbidity score (p = 0.01), GCS-P (p = 0.02), and traumatic subarachnoid hemorrhage (p = 0.05) as independent predictors of mortality. (bvsalud.org)
  • Among various animal models of subarachnoid hemorrhage (SAH), the endovascular filament model has been found particularly suitable to investigate acute pathophysiological changes after experimental SAH. (openaccessjournals.com)
  • With controlled pre-hemorrhage blood pressure values and longer mechanical ventilation mortality can be kept low even if stronger filaments are used. (openaccessjournals.com)
  • associated space-occupying and extracerebral hematomas as well as intraventricular hemorrhage may require an emergency operation to preserve and/or restore neurologic functions. (surgicalneurologyint.com)
  • Subdural hemorrhage Subdural Hemorrhage Subdural hemorrhage (SDH) is bleeding into the space between the dural and arachnoid meningeal layers surrounding the brain. (lecturio.com)
  • Subdural Hemorrhage ) is bleeding into the space between the dural and arachnoid meningeal layers surrounding the brain Brain The part of central nervous system that is contained within the skull (cranium). (lecturio.com)
  • Chronic SDH SDH Subdural hemorrhage (SDH) is bleeding into the space between the dural and arachnoid meningeal layers surrounding the brain. (lecturio.com)
  • On Feb. 21, Harris deemed him stable enough to ride in an ambulance to Kentfield Hospital, a long-term acute care facility north of San Francisco. (stanford.edu)
  • Univariate analysis was conducted to compare patient demographics, neurologic status on admission, radiologic findings, systemic complication rates, length of hospital stay, in-hospital mortality, and home discharge rates between elderly and nonelderly groups. (elsevierpure.com)
  • In an observational study of people who had dementia with Lewy bodies, use of cholinesterase inhibitors (a symptomatic treatment) was associated with shorter duration of hospital admissions and decreased risk of mortality. (nihr.ac.uk)
  • In this study, we sought to determine the epidemiology of SE, the prevalence of risk factors, and impact on hospital mortality using a large administrative dataset. (springeropen.com)
  • Multivariate logistic models were then fitted to assess for the impact of status epilepticus on hospital mortality. (springeropen.com)
  • Surgeon volume impacts hospital mortality for pancreatic resection. (umassmed.edu)
  • In-hospital mortality after pancreatic resection for chronic pancreatitis: population-based estimates from the nationwide inpatient sample. (umassmed.edu)
  • In-hospital mortality from liver resection for hepatocellular carcinoma: a simple risk score. (umassmed.edu)
  • A simple risk score to predict in-hospital mortality after pancreatic resection for cancer. (umassmed.edu)
  • In-hospital mortality after resection of biliary tract cancer in the United States. (umassmed.edu)
  • Hypernatremia is associated with increased mortality, longer hospitalization and greater hospital costs (3-5). (annalsofafricansurgery.com)
  • Surgical specialization and operative mortality in hepato-pancreatico-biliary (HPB) surgery. (umassmed.edu)
  • Novel Minimally Invasive Treatment Strategy for Acute Traumatic Epidural Hematoma: Endovascular Embolization Combined with Drainage Surgery and Use of Urokinase. (medscape.com)
  • Clinically, the patient had an acute cauda equina syndrome warranting emergency surgery consisting of a laminectomy for debridement/decompression followed by long-term antibiotic treatment. (surgicalneurologyint.com)
  • This study focuses on two research hotspots: (1) What is the rate of ninety-day readmission after cervical surgery? (biomedcentral.com)
  • 8 With the use of stents or flow diverters, complication rates tend to be higher than with selective coiling or balloon-assisted coiling because of the thrombogenicity of the devices and the need for dual antiplatelet medication with inherent risk in the postoperative period. (ajnr.org)
  • Therefore, controlling the postoperative readmission rate is undoubtedly an important part of saving medical operating costs. (biomedcentral.com)
  • 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)
  • The use of AC was significantly related to acute bleeding ( p =0.044), while the use of AP was not ( p =0.808). (jkns.or.kr)
  • Chronic subdural hematoma is a common treatable cause of dementia. (medscape.com)
  • Association between antidementia medication use and mortality in people diagnosed with dementia with Lewy bodies in the UK: a retrospective cohort study. (nihr.ac.uk)
  • 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)
  • The subacute phase begins 3-7 days after acute injury. (medscape.com)
  • The identified secondary causes of death included raised ICP, sepsis, primary surgical haemorrhage, seizures, acute kidney injury, malignant hypertension, poor glycaemic control and aggressive blood pressure lowering. (bvsalud.org)
  • Despite high rates of illness and death, neurognathostomiasis has received less attention than the more common cutaneous form of gnathostomiasis, possibly because of the apparent geographic confinement of the neurologic infection to 1 country. (cdc.gov)
  • 11 This rate is highly dependent on the type of complication as well as the patient's initial neurologic examination. (mhmedical.com)
  • The elderly also have more brittle veins, making chronic subdural bleeds more common. (wikipedia.org)
  • Multivariate analysis identified age (p = 0.01), CT findings of an acute subdural hematoma (p = 0.01) or diffuse axonal injury (p = 0.02), and a neurosurgical operation (p = 0.02) as independent predictors of discharge destination. (bvsalud.org)
