15 results on '"Subdural Hematomas"'
Search Results
2. Pathogenic variant in NFIA associated with subdural hematomas mimicking nonaccidental trauma.
- Author
-
Wongkittichote, Parith, Kondis, Jamie S., Peglar, Lindsay M., Strahle, Jennifer M., Miller‐Thomas, Michelle, and Abell, Katherine B.
- Abstract
Subdural hematoma (SDH) in infants raises the concern for nonaccidental trauma (NAT), especially when presenting with associated injuries. However, isolated SDH could be caused by multiple etiologies. NFIA (MIM# 600727) encodes nuclear factor I A protein (NFI‐A), a transcription factor which plays important roles in gliogenesis. Loss‐of‐function variants in NFIA are associated with autosomal dominant brain malformations with or without urinary tract defects (MIM# 613735). Intracranial hemorrhage of various types besides SDH has been reported in patients with this condition. Here, we report a patient with a heterozygous novel NFIA pathogenic variant affecting splicing who initially presented with SDH concerning for NAT. We also review previous NFIA‐related disorder cases with intracranial hemorrhage. This report emphasizes the importance of genetic evaluation in infants presenting with isolated SDH. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
3. Assessment of Treatment Outcomes for Traumatic Intracranial Hematomas During Early Traumatic Brain Injury
- Author
-
Khazratkulov, R.B. and Khazratkulov, R.B.
- Abstract
The main objective of this research study was to examine the treatment outcomes of traumatic intracranial hematomas through the application of algorithms for complex diagnosis and differentiated tactics for treating various types of traumatic hematomas. Between 2014 and 2019, a total of 635 patients with traumatic intracranial hematomas were evaluated and treated at the Republican Specialized Scientific and Practical Medical Center of Neurosurgery. In addressing indications for surgical or conservative treatment, a unique approach was adopted based on the principles of urgency, complexity, and interconnection at all stages of treatment in the hospital. The results of the treatment of traumatic intracranial hematomas, both surgical and conservative, significantly varied not only in different periods and phases of the course of traumatic brain injury but also depending on the patient's age, type, location, and prevalence of the hematoma. The application of algorithms for complex diagnosis and differentiated treatment was found to be beneficial.
- Published
- 2023
4. Implementation of irrigating drainage systems after burr hole evacuation of bilateral subdural hematomas leads to reduction in postoperative pneumocephalus and improved brain re-expansion – A case report
- Author
-
Alvin Y. Chan, Jordan Davies, Diem Kieu Tran, Alexander S Himstead, Sumeet Vadera, and Jefferson W. Chen
- Subjects
medicine.medical_specialty ,medicine.diagnostic_test ,business.industry ,medicine.medical_treatment ,Neuroscience (miscellaneous) ,Physical examination ,Emergency department ,medicine.disease ,Subdural Hematomas ,Surgery ,Lethargy ,Hematoma ,Pneumocephalus ,Neurology ,medicine ,Neurology (clinical) ,Drainage ,business ,Reduction (orthopedic surgery) - Abstract
Background and importance Chronic subdural hematoma (cSDH) is a common neurosurgical pathology with a projected increase in prevalence as the elderly population grows. We describe a novel implementation of the IRRAflow irrigating drainage system after burr hole evacuation of bilateral acute-on-chronic subdural hematomas that demonstrates the benefits of this system for common post-operative challenges of these surgeries. Clinical presentation An 83-year-old male presented to the emergency department with 3 weeks of progressive weakness, lethargy, and confusion following an unwitnessed fall. Physical examination was notable for pupillary asymmetry and altered mental status. Computed tomography (CT) of the head showed bilateral acute-on-chronic subdural hematomas. The patient underwent bilateral burr hole evacuation and placement of IRRAflow irrigating drains. Postoperative head CT demonstrated poor brain re-expansion with significant bilateral pneumocephalus. Marked improvement in brain re-expansion occurred with continuous irrigation and drainage, and the patient was discharged on postoperative day (POD) 3 with return to neurological baseline. He followed up on POD13 in stable condition. Conclusion This report described a patient with bilateral subdural hematomas who underwent evacuation and bilateral IRRAflow dual-lumen catheter placement. Significant postoperative pneumocephalus improved rapidly with continuous irrigation and drainage, leading to improved brain re-expansion, hematoma resolution, and excellent neurological recovery.
