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Epidural Hematoma

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Subdural Pneumocephalus Aspiration Reduces Recurrence of Chronic Subdural Hematoma.

Vamsidhar Chavakula, Sandra C Yan, Kevin T Huang, Jingyi Liu, Wenya Linda Bi, Peter Rozman, John H Chi,

BACKGROUND:Chronic subdural hematoma (cSDH) is a common neurosurgical condition, with symptoms ranging from headaches to coma. Operative evacuation is the treatment of choice. Subdural reaccumulation leading to reoperation is a vexing postoperative complication. OBJECTIVE:To present a novel technique for intraoperative aspiration of pneumocephalus via a subdural drain following SDH evacuation ... Read more >>

Oper Neurosurg (Hagerstown) (Operative neurosurgery (Hagerstown, Md.))
[2020, 18(4):391-397]

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A Case Report: An Acute Spinal Epidural Hematoma after Acupuncture Mimicking Stroke.

Chieh-Ling Chen, Ming-Hong Chang, Wei-Ju Lee,

BACKGROUND:Spinal epidural hematoma (SEH) after acupuncture is rare and may present with acute or subacute onset and varied symptoms, making it difficult to diagnose. This condition can mimic acute stroke, so it is vital to establish a clear diagnosis before considering thrombolytic therapy, which could be disastrous if applied inappropriately. ... Read more >>

J Emerg Med (The Journal of emergency medicine)
[2020, :]

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Spinal Anesthetic in a Patient With a Platelet Count of 7000 × 109/L and Undiagnosed Thrombotic Thrombocytopenic Purpura: A Case Report.

Lacey E Straube, Gustaaf G de Ridder, Christopher A Huber, Samuel N Blacker,

A parturient with unknown thrombotic thrombocytopenic purpura (TTP) received spinal anesthesia for cesarean delivery with subsequent discovery of a platelet count of 7000 × 10/L. Neurologic recovery was normal. Limited data exist to determine the risk of spinal epidural hematoma (SEH) in severely thrombocytopenic patients because they often receive alternate ... Read more >>

A A Pract (A&A practice)
[2020, 14(6):e01184]

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Spontaneous acute epidural hematoma associated with chronic subdural hematoma due to dural metastasis of gastric carcinoma: a case report and literature review.

Chenhui Zhao, Yi Wei, Jie Liu, Shanshui Xu, Xiaochun Jiang, Guangfu Di,

Background: Non-traumatic spontaneous acute epidural hematoma (EDH) happening to chronic subdural hematoma (SDH) caused by dural metastases is a rare entity. Pathogenesis can be derived from infection, coagulopathy, and inflammation. Malignant tumors metastasize to dura mater is one of the most infrequent causes. The exact mechanism remains elusive in spite ... Read more >>

Int. J. Neurosci. (The International journal of neuroscience)
[2020, :1-6]

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Spinal epidural hematoma without significant trauma in children: two case reports and review of the literature.

Audrey Carlhan-Ledermann, Bernard Laubscher, Maja Steinlin, Christian T Ulrich, Rajeev Kumar Verma, Mattia Rizzi, Rodolfo Maduri, Sebastian Grunt,

BACKGROUND:Spinal epidural hematoma without significant trauma is a rare condition with potentially severe outcome. This case report and systematic review of the literature illustrates the clinical presentation, risk factors, evaluation, treatment and outcomes of spinal epidural hematoma without significant trauma in children. CASE PRESENTATION:We report one case of a 7-year-old ... Read more >>

BMC Pediatr (BMC pediatrics)
[2020, 20(1):77]

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Adding to the Denominator: A Case Report of Neuraxial Anesthesia for Cesarean Delivery in the Setting of Hemolysis, Elevated Liver Enzyme, Low Platelet, Thrombocytopenia, and Pulmonary Hypertension.

