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Subdural Hematoma

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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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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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Acute Tentorial Subdural Hematoma Caused by Rupture of the Posterior Cerebral Artery after Minor Trauma-A Case Report.

Urszula Maria Ciochon, Erik Gudmann Steuble Brandt, Trine Stavngaard,

Acute subdural hematoma (aSDH) is a common pathology encountered after head trauma. Only a minority of aSDHs have an arterial source. In this article, we report a case of aSDH originating from a traumatic pseudoaneurysm of the distal segment of posterior cerebral artery (PCA), diagnosed several days after the initial ... Read more >>

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

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A ruptured posterior communicating artery aneurysm presenting as tentorial and spinal isolated subdural hemorrhage: a case report and literature review.

Abdulrahman Hamad Al-Abdulwahhab, Abdulaziz Mohammad Al-Sharydah, Sari Saleh Al-Suhibani, Abdullah Salman Almulhim, Obaied M Al-Dhafeeri, Saeed A Al-Jubran,

BACKGROUND:Ruptured intracranial aneurysms are often associated with subarachnoid or intraparenchymal hemorrhage. However, the prevalence of subdural hemorrhage post aneurysmal rupture is low and rarely reported in scientific studies. Here, we report an unusual case of a ruptured posterior communicating artery aneurysm resulting in an isolated subdural hematoma located in the ... Read more >>

BMC Neurol (BMC neurology)
[2020, 20(1):102]

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Spreading depolarization may represent a novel mechanism for delayed fluctuating neurological deficit after chronic subdural hematoma evacuation.

Laila M Mohammad, Mohammad Abbas, C William Shuttleworth, Rosstin Ahmadian, Annapoorna Bhat, Deirdre A Hill, Andrew P Carlson,

OBJECTIVE:Most patients with chronic subdural hematoma (cSDH) recover after surgical evacuation with a straightforward course. There is a subset of patients who develop transient and fluctuating deficits not explained by seizures, stroke, or mass effect after evacuation. The objective of this study was to investigate whether these postoperative neurological deficits ... Read more >>

J. Neurosurg. (Journal of neurosurgery)
[2020, :1-9]

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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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Are Direct Anticoagulants Safer in Traumatic Brain Injury Compared to Warfarin?

Katja E Wartenberg,

Neurocrit Care (Neurocritical care)
[2020, 32(2):367-368]

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Regional Cerebral Hypoperfusion from Acute Subdural Hematoma.

Natsumi T Hamahata, Kazuma Nakagawa,

Neurocrit Care (Neurocritical care)
[2020, 32(2):633-635]

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Spontaneous rupture of middle fossa arachnoid cysts: surgical series from a single center pediatric hospital and literature review.

Alberto Balestrino, Gianluca Piatelli, Alessandro Consales, Armando Cama, Andrea Rossi, Mattia Pacetti, Pietro Fiaschi, Marco Pavanello,

PURPOSE:Arachnoid cysts may present with symptoms deriving from cyst rupture, usually causing intracystic hemorrhage and subdural hematoma or hygroma. Rupture is usually caused by minor trauma, spontaneous rupture is an exceptional event, and 57 cases have been described in literature. We here present and discuss the largest series of spontaneously ... Read more >>

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

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Non-Traumatic Subdural Hemorrhage and Risk of Arterial Ischemic Events.

Santosh B Murthy, Xian Wu, Ivan Diaz, Melvin Parasram, Neal S Parikh, Costantino Iadecola, Alexander E Merkler, Guido J Falcone, Stacy Brown, Alessandro Biffi, Judy Ch'ang, Jared Knopman, Philip E Stieg, Babak B Navi, Kevin N Sheth, Hooman Kamel,

Background and Purpose- The risk of arterial ischemic events after subdural hemorrhage (SDH) is poorly understood. This study aimed to evaluate the risk of acute ischemic stroke and myocardial infarction among patients with and without nontraumatic SDH. Methods- We performed a retrospective cohort study using claims data from 2008 through ... Read more >>

Stroke (Stroke)
[2020, :STROKEAHA119028510]

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Comparison of Traumatic Intracranial Hemorrhage Expansion and Outcomes Among Patients on Direct Oral Anticoagulants Versus Vitamin k Antagonists.

Samuel S Shin, Elisabeth B Marsh, Hasan