- Published
- 2022
5. Recurrence of Post-dural Puncture Headache After a Successful Blood Patch.
- Author
-
Barbosa J, Valentim M, Almeida M, Carneiro S, and Vasconcelos L
- Abstract
The obstetric population is at a higher risk of experiencing post-dural puncture headache (PDPH), which is a frequent complication that can occur following spinal anesthesia or unintended dural puncture during epidural catheter placement. If conservative treatment fails to resolve symptoms, the epidural blood patch (EBP) is the definitive treatment for PDPH. We present the case of a 35-year-old nulliparous woman who developed PDPH and underwent treatment with an EBP. There was immediate resolution of symptoms and she was discharged home. However, three days later, the symptoms recurred, and subdural hygromas were found on a cerebral CT scan. This case report emphasizes the importance of a multidisciplinary approach involving anesthesiology, obstetrics, and neurology in managing PDPH and the associated complications in postpartum patients., Competing Interests: The authors have declared that no competing interests exist., (Copyright © 2023, Barbosa et al.)
- Published
- 2023
- Full Text
- View/download PDF
6. Post Dural Puncture Subdural Hematoma: A Rare Iatrogenic Complication of Neuraxial Anesthesia.
- Author
-
Sultan N, Miran MS, Wooldridge D, and Zia M
- Abstract
Although post-dural puncture headache is a well-known complication of neuraxial anesthesia, subdural hematoma following epidural injection is a rare but potentially under-recognized complication. The following is the case of a young female patient with no significant past medical history who developed a persistent and severe headache following the introduction of epidural anesthesia for labor induction. Imaging demonstrated multiple small subdural hematomas with findings concerning intracranial hypotension. She eventually underwent a blood patch and reported immediate relief from her headache., Competing Interests: The authors have declared that no competing interests exist., (Copyright © 2023, Sultan et al.)
- Published
- 2023
- Full Text
- View/download PDF
7. Non-Operative Management of a Pediatric Patient With Bilateral Subdural Hematomas in the Setting of Ruptured Arachnoid Cyst
- Author
-
Avinash Mohan, Carrie Muh, Michael E. Tobias, Eric Feldstein, Christina Ng, and Boyi Li
- Subjects
medicine.medical_specialty ,business.industry ,Neurosurgery ,General Engineering ,macromolecular substances ,medicine.disease ,Subdural Hematomas ,intracranial hypotension ,Surgery ,middle cranial fossa ,Pediatric patient ,Neurology ,Arachnoid cyst ,arachnoid cyst ,medicine ,business ,bilateral ,subdural hematoma - Abstract
Pediatric subdural hematomas (SDH) are associated with arachnoid cysts (AC), particularly in the middle cranial fossa (MCF). Operative management of these hemorrhages is a mainstay of treatment. Conservative management may be an option if there is minimal mass effect and the patient is mildly symptomatic. A 14-year-old male presented with right frontal headaches that worsened with activity. He was found to have a large right MCF AC. Scheduled routine outpatient follow-up CT of the head demonstrated bilateral SDH. There was no history of significant head trauma. He was admitted for close observation and his inpatient scans remained stable. Outpatient follow-up imaging over the course of three and a half years demonstrated resolution of SDH and decreased AC size. He denied headaches and continued doing well in school. ACs are a risk factor for the development of SDH in young male patients after minor trauma. Development of intracranial hypotension secondary to AC rupture may have contributed to the development of bilateral SDH in our patient. We demonstrate here that close clinical follow up with serial imaging may be considered a management strategy in these patients.