Marie-Louise Meng, Kyra Bernstein, Patrick Hussey, Ukachi N Emeruwa, Mirella Mourad, Jennifer Haythe, Ruth Landau,

The acceptable platelet count for the safe provision of neuraxial anesthesia in obstetric patients is unknown. Comorbidities may sway a provider to perform neuraxial anesthesia, despite thrombocytopenia, as the putative risk of spinal-epidural hematoma may not outweigh the risks associated with general anesthesia. The case of a 22-year-old nulliparous woman ... Read more >>

A A Pract (A&A practice)
[2020, 14(5):144-148]

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Take it seriously or not: postoperative pneumocephalus in CSDH patients?

Guo-Hui Huang, Xin-Cai Li, Li Ren, Rong-Xiao Dai, Zhao-Liang Sun, Xiu-Feng Jiang, Dong-Fu Feng,

Background: Pneumocephalus is a common finding after burr-hole drainage of chronic subdural hematoma (CSDH). Its effects have not been specifically studied.Methods: A retrospective analysis was performed in 140 patients with CSDH with single burr-hole drainage. The pre- and postoperative volumes of intracranial hematoma and the postoperative volume of pneumocephalus were ... Read more >>

Br J Neurosurg (British journal of neurosurgery)
[2020, :1-6]

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Spontaneous Spinal Epidural Hematoma After Normal Spontaneous Delivery with Epidural Analgesia: Case Report and Literature Review.

Hong-Xiang Zheng, Tee-Tau Eric Nyam, Che-An Liu, Yao-Lin Lee, Jinn-Rung Kuo, Kuan-Chin Sung,

BACKGROUND:Pregnancy is a known risk factor for spontaneous spinal epidural hematoma. During cesarean section or vaginal delivery, the unstable hemodynamic status that may occur owing to fluctuation of intra-abdominal pressure increases the possibility of spontaneous spinal epidural hematoma. During labor and the postpartum period, neurologic symptoms may be masked by ... Read more >>

World Neurosurg (World neurosurgery)
[2020, 137:214-217]

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The Initial Factors with Strong Predictive Value in Relation to Six-Month Outcome among Patients Operated due to Extra-Axial Hematomas.

Bartłomiej Kulesza, Jakub Litak, Cezary Grochowski, Adam Nogalski, Radosław Rola,

INTRODUCTION:Traumatic brain injuries (TBI) are a real social problem, with an upward trend worldwide. The most frequent consequence of a traumatic brain injury is extra-axial hemorrhage, i.e., an acute subdural (SDH) and epidural hematoma (EDH). Most of the factors affecting the prognosis have been analyzed on a wide group of ... Read more >>

Diagnostics (Basel) (Diagnostics (Basel, Switzerland))
[2020, 10(3):]

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Muscle weakness of the lower limbs after epidural anesthesia in a pregnant woman with undiscovered systemic lupus erythematosus.

Lan Wu, Xiao-Qin Jiang, Ya-Qin Xiong, Xue-Mei Lin,

Chin. Med. J. (Chinese medical journal)
[2020, 133(5):621-622]

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Spinal angiolipoma-a rare but reversible cause of paraplegia in a child.

Palak A Jaiswal, Ganesh Divakar, K Krishnakumar, Arunkumar Karthikayan, Yogesh Sawakare, Radhika Mhatre, Mathew Abraham,

PURPOSE:Spinal angiolipomas are benign spinal epidural tumors consisting of mature fat cells with angiomatous components. These tumors are rare in children and there are no definite management guidelines. METHOD:To the best of our knowledge, only five cases of spinal angiolipomas have been reported in children below 12 years. This article discusses ... Read more >>

Childs Nerv Syst (Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery)
[2020, :]

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Risk factors for corticosteroid insufficiency during the sub-acute phase of acute traumatic brain injury.

