• Chronic subdural hematoma (CSDH) patients using antithrombotic agents (AT) at high risk for cardiovascular disease are increasing. (jkns.or.kr)
  • Chronic subdural hematoma (CSDH) occurs frequently in the elderly and is thought to be related to trauma and to use of drugs such as antiplatelet agents (AP) or anticoagulants (AC) [ 8 , 20 ]. (jkns.or.kr)
  • Chronic subdural hematoma (CSDH) commonly affects older individuals and is associated with a relatively high rate of recurrence after surgery. (surgicalneurologyint.com)
  • A 10-point grading scale for CSDH recurrence was developed with four components: preoperative midline shift (≤1 and >1 cm), laterality (bilateral, unilateral-right, and unilateral-left), size of postoperative subdural space (≤1.6 and >1.6 cm), and pneumocephalus (present or absent). (surgicalneurologyint.com)
  • The topic of chronic subdural hematoma (CSDH) and its recurrence has recently gained much attention. (surgicalneurologyint.com)
  • 28 ] The current pathophysiological understanding is that the subdural blood accumulation develops into a CSDH because of direct or indirect trauma to the cranium that causes the parasagittal bridging veins to tear. (surgicalneurologyint.com)
  • When septations are clearly visible within a CSDH, craniotomy might be more suitable as a primary procedure as it allows greater access to a septated subdural collection. (neurosurgery.directory)
  • NeoCast's promising characteristics are expected to have utility across additional neurovascular applications where deep vessel penetration is desired, including the treatment of chronic subdural hematoma (cSDH) and hypervascular spinal tumors. (myhealthyself.com)
  • Introduction Chronic subdural haematoma (cSDH) tends to occur in older patients, often with significant comorbidity. (bmj.com)
  • The initiation of chronic subdural hematoma (cSDH) is traditionally explained by rupture of bridging veins. (surgicalneurologyint.com)
  • In common cSDH, pressure in the DVP may be normal and subdural bleeding may occur due to mechanical traction on the DVP. (surgicalneurologyint.com)
  • The DVP, supplied by meningeal arteries, thus not only allows for convergent pathophysiological explanation of subdural bleeding in both cSDH and dAVF but may also be the actual target of the emergent endovascular treatment of cSDH trough meningeal artery embolization. (surgicalneurologyint.com)
  • This concept has been challenged by recent advances in the understanding of meningeal microanatomy, as well as the efficacy of meningeal arterial embolization in the treatment of chronic subdural hematoma (cSDH). (surgicalneurologyint.com)
  • The purpose of this study was to clarify the criteria for initial treatment of chronic subdural hematoma (CSDH) by com-paring the backgrounds and post-treatment courses of patients who underwent drainage or middle meningeal artery (MMA) emboliza-tion for CSDH. (go.jp)
  • There was no significant difference in median pre-operative MGS score (1 vs 1) or mean maximum hematoma diameter (18 vs 19 mm) in the 17 patients who showed resolution of CSDH by MMA embolization alone or in the 4 patients who required additional drain-age. (go.jp)
  • The on-going clinical trial for NeoCast is focused on preoperative embolization of hypervascular brain tumors, such as meningiomas. (myhealthyself.com)
  • Preoperative embolization occludes blood flow to the tumor bed and can result in reduced blood loss during surgery. (myhealthyself.com)
  • Combined transarterial and percutaneous preoperative embolization of transosseous meningioma. (nih.gov)
  • There was no significant difference between the drainage and embolization groups in terms of age (78 vs 76 years), gender, lateral-ity of lesion, maximum diameter of hematoma (21 vs 19 mm), pretreatment Markwalder grading system (MGS) score (1 vs 1), or length of hospital stay (5 vs 17 days) between the groups. (go.jp)
  • This includes the establishment of a new rat model of chronic intracranial venous hypertension and its effects on CBF and behaviour (together with the Institute for neurosurgical pathophysiology, University of Mainz), as well as intraoperative assessment of CBF-regulation during resection of cerebral arteriovenous malformations and in temporomesial epilepsy. (unige.ch)
  • 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)
  • Methods: A series of consecutive patients admitted during a 12-year period through our oncall pathway for subdural/extradural collections or intraparenchymal lesions found, on histologic analysis, to represent intracranial prostate cancer metastases was retrospectively reviewed. (uniba.it)
  • How often do chronic extra-cerebral haematomas occur in patients with intracranial arachnoid cysts? (uib.no)
  • Preoperative midline shift, postoperative midline shift, and size of postoperative subdural space differed between the recurrence and nonrecurrence groups ( P = 0.03, 0.002, and 0.002, respectively). (surgicalneurologyint.com)