- Published
- 2021
8. Acute traumatic posterior fossa subdural hematoma: A case report
- Author
-
C.M. Sayore, Hajar Bechri, Mohammed Yassaad Oudrhiri, and A. El Ouahabi
- Subjects
medicine.medical_specialty ,Hematoma ,RD1-811 ,business.industry ,Traumatic brain injury ,Mortality rate ,Glasgow Coma Scale ,Posterior fossa ,Subdural ,Subdural Hematomas ,medicine.disease ,Cerebellopontine angle ,Surgery ,body regions ,Cerebellar hemisphere ,medicine ,Neurology (clinical) ,Neurology. Diseases of the nervous system ,business ,RC346-429 - Abstract
Background Acute traumatic posterior fossa subdural hematomas are rare lesions in adult. Data on its physiopathology are limited. Timely surgical evacuation is the mainstay of treatment, particularly in selected cases with large volume hematomas compressing the posterior fossa neural elements. The outcome is generally poor and the overall mortality rate is high. The outcome depends on the clinical status of the patient and the timing of surgery. Results We report a case of a 22-years old patient admitted after a severe traumatic brain injury, with a Glasgow coma scale (GCS) of 12. The CT scan showed a right acute subdural hematoma of the cerebellar hemisphere, extending to right the cerebellar pontine angle (CPA) with compression of the posterior fossa neural elements. The patient had surgery within four hours from the trauma with a good recovery. Conclusion Despite the high rate of mortality related to posterior fossa subdural hematomas, our case report and literature analysis highlight the importance of early surgical management in ensuring a better clinical outcome.
- Published
- 2021
9. Burr Hole Surgery for Drainage of Chronic and Subacute Subdural Hematomas: Low Recurrence Rate in a Single Surgeon Cohort
- Author
-
Andres E. Monserrate and Orlando De Jesus
- Subjects
medicine.medical_specialty ,recurrence ,business.industry ,General Engineering ,Neurosurgery ,subacute subdural hematoma ,Subdural Hematomas ,Trauma ,Single surgeon ,Surgery ,body regions ,surgical procedures, operative ,chronic subdural hematoma ,Cohort ,burr hole ,Medicine ,Drainage ,business ,subdural hematoma - Abstract
Background: A complication after surgical intervention for chronic and subacute subdural hematoma drainage is the recurrence of hematoma, often requiring repeat surgical management. Recurrence rates varied widely across the published series, which may partially be due to different technical strategies used by the surgeons involved in the study. We decided to review our patients with chronic and subacute subdural hematomas that were surgically managed with a burr hole procedure by a single surgeon to compare recurrence rates with the evidence available. Methods: A retrospective review of the medical records was performed on the patients who underwent burr hole surgical intervention to drain a chronic or subacute subdural hematoma between April 1995 and March 2020. All patients were under the care of a single surgeon at an academic institution. Variables analyzed included age, sex, laterality of the hematoma, and recurrence. Results: During the selected timeframe, 610 cases were identified. There were 35 cases of recurrence of the hematoma. The recurrence rate after burr hole drainage was 5.73%. Conclusion: Surgical drainage of chronic and subacute subdural hematoma via burr hole using consistent stepwise management is associated with a relatively low recurrence rate in our single surgeon patient cohort.