Xin Chen, Yan Chai, Shao-Bo Wang, Jia-Chong Wang, Shu-Yuan Yue, Rong-Cai Jiang, Jian-Ning Zhang,

Hypothalamic-pituitary-adrenal axis dysfunction may lead to the occurrence of critical illness-related corticosteroid insufficiency. Critical illness-related corticosteroid insufficiency can easily occur after traumatic brain injury, but few studies have examined this occurrence. A multicenter, prospective, cohort study was performed to evaluate the function of the hypothalamic-pituitary-adrenal axis and the incidence of ... Read more >>

Neural Regen Res (Neural regeneration research)
[2020, 15(7):1259-1265]

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Full-Endoscopic Removal of Sheared Lumbar Epidural Catheter Fragment.

Naveen Davangere Siddappa, Jin-Sung Kim, Ashwinkumar Vasant Khandge,

BACKGROUND:An epidural nerve block injection is the most common modality of treatment for control of low backache associated with radiating pain. Epidural catheter injections are also widely used by pain physicians to control cancer pain. Epidural catheters could be associated with procedure-related complications, such as epidural hematoma, epidural abscess, and ... Read more >>

World Neurosurg (World neurosurgery)
[2020, 137:421-424]

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Two pediatric cases of epidural hematoma in the posterior fossa with extension along the sigmoid sinus groove: MR evaluation.

Daisuke Sakamoto, Shogo Fukuya, Atsuko Harada, Hidetsuna Utsunomiya,

To discuss the computed tomography (CT) and magnetic resonance (MR) findings of posterior fossa epidural hematoma (PFEDH) mimicking sinus thrombosis, we present two pediatric cases with the PFEDH extending along the sigmoid sinus groove evaluated by MR imaging (MRI) and MR venography (MRV). T2-weighted coronal MRI can diagnose both patency ... Read more >>

Acta Radiol Open (Acta Radiologica Open)
[2020, 9(2):2058460120902894]

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Symptomatic Postoperative Spinal Epidural Hematoma after Spinal Decompression Surgery: Prevalence, Risk Factors, and Functional Outcome.

Christoph Hohenberger, Florian Zeman, Julius Höhne, Odo-Winfried Ullrich, Alexander Brawanski, Karl-Michael Schebesch,

OBJECTIVE: Postoperative spinal epidural hematoma (pSEH) with symptomatic compression of nervous structures after spinal decompression surgery is a rare complication. Delayed evacuation may result in severe neurologic impairment. We present a large single-center analysis of the prevalence, potential risk factors, and functional recovery after pSEH. METHODS: A retrospective review of our institutional ... Read more >>

J Neurol Surg A Cent Eur Neurosurg (Journal of neurological surgery. Part A, Central European neurosurgery)
[2020, :]

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Drainage after posterior single-level instrumented lumbar fusion: Natural pressure vs negative pressure.

Tao Chen, Hengrui Chang, Kaiyu Liu, Mingxin Shi, Chengjie Song, Xianzhong Meng,

Recent findings have shown a trend toward recommending against the routine use of drains in spinal surgery because it carries the risk for potential complications. However, most surgeons still use closed suction drainage to prevent hematoma formation. This study is to compare the clinical outcomes between natural pressure drainage and ... Read more >>

Medicine (Baltimore) (Medicine)
[2020, 99(7):e19154]

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Management of Venous Sinus Related Epidural Hematomas.

Samantha L Parker, Asif A Kabani, Christopher R Conner, Phillip A Choi, Joseph S Withrow, Chunyan Cai, Ryan S Kitagawa,

World Neurosurg (World neurosurgery)
[2020, :]

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Mild traumatic brain injuries with minor intracranial hemorrhage: Can they Be safely managed in the community? - A cohort study.

Sanjay Gupta, Haytham M A Kaafarani, Peter J Fagenholz, Myriam Tabrizi, Martin Rosenthal, Majed W El Hechi, George C Velmahos,

BACKGROUND:Patients with mild traumatic brain injury (mTBI) are frequently transferred to level 1 trauma centers (L1TC) if they have minor findings on a computerized tomographic scan of the head due to the absence of continuous neurosurgical coverage in community hospitals (CH). We hypothesized that such patients can be safely managed ... Read more >>

Int J Surg (International journal of surgery (London, England))
[2020, 76:88-92]

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Acute subdural hematoma in an elite-level rugby union player.