  • We evaluated the risk factors for intraoperative acute diffuse brain swelling using a multivariate logistic regression analysis. (biomedcentral.com)
  • Acute diffuse brain swelling is one of the leading causes of intraoperative acute encephalocele, and it also has the highest mortality. (biomedcentral.com)
  • Acute diffuse brain swelling during DC is often accompanied by an acute drop in blood pressure, and the mortality is very high. (biomedcentral.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)
  • Symptoms of chronic subdural hematomas are usually delayed more than three weeks after Injury. (wikipedia.org)
  • However, unintentional injury and death rates in children remain high. (netce.com)
  • As a person with spinal cord injury (SCI) advances through acute rehabilitation, physical therapy addresses mobility issues. (medscape.com)
  • The complication rate of stent-assisted coiling with early adverse events in ruptured aneurysms was 10 times higher than that in unruptured aneurysms. (ajnr.org)
  • National complication rates after pancreatectomy: beyond mere mortality. (umassmed.edu)
  • Significant trauma is not the only cause of subdural hematoma. (medscape.com)
  • Acute subdural hematoma is usually caused by external trauma that creates tension in the wall of a bridging vein as it passes between the arachnoid and dural layers of the brain's lining-i.e., the subdural space. (wikipedia.org)
  • Trauma is the primary cause of mortality and morbidity in the pediatric population. (netce.com)
  • This course will focus on the patterns of childhood trauma and measures to reduce the mortality and morbidity of these devastating injuries. (netce.com)
  • Trauma-induced Acute Epidural Hematoma: The Rising Sun in a Progressively Lethargic Man. (medscape.com)
  • Serum WNV IgM can provide evidence for recent WNV infection, but in the absence of other findings does not establish the diagnosis of neuroinvasive disease (meningitis, encephalitis, acute flaccid paralysis). (basicmedicalkey.com)
  • Serum serology alone is of no value in diagnosis of HSV encephalitis due to the high seroprevalence rate in the general population. (basicmedicalkey.com)
  • Multiple markedly elevated inflammatory markers (WBC, ESR, CRP, and procalcitonin) and MRI evidence of an epidural empyema necessitates emergent surgical intervention to limit morbidity, neurological sequelae, and mortality. (surgicalneurologyint.com)
  • Here, we present a patient with an acute cauda equina syndrome due to an MR-documented L4- L5 SEE/SEA following a spinal epidural spinal injection (ESI). (surgicalneurologyint.com)
  • There's a very high mortality rate with that score. (stanford.edu)
  • Fatality rates per 1 million players were calculated using National Federation of State High School Associations and National Collegiate Athletic Association participation statistics as the denominators. (cdc.gov)
  • Its major drawback, however, are high mortality and high variability of results. (openaccessjournals.com)
  • High mortality rates during the acute stage of the experiment were, thus, reported. (openaccessjournals.com)
  • High mortality rates, in turn, make reliable conclusions difficult, in particular if a study focuses on mechanisms of secondary brain damage and neuroprotection (Lee et al, 2009). (openaccessjournals.com)
  • Surveillance examples from the literature There are many examples of public well being surveillance methods in the literature and their use to establish public health interventions: the District of Columbia Department of Health Environmental Public Health Tracking Network used climate change and well being knowledge to evaluate vulnerabilities and illness burden related to heat, air high quality, and hospitalizations for asthma and acute myocardial infarction. (ehd.org)
  • The sensitivity, specificity, and accuracy are 79-83%, 67-83%, and 64-82%, respectively 3 - not enough to rely on when the mortality rate is so high in this population. (sjrhem.ca)
  • Hypernatremia reported 48 h post-admission was associated with a high 30-day mortality rate [odds ratio (OR) 3.55, p = 0.0095]. (annalsofafricansurgery.com)
  • Subdural hematoma may also be spontaneous or caused by a procedure, such as a lumbar puncture (see Etiology). (medscape.com)
  • 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)
  • Superficial lesions develop higher rate and scarring. (ankurdrugs.com)
  • 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)
  • Svoboda N, Tyll T, Beneš V, Netuka D. Epidural hematoma - benign or potentially malignant disease? (medscape.com)
  • Local invasion and is a swollen up their consent form intense relationships and an acute infarction. (ankurdrugs.com)
  • Infants, too, have larger subdural spaces and are more predisposed to subdural bleeds than are young adults. (wikipedia.org)
  • 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)
  • 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)
  • 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)
  • Macchio-Young had a subdural hematoma , a pool of blood outside the brain. (stanford.edu)
  • A subdural hematoma (SDH) is a clot of blood that develops between the surface of the brain and the dura mater, the brain's outer covering, usually caused by stretching and tearing of the veins on the surface. (hyderabadneurosurgeon.co.in)
  • Brain parenchyma is typically affected in acute bacterial meningitis. (msdmanuals.com)
  • Morbidity was not statistically correlated with use of either AP or AC ( p =0.795 and p =0.557, respectively), and there was no significant correlation with mortality for use of these medications ( p =0.470 and p =1.000). (jkns.or.kr)
  • No significant difference in 6-month mortality was noted between the groups (p= 0.814). (biomedcentral.com)