- Published
- 2021
10. The relationship between road traffic collision dynamics and traumatic brain injury pathology
- Author
-
Claire E. Baker, Phil Martin, Mark H. Wilson, Mazdak Ghajari, David J. Sharp, TRL Limited, Imperial Health Charity, and The Royal British Legion
- Subjects
injury biomechanics ,traumatic brain injury risk ,DAMAGE ,Science & Technology ,automatic collision notification emergency response ,IMPACT ,General Engineering ,Clinical Neurology ,Neurosciences ,BIOMECHANICS ,road traffic collision dynamics ,HEAD-INJURIES ,SEVERITY ,SUBDURAL HEMATOMAS ,DELTA-V ,CRASHES ,Neurosciences & Neurology ,human activities ,Life Sciences & Biomedicine ,ACCIDENT DATA ,SCALE - Abstract
Road traffic collisions are a major cause of traumatic brain injury. However, the relationship between road traffic collision dynamics and traumatic brain injury risk for different road users is unknown. We investigated 2065 collisions from Great Britain’s Road Accident In-depth Studies collision database involving 5374 subjects (2013–20). Five hundred and ninety-five subjects sustained a traumatic brain injury (20.2% of 2940 casualties), including 315 moderate–severe and 133 mild–probable injuries. Key pathologies included skull fracture (179, 31.9%), subarachnoid haemorrhage (171, 30.5%), focal brain injury (168, 29.9%) and subdural haematoma (96, 17.1%). These results were extended nationally using >1 000 000 police-reported collision casualties. Extrapolating from the in-depth data we estimate that there are ∼20 000 traumatic brain injury casualties (∼5000 moderate–severe) annually on Great Britain’s roads, accounting for severity differences. Detailed collision investigation allows vehicle collision dynamics to be understood and the change in velocity (known as delta-V) to be estimated for a subset of in-depth collision data. Higher delta-V increased the risk of moderate–severe brain injury for all road users. The four key pathologies were not observed below 8 km/h delta-V for pedestrians/cyclists and 19 km/h delta-V for car occupants (higher delta-V threshold for focal injury in both groups). Traumatic brain injury risk depended on road user type, delta-V and impact direction. Accounting for delta-V, pedestrians/cyclists had a 6-times higher likelihood of moderate–severe brain injury than car occupants. Wearing a cycle helmet during a collision was protective against overall and mild-to-moderate-to-severe brain injury, particularly skull fracture and subdural haematoma. Cycle helmet protection was not due to travel or impact speed differences between helmeted and non-helmeted cyclist groups. We additionally examined the influence of the delta-V direction. Car occupants exposed to a higher lateral delta-V component had a greater prevalence of moderate–severe brain injury, particularly subarachnoid haemorrhage. Multivariate logistic regression models created using total delta-V value and whether lateral delta-V was dominant had the best prediction capabilities (area under the receiver operator curve as high as 0.95). Collision notification systems are routinely fitted in new cars. These record delta-V and automatically alert emergency services to a collision in real-time. These risk relationships could, therefore, inform how routinely fitted automatic collision notification systems alert the emergency services to collisions with a high brain injury risk. Early notification of high-risk scenarios would enable quicker activation of the highest level of emergency service response. Identifying those that require neurosurgical care and ensuring they are transported directly to a centre with neuro-specialist provisions could improve patient outcomes.
- Published
- 2021
11. Neuropathology and Ophthalmological Pathology of Fatal Central Nervous System Injuries in Young Children: Forensic Neuropathology of Deaths of Children Under Age 2, 2008-2016, in Central Missouri.
- Author
-
Miller DC, Stacy CC, Duff DJ, Guo S, and Morse P
- Subjects
- Child, Humans, Infant, Child, Preschool, Neuropathology, Retinal Hemorrhage, Missouri epidemiology, Autopsy, Craniocerebral Trauma pathology, Nervous System Diseases, Child Abuse diagnosis
- Abstract
Nonaccidental head injuries are significant causes of morbidity and mortality among young children. Despite broad agreement among medical experts, controversies remain over diagnostic criteria, including from autopsies, because of opinions expressed by a small group of expert witnesses who testify for defendants in suspected child homicide cases. We reviewed 249 autopsies in children 2 years old and younger from the files of our Medical Examiner office in the University of Missouri School of Medicine done between January 1, 2008 and December, 31, 2016. Because of gradually instituted mandatory examination of spinal cords and retinas, we had 127 autopsies with brain examinations by a neuropathologist plus retinal examinations of which 67 also had spinal cord examinations. Results were correlated with clinical records, police and EMS reports, and imaging. We found that subdural hematomas, cerebral edema, and retinal hemorrhages were mostly limited to autopsy findings in children who suffered from fatal head trauma, whether accidental (3 cases) or inflicted (14); they were not encountered in cases of homicide by other mechanisms or from natural diseases including infections, brain tumors, SIDS/SUID, or SUDC. Two cases with no other evidence of head trauma had focal retinal hemorrhages. We advocate for examination of retinas and spinal cords in all autopsies of children in this age group., (© The Author(s) 2022. Published by Oxford University Press on behalf of American Association of Neuropathologists, Inc. All rights reserved. For permissions, please email: journals.permissions@oup.com.)