Taylor J Bates, Paul Lee, Tayt M Ellison, Jason S Ahuero, Matthew R Schmitz,

Acute subdural hematoma is a rare but potentially fatal medical condition in athletes. This condition has been reported in both contact and non-contact sports. Patients who survive an acute subdural hematoma typically have lifelong deficits and require extensive rehabilitation. Prompt recognition of this condition and access to a hospital with ... Read more >>

Trauma Case Rep (Trauma case reports)
[2020, 26:100295]

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Spinal Epidural Hematoma Secondary to Tenecteplase for ST-Elevation Myocardial Infarction in the Setting of Trauma and Cervical Endplate Fracture.

Christopher J Parr, Weiang Yan, Olga Toleva, John Ducas, Philip J Garber,

A 78-year-old woman presented with an inferior ST-segment elevation myocardial infarction in the setting of a fall resulting in facial trauma causing an unrecognized C6 cervical endplate fracture. After administration of tenecteplase, she developed a spinal epidural hematoma requiring intubation for airway protection and cessation of antiplatelet therapies. The need ... Read more >>

CJC Open (CJC open)
[2020, 2(2):71-73]

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Spontaneous Intracranial Hypotension: Case Study and Review of the Literature.

Stacey Podkovik, Samir Kashyap, Sruthi Bonda, Ira Bowen, Mark Calayag,

Spontaneous intracranial hypotension (SIH) is a pathology characterized by orthostatic headaches, diffuse pachymeningeal enhancement on magnetic resonance imaging (MRI), and low to normal cerebrospinal fluid (CSF) pressures. We present the case of a 46-year-old male with refractory postural headaches, found to have a diffuse CSF leak throughout the cervicothoracic (C1-T12) ... Read more >>

Cureus (Cureus)
[2020, 12(2):e7018]

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Successful treatment of extensive spinal epidural abscess with fluoroscopy-guided percutaneous drainage: a case report.

Masashi Fujii, Tsutomu Shirakawa, Nobuaki Shime, Yasuyo Kawabata,

BACKGROUND:Surgical drainage and antimicrobial therapy are the most accepted empirical treatments for spinal epidural abscess. However, surgery may not be indicated when patient's general health condition is poor. Percutaneous drainage has been reported as a non-surgical treatment for children or patients with no or minor neurological deficits. Here we describe ... Read more >>

JA Clin Rep (JA clinical reports)
[2020, 6(1):4]

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Risk and treatment of symptomatic epidural hematoma after anterior cervical spine surgery: A retrospective clinical study.

Yehui Liao, Yang Tian, Rupei Ye, Chao Tang, Qiang Tang, Fei Ma, Sheng Yang, Hongchun He, Dejun Zhong,

Symptomatic epidural hematoma (SEH) after anterior cervical spine surgery is very rare, but it has disastrous consequences for the patients. Timely diagnosis and evaluation can effectively reduce the sequelae of neurological deficit in SEH. The purpose of this study was to retrospectively analyze a subset of clinical data of SEH ... Read more >>

Medicine (Baltimore) (Medicine)
[2020, 99(2):e18711]

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Letter: Subdural Pneumocephalus Aspiration Reduces Recurrence of Chronic Subdural Hematoma.

Luis Rafael Moscote-Salazar, Amit Agrawal,

Oper Neurosurg (Hagerstown) (Operative neurosurgery (Hagerstown, Md.))
[2020, 18(2):E62]

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In Reply: Subdural Pneumocephalus Aspiration Reduces Recurrence of Chronic Subdural Hematoma.

Vamsidhar Chavakula, John H Chi,

Oper Neurosurg (Hagerstown) (Operative neurosurgery (Hagerstown, Md.))
[2020, 18(2):E63]

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