  • Intracystic pressure in patients with temporal arachnoid cysts: a prospective study of preoperative complaints and postoperative outcome. (uib.no)
  • Beside the challenges of the preoperative differential diagnostic and complexity of surgical planning and operative excision, subdural metastases seem to carry a much poorer prognosis. (uniba.it)
  • Such findings may include the thickness or volume of the hematoma, the degree of midline shift, the presence of associated traumatic intradural lesions, and the compression of the brainstem or basal cisterns. (medscape.com)
  • Abstract Background: Pulmonary hypertension (PH) is a significant preoperative risk factor. (researchsquare.com)
  • CEH is characterized by its persistence and increasing size over a period of more than a month after the initial hemorrhage, whereas most hematomas in skeletal muscle may arise with or without any identifiable trauma and gradually expand over days to weeks, followed by a decrease in size or disappearance within a few months. (biomedcentral.com)
  • In the cases of intracystic hemorrhage and hematoma, the individual may have symptoms of increased pressure within the cranium and signs of compression of nearby nerve (neural) tissue. (wikipedia.org)
  • Effectiveness of Preoperative Extra-Ventricular Drainage in Poor Grade Aneurysmal Subarachnoid Hemorrhage. (the-jcen.org)
  • 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)
  • Metastases could be classified as pure subdural space lesions, dural-based lesions, extradural/bony lesions, and pure intraparenchymal lesions. (uniba.it)
  • Presentation varies widely in acute subdural hematoma (see Clinical). (medscape.com)
  • Chronic expanding hematoma is a rare persistent hematoma that can sometimes be misdiagnosed as a malignant tumor due to its clinical and radiological features. (biomedcentral.com)
  • Spinal hematoma has been described as a clinical entity since 1850 by Tellegen and in autopsy studies as early as 1682. (ruralneuropractice.com)
  • Interception of chronic medication discrepancies by the clinical pharmacist in the emergency department. (github.io)
  • Outcome after drainage of a chronic SDH has also been found to correlate with preoperative neurologic status. (medscape.com)
  • Univariate and multivariate analyses were performed searching for risk factors of increased post-operative haematoma volume and haematoma recurrence requiring repeat drainage. (neurosurgery.directory)
  • Conclusion: Septations within CSDHs are associated with larger post-operative residual haematoma collections 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)
  • Additionally, generally, a poor preoperative neurologic status may be a harbinger of a poor outcome. (medscape.com)
  • only subdural localizations had a remarkably unfavorable outcome. (uniba.it)
  • The spinal hematomas can be classified based on the anatomical location as follows: Epidural, subdural, subarachnoid, and intramedullary (spinal cord) hematomas. (caserepclinradiol.org)
  • As these findings were considered suggestive of hematoma associated with a malignant lesion, an open biopsy was performed. (biomedcentral.com)
  • Significantly increased standardized uptake value in the peripheral rim of the lesion on 2-[ 18 F]fluoro-2 deoxy-D glucose positron emission tomography imaging, mimicking a soft tissue sarcoma, should be recognized as a potential diagnostic pitfall in cases of chronic expanding hematoma. (biomedcentral.com)
  • The lesion exhibited significantly increased FDG uptake on FDG-PET, mimicking the characteristics of a soft tissue sarcoma accompanied by hematoma. (biomedcentral.com)
  • Subdural hematoma may also be spontaneous or caused by a procedure, such as a lumbar puncture (see Etiology). (medscape.com)
  • Shanmuga Jayanthan S, Rupesh G, Vimalan P, Nadanasadharam K. Two rare cases of idiopathic spontaneous extra-axial spinal hematoma. (caserepclinradiol.org)
  • Herein, we report two cases of rare idiopathic spontaneous extra-axial hematoma highlighting the role of MRI in the diagnosis. (caserepclinradiol.org)
  • [ 1 ] Among these subtypes, spontaneous epidural and subdural spinal hematoma are rare and differentiating them is a diagnostic challenge. (caserepclinradiol.org)
  • This case highlights the problem of drug interaction on warfarin therapy and also an unusual spontaneous recovery of spinal hematoma. (ruralneuropractice.com)
  • The incidence of spontaneous spinal epidural hematoma is about one in one million individuals per year with a male preponderance of 3:1, occurring most commonly between the ages of 42 to 52 years. (ruralneuropractice.com)
  • He also performs spinal cord stimulation and microvascular decompression for chronic pain syndromes and trigeminal neuralgia. (superdoctors.com)
  • Chronic subdural hematoma can occur in the elderly after apparently insignificant head trauma. (medscape.com)
  • In one study, 82% of comatose patients with acute subdural hematomas had parenchymal contusions. (medscape.com)
  • 1 ] Most spinal hematomas are located dorsally to the spinal cord in the cervicothoracic and thoracolumbar regions. (ruralneuropractice.com)