- Published
- 2022
- Full Text
- View/download PDF
12. Subdural and epidural hematoma occurrence in relation to the head impact site: An autopsy study
- Author
-
Stavroula A. Papadodima, Maria Alexandri, Christos I. Evaggelakos, Chara Spiliopoulou, Artemis Dona, and Maria Tsellou
- Subjects
Hematoma, Epidural, Cranial ,Male ,medicine.medical_specialty ,Head impact ,business.industry ,Head injury ,Autopsy ,General Medicine ,medicine.disease ,Subdural Hematomas ,Pathology and Forensic Medicine ,Surgery ,body regions ,Epidural hematoma ,Blunt ,Hematoma ,Head Injuries, Closed ,medicine ,Humans ,Tomography, X-Ray Computed ,business ,Law ,Retrospective Studies ,Cause of death - Abstract
Blunt head injury is a major public health and socioeconomic problem causing death and disability particularly among the young population throughout the world. The purpose of the present study was to evaluate if the impact site is correlated with the subdural and epidural hematoma occurrence. A retrospective analysis of consecutive autopsy cases submitted to our Department during a 5-year period was performed. The basic criterion for inclusion in the study was death due to blunt head injury. The recorded variables included the circumstances of death, the existence, and location of head injuries, the primary impact site, age, gender, and toxicological results. A total number of 683 fatal head injury cases was recorded, with most of them being male (74.1%). In 424 cases (62.1%) fatal head injuries were due to road traffic accidents. Fall (from height or on the ground) was the cause of death in 220 (32.2%) cases followed by inflicted impact-assault in 26 (3.8%) cases. A subdural hematoma was found more frequently (26.9%) than epidural (5.0%). Epidural hematomas were found only under the primary impact site, whereas subdural hematomas were coup, contrecoup, or bilateral. An epidural hematoma was found to be almost 5 times more frequent in cases in which a subdural hematoma was present. A higher proportion of subdural, as well as epidural hematoma, was found when the site of impact was the temporal region, followed by the parietal one. Sex did not exert any influence on the probability of subdural and epidural hematoma, whereas for age, a 10% increase in the probability of subdural hematoma occurrence was observed with 10-year age increase.
- Published
- 2022
13. VP26.07: Twin pregnancy complicated by subdural hematomas: a case report
- Author
-
A. Bogojevic, R. Johns, J. Ji, V.S. Arruarana, T. Anderson, F. Mercado, J. Yancey, K. Gaither, O. Oseji, and I. Benjamin
- Subjects
medicine.medical_specialty ,Reproductive Medicine ,Radiological and Ultrasound Technology ,business.industry ,Obstetrics and Gynecology ,Medicine ,Radiology, Nuclear Medicine and imaging ,General Medicine ,business ,Subdural Hematomas ,Twin Pregnancy ,Surgery - Published
- 2021
14. 65 External Validation and Comparison of Three Predictive Tools to Identify Low-Risk Patients With Isolated Subdural Hematomas
- Author
-
K. Muschong, M. Scudder, P. Pruitt, A. Rogers, A. Rodas, and R. Castillo
- Subjects
medicine.medical_specialty ,business.industry ,Emergency Medicine ,medicine ,External validation ,Radiology ,Subdural Hematomas ,business - Published
- 2021
15. 323 Risk Factors, Management Strategies, and Outcomes in Patients with Isolated Parafalcine or Tentorial Subdural Hematomas
- Author
-
K. Juhasz, D. Desiderio, G. English, B. Pfeiffer, D. Leshikar, J. Holmes, E. Roesel, E. Iszkula, C. Estrada, and A. Wagle
- Subjects
medicine.medical_specialty ,business.industry ,Emergency Medicine ,medicine ,In patient ,Subdural Hematomas ,business ,Surgery - Published
- 2021
Catalog
Discovery Service for Jio Institute Digital Library
For full access to our library's resources, please sign in.