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HematomaHematoma, Epidural, CranialHematoma, SubduralHematoma, Subdural, ChronicHematoma, Subdural, AcuteHematoma, Epidural, SpinalHematoma, Subdural, IntracranialSciatic NerveHematoma, Subdural, SpinalPeripheral NervesOptic NerveNerve FibersCerebral HemorrhageTrephiningNerve RegenerationNerve BlockTomography, X-Ray ComputedNerve EndingsCraniotomySural NerveMedian NerveFacial NerveNerve CrushPeripheral Nerve InjuriesTibial NerveUlnar NerveFemoral NerveSpinal NervesSubdural SpaceNerve Compression SyndromesNerve Growth FactorTrigeminal NerveNerve Growth FactorsSkull FracturesPhrenic NerveRadial NerveCranial NervesSpinal Nerve RootsCerebral Hemorrhage, TraumaticDura MaterOphthalmic NerveNerve TissueMandibular NerveCraniocerebral TraumaNeurosurgical ProceduresBasal Ganglia HemorrhageGlasgow Coma ScaleMagnetic Resonance ImagingCochlear NerveSplanchnic NervesRectus AbdominisGlossopharyngeal NerveHead Injuries, ClosedIntracranial HemorrhagesSubdural EffusionNeural ConductionOptic Nerve InjuriesCranial Fossa, PosteriorOptic Nerve DiseasesThoracic NervesNerve Fibers, MyelinatedLaminectomyAccessory NerveTreatment OutcomeRemission, SpontaneousFacial Nerve InjuriesAbducens NerveOculomotor NerveDrainageSympathetic Nervous SystemDecompression, SurgicalCranial Nerve NeoplasmsFacial Nerve DiseasesLigamentum FlavumAxonsRecurrent Laryngeal NerveElectric StimulationLingual NerveRetroperitoneal SpaceIntracranial Hemorrhage, HypertensiveOlfactory NervePostoperative ComplicationsOculomotor Nerve DiseasesSuctionEsophageal DiseasesCerebral AngiographyHypoglossal NerveArachnoid CystsRetrospective StudiesNerve DegenerationAnticoagulantsWounds, NonpenetratingBrain Hemorrhage, TraumaticAbducens Nerve DiseasesMaxillary NerveArachnoidOrbital DiseasesNerve Sheath NeoplasmsFatal OutcomePeripheral Nervous System Diseases
Subarachnoid hemorrhageIntracranialSubdural or epidural hematomaAnesthesiaSpontaneousTraumaticMiddle meningExtradural hematomaTraumaSkullCervicalBilateralTemporalSuturesNeurologicalThoracicVenousOccipitalPalsyPeripheral nerveVaultPatient'sHydrocephalusDecompressionPalsiesInnervationThird craniArteriesOccursFatalCerebralPostoperativeTentoriumPatientOpticScanBrainBrainstemSpinePersistentAccumulationDemyelinationMagneticFibersFacial nerveMusclesPatientsDiagnosisBloodEdema
Subarachnoid hemorrhage2
Intracranial6
  • Bilateral traumatic abducens nerve palsy without skull fracture or intracranial hematoma-a report of 3 cases and consideration of the mechanism of injury (author's transl). (csnn.eu)
  • Clivuskanten syndrome is the main symptom of brain damage caused by a rapidly increasing intracranial increase in pressure caused by subdural hematomas. (topbbacolleges.com)
  • basal skull fracture, brain contusion, intracranial hematoma, subdural or epidural hematoma, an injury of the cranial nerve, carotid cavernous fistula, pneumocephalus emphysema and rhinorrhea, concussion of the brain and so on. (bacmedicaltourism.com)
  • Surgery is often needed in patients with more severe injury to place monitors to track and treat intracranial pressure elevation, decompress the brain if intracranial pressure is increased, or remove intracranial hematomas. (msdmanuals.com)
  • After written consent, Cranial Computed Tomography (CT) was performed to exclude the intracranial pathology and revealed large intracranial extra-axial air collection extending to the vertex with no evidence of other intra-axial pathology. (peertechzpublications.org)
  • Intracranial pressure monitoring is not economically feasible in Ethiopia but we are developing research protocols to look at optic nerve sheath diameter by serial ultrasound in the near future. (ethiopianeurosurgery.com)
Subdural or epidural hematoma1
  • A spinal subdural or epidural hematoma may result from back trauma, anticoagulation or thrombolytic therapy, or, in patients with bleeding diathesis, lumbar puncture [ 1 ]. (sch.ac.kr)
Anesthesia9
  • citation needed] The facial nerve is a mixed nerve (i.e. containing both sensory and motor nerve fibres) and therefore compression can create sensory (e.g. anesthesia - numbness, or paresthesia - tingling) and motor deficits. (wikipedia.org)
  • The most common cause of epidural hematoma is traumatic, although spontaneous hemorrhage is known to occur or as a rare complication of anesthesia (such as epidural anesthesia) or surgery (such as laminectomy). (sch.ac.kr)
  • Because of the technical challenges of readily identifying the epidural space and the toxicity associated with the large doses of local anesthetics needed for epidural anesthesia, spinal anesthesia was the dominant form of neuraxial anesthesia well into the 20th century. (medscape.com)
  • Alternatively, spinal and epidural anesthesia can be used jointly, taking advantage of the qualities of both techniques: the rapid, dense sensorimotor blockade of a spinal anesthetic and the opportunity to redose the patient with an epidural catheter anesthetic. (medscape.com)
  • As opposed to epidural anesthesia, in which medications are instilled outside the dura mater, the goal of spinal anesthesia is to instill the desired medications into the cerebrospinal fluid (CSF). (medscape.com)
  • Although the focus of this topic is subarachnoid block, comparison with epidural anesthesia may be informative. (medscape.com)
  • See the table below for a comparison of subarachnoid and epidural anesthesia. (medscape.com)
  • The patient elected to terminate the pregnancy under adequate preoperative preparation, rigorous intraoperative monitoring, and perfect epidural anesthesia. (bvsalud.org)
  • CONCLUSION: Our experience in this case suggests that successful outcomes are possible in pregnant patients with ES for termination of pregnancy under epidural anesthesia and intensive monitoring. (bvsalud.org)
Spontaneous6
Traumatic6
  • Epidural hematoma (EDH) is a traumatic accumulation of blood between the inner table of the skull and the stripped-off dural membrane. (medscape.com)
  • In a study of 41 patients with epidural hematoma at a level I trauma center, patient age, severity of traumatic brain injury, and neurologic status were the main factors influencing outcome. (medscape.com)
  • Clival epidural hematoma in traumatic sixth cranial nerve palsies combined with cervical injuries. (csnn.eu)
  • Bilateral traumatic abducens nerve paralysis with cervical spine flexion injury. (csnn.eu)
  • Delayed unilateral abducens nerve palsy fol-low--ing contralateral post-traumatic epidural hematoma. (csnn.eu)
  • Sequelae of traumatic brain injury (sTBI) is a group of long-standing motor nerve dysfunctions and imbalance of the autonomic nervous system function or mental symptoms which are caused by nervous necrosis, loss or/and disorder after convalescence. (bacmedicaltourism.com)
Middle mening3
  • Epidural hematoma is most often caused by rupture of the middle meningeal artery secondary to head trauma with fracture of the temporal bone. (medscape.com)
  • Approximately 70-80% of epidural hematomas (EDHs) are located in the temporoparietal region, where skull fractures cross the path of the middle meningeal artery or its dural branches. (medscape.com)
  • 8. Which hematoma occurs along the temporal cranial wall and results from tears in the middle meningeal artery? (testbankltd.com)
Extradural hematoma1
  • In cases of rare bilateral extradural hematoma (0.5-10%), higher mortality has been reported. (medscape.com)
Trauma5
  • Use of forceps during the delivery can cause trauma to facial nerve. (wikipedia.org)
  • We suspected mostly hematoma because the patient's symptom developed suddenly without any history of trauma, bleeding diathesis but she was on warfarin. (sch.ac.kr)
  • The causes are subdural hematomas after cerebral haemorrhage or head trauma. (topbbacolleges.com)
  • The causes for this are various cranial trauma or cerebral hemorrhages of all kinds, which can occur, for example, in tumors. (topbbacolleges.com)
  • The resident at these levels spends 24 months of clinical neurosurgery on the cranial, spine/trauma, and/or pediatric neurosurgery service depending on the rotation schedule which are in four (6) month blocks. (umc.edu)
Skull2
  • Association of hematoma and skull fracture is less common in young children because of calvarial plasticity. (medscape.com)
  • Usually, venous epidural hematoma forms only with a depressed skull fracture, which strips the dura from the bone and thus creates a space for blood to accumulate. (medscape.com)
Cervical1
  • A 20-year-old female with HCS and progressive symptomatic BI, initially managed with posterior fossa decompression and occipital to cervical fusion, subsequently required cranial vault expansion due to symptomatic shifting of her cranium secondary to POCS. (thejns.org)
Bilateral4
Temporal2
Sutures2
  • Cranial vault suspension for basilar invagination in patients with open cranial sutures: technique and long-term follow-up. (thejns.org)
  • Hajdu-Cheney syndrome (HCS) is an extremely rare genetic disorder characterized by severe osteoporosis, scoliosis, and persistent open cranial sutures (POCSs). (thejns.org)
Neurological3