  • However, scalp hematomas or skull fractures are usually good indicators of a significant direct force to a focal region. (medscape.com)
  • See also Subdural Hematoma , Emergent Management of Subdural Hematoma , Imaging in Subdural Hematoma , Closed Head Trauma , Head Injury , and Forensic Autopsy of Blunt Force Trauma . (medscape.com)
  • 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)
  • A subdural hematoma (SDH) is a common neurosurgical disorder that often requires surgical intervention. (medscape.com)
  • In 1883, Hulke first described successful neurosurgical treatment of chronic SDH. (medscape.com)
  • Therefore, we resected the tumor including both components, and the histological diagnosis was chronic expanding hematoma. (biomedcentral.com)
  • 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)
  • All patients with subdural metastases and 3 out of 5 patients with dural-based lesions required an emergency intervention due to rapidly deteriorating neurologic status. (uniba.it)
  • Conclusions: Supported by our experience and the review of the literature, we suggest that a low threshold for contrast-enhanced computed tomography/magnetic resonance imaging is advisable in case of suspicious subdural collection, even in an emergency setting, for patients with previous medical history of prostate cancer. (uniba.it)
  • Forty-five patients who had undergone the surgery for chronic subdural hematoma were included in this study. (go.jp)
  • 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)
  • In 1840, the French author Balzac described a case of chronic SDH, including its traumatic origin and surgical treatment. (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)
  • A minority of chronic subdural hematoma cases derived from acute subdural hematomas that have matured (ie, liquefied) because of lack of treatment. (medscape.com)
  • Medical conditions also complicate subsequent medical management, such as anticoagulation therapies, medical devices that are not compatible with magnetic resonance imaging (MRI), or underlying chronic obstructive pulmonary disease (COPD) in the management of rib fractures. (reliasmedia.com)
  • No etiological factor can be identified in about one-third of cases of spinal hematomas. (ruralneuropractice.com)
  • Generally, acute subdural hematomas are less than 72 hours old and are hyperdense compared with the brain on computed tomography scans. (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)
  • Significant trauma is not the only cause of subdural hematoma. (medscape.com)
  • Spinal hematoma is a rare condition but can cause significant spinal injury and resultant morbidity. (caserepclinradiol.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)
  • a normochromic, normocytic symptom paint a picture chronic disease, merely blood disorder maycomplicate umteen of the illnesss that crusade acuate renalfailure, owed to a alignment of haemolysis, haemorrhageand insufficient glycoprotein production. (pmv.org.au)
  • To clarify the mechanism of chronic subdural hema-toma, the hematomas taken intraoperatively were mixed with the fresh patient's blood and observed the clot formation. (go.jp)
  • The patient's venous blood was added immediately after the hematomas were taken. (go.jp)
  • However, it is suggested that in-creased coagulation activity in the hematoma mixed with the fresh blood by more than certain amount may be involved in the mechanisms of the recur-rence in chronic subdural hematoma. (go.jp)
  • If a blood vessel bleeds on the outside of a cyst, a collection of blood (hematoma) may result. (wikipedia.org)
  • A longitudinal study of the efficacy of interferon therapy in children with chronic hepatitis B. (medscicaserep.com)
  • On the other hand, just only hematomas were examined in this study, and fibrinolytic activity alleged to have in the hematoma membrane was not taken into consideration. (go.jp)
  • We describe a case of chronic SDH due to dAVF, integrating these recent concepts. (surgicalneurologyint.com)
  • We present a case of a 42-year-old male, an old case of deep vein thrombosis on warfarin and other drugs like quetiapine, aspirin, diclofenac sodium, fenofibrate, atorvastatin, propanolol and citalopram for concurrent illnesses, who presented with widespread mucocutaneous bleeding and epidural spinal hematoma. (ruralneuropractice.com)
  • 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)
  • As the name implies, the subdural space is under the dura but above the pia-arachnoid that is intimately associated with the cortical surface. (medscape.com)
  • Those metastases can be further classified according to their extension toward the subdural or extradural space and can frequently simulate other pathologic conditions including chronic subdural hematomas, abscess, and primary bone tumors. (uniba.it)
  • Chronic subdural hematomas develop over the course of weeks and are hypodense compared with the brain. (medscape.com)