  • With brainstem involvement, neurological examination of the cranial nerves will define the exact location and extension of the lesion. (vin.com)
  • Our Doctors are board-certified neurological surgeons with extensive training in all aspects of diagnosis and treatment for the spine, brain, peripheral nerve and chronic pain ailments. (emoryhealthcare.org)
  • Using this cranial vault suspension and fusion technique results in lasting neurological improvement and construct stability. (thejns.org)
Thoracic1
Venous3
  • Epidural hematomas are usually arterial in origin but result from venous bleeding in one third of patients. (medscape.com)
  • Occasionally, torn venous sinuses cause an epidural hematoma, particularly in the parietal-occipital region or the posterior fossa. (medscape.com)
  • This is frequently associated with venous bleeding, so this type of hematoma and the signs of an There are some things you can do at home to help your foraminal stenosis as well. (biobans.com)
Occipital1
  • Frontal and occipital epidural hematomas each constitute about 10%, with the latter occasionally extending above and below the tentorium. (medscape.com)
Palsy3
  • Reason for the facial nerve compression is not known that's why also known as idiopathic Bell's palsy. (wikipedia.org)
  • Edema and inflammation caused by this condition affect the facial (fallopian) canal and causes compression of facial nerve Abscess and tumours of parotid gland can cause compression of motor part of the facial nerve resulting in facial palsy. (wikipedia.org)
  • Uncal herniation may cause palsy of the ipsilateral third nerve. (medlink.com)
Peripheral nerve3
  • Pressure and compression of any cause on a peripheral nerve can cause nerve impulse block. (wikipedia.org)
  • He/she performs minor surgical procedures such as peripheral nerve decompressions, burr holes, ventricular punctures, and simple biopsies. (umc.edu)
  • A decreased nerve conduction velocity (NCV) is a clinical hallmark of peripheral nerve demyelination, and albumin-cytological dissociation can assist in making the diagnosis. (thenerve.net)
Vault1
  • Herein, the authors present a case of BI repair in a patient with HCS and POCSs, requiring a novel technique of cranial vault suspension, with long-term follow-up. (thejns.org)
Patient's1
  • The surgical care for these types of injuries can include open brain surgery (craniotomy) to remove bone fragments or blood clots, or simply placing a thin fiber monitor in the brain in order to measure the patient's intra-cranial pressure. (emoryhealthcare.org)
Hydrocephalus1
  • It is a specific requirement by the end of the PGY 4 year, that the resident is able to recognize, manage and resolve absolute neurosurgical emergencies, such as epidural/subdural hematomas, ICH, acute hydrocephalus, or perform spinal decompression for cauda equina, all with minimal supervision. (umc.edu)
Decompression3
  • Facial nerve decompression is a type of nerve decompression surgery where abnormal compression on the facial nerve is relieved. (wikipedia.org)
  • Early surgical intervention tends to be carried out because after three to four months, fibrosis (replacement with fibrous tissue) occurs in a significant portion of nerve fibers, and after that decompression is not of much value. (wikipedia.org)
  • Combining the minimally invasive surgery with biportal endoscopic approach for lumbar interbody fusion further decreases the collateral damage from the surgical access and helps with direct view of the pathological site anatomical structures and making it easier for the decompression of nerve roots and removing adhesions with ease [ 15 ]. (jmisst.org)
Palsies1
Innervation1
  • The blood supply of the tongue originates from the external carotid artery, and the innervation is through cranial nerves. (lecturio.com)
Third crani1
Arteries2
  • Epidural bleeds from arteries usually grow to their largest size in six to eight hours. (drmirkin.com)
  • This approach is used when a tumor is very large or near the optic nerves or vital arteries. (medicalcodingbuff.com)
Occurs3
  • It can also be divided based on the compartment into which the hemorrhage occurs, namely: (1) intramedullary (including hematomyelia), (2) subarachnoid (SAH), (3) subdural (SDH), and/or (4) epidural (EDH). (medscape.com)
  • The first symptom is an ipsilateral pupil dilation, which occurs due to the stretching and irritation of the affected nerve in the so-called tentorium slit. (topbbacolleges.com)
  • An epidural hematoma means that bleeding occurs outside the brain and its covering. (drmirkin.com)
Fatal1
  • Around 15% to 20% of epidural hematomas are fatal [ 2 ]. (sch.ac.kr)
Cerebral1
Postoperative2
  • Prolonged postoperative analgesia is best ensured by insertion of an epidural catheter, using an opioid and local anesthetic combination infused continuously over the first few postoperative days. (medscape.com)
  • For examination ple, should the delivery require forceps or vacuum extraction or be by caesarean part, epidural anaesthesia avoids potential adverse biochem ical effects related to a common anaesthetic, and might present postoperative ache reduction. (dnahelix.com)
Tentorium1
Patient6
  • In elderly patient because regeneration of nerve is slow in old age. (wikipedia.org)
  • After the reversal of anticoagulation with vitamin K injection, the patient underwent emergent hematoma removal surgery and recovered completely. (sch.ac.kr)
  • The patient worsened in the hospital requiring craniotomy for evacuation of an evolving subdural hematoma (SDH). (turkishneurosurgery.org.tr)
  • Since bleeding outside the brain is usually from a broken artery at high pressure, epidural bleeding often kills the patient. (drmirkin.com)
  • Volume of hematoma, and patient progression in the different studies. (medintensiva.org)
  • 9. Which cranial nerve is affected in a patient with a cerebrovascular accident who has difficulty chewing? (testbankltd.com)
Optic2
Scan1
Brain5
  • That is, the nerve is no longer able to send electrochemical impulses, and hence does not send signals to the brain or from the brain to muscles. (wikipedia.org)
  • Brain magnetic resonance (MR) imaging showed features typical of SIH and identified an epidural collection stretching from spinal levels C6 to T4, but further imaging with MR myelography and radionuclide cisternography failed to identify a precise site of leak. (turkishneurosurgery.org.tr)
  • This can be triggered, for example, by brain tumors or epidural hematomas. (topbbacolleges.com)
  • In this way, the brain stem is pressed downwards against the cranial bones, so that the so-called oculomotor nerve is also pressed holistically against the bone structure of the clivus edge. (topbbacolleges.com)
  • Natasha Richardson was a British stage and screen actress who died at the young age of 45 from an epidural brain hemorrhage caused by a skiing accident. (drmirkin.com)
Brainstem1
  • In Clivuskanten syndrome, the brainstem is crushed due to increased pressure in the cranial cavity. (topbbacolleges.com)
Spine1
  • The resident at these levels will rotate for 24 months, as chief / senior resident on cranial and spine service. (umc.edu)
Persistent1
  • Above pathological changes are the source of the neural cell apoptosis and necrosis and the loss of the nerve cells are basic of persistent disability. (bacmedicaltourism.com)
Accumulation1
  • Early edema around the hematoma results from the release and accumulation of osmotically active serum proteins from the clot. (vin.com)
Demyelination1
  • There may also be demyelination (loss of the nerve's myelin sheath) and degeneration of the nerve in the affected area but it does not effect axons beyond this site. (wikipedia.org)
Magnetic1
Fibers1
Facial nerve7
Muscles1
  • This nerve has numerous external eye muscles, which, depending on the extent of the damage, can be impaired in their function in complex ways. (topbbacolleges.com)
Patients2
  • Our case suggests epidural hematoma should be considered in sudden hemiplegia patients with anticoagulation therapy. (sch.ac.kr)
  • POCSs in patients with BI complicate traditional surgical approaches, necessitating more invasive techniques to secure all mobile cranial parts for optimal outcomes. (thejns.org)
Diagnosis2
  • Radiologic evaluation is an essential component for the diagnosis of spinal hematomas, which is often a diagnostic dilemma. (caserepclinradiol.org)
  • Understanding the imaging anatomy of spinal compartments and imaging characteristics of different stages of spinal compartments is essential for the confident imaging diagnosis of spinal hematomas and to identify the correct location. (caserepclinradiol.org)
Blood2
  • Epidural blood patch was performed at the T1-2 level, the presumed location of the leak due to presence of a bone spur on computed tomography and the large corresponding CSF collection. (turkishneurosurgery.org.tr)
  • Presence of an expanding hematoma Hematoma A collection of blood outside the blood vessels. (lecturio.com)
Edema2
  • The presence of a hematoma initiates edema and neuronal damage in surrounding parenchyma. (vin.com)
  • Fluid begins to collect immediately in the region around the hematoma, and edema usually persists for up to 5 days, and in some cases as much as 2 weeks. (vin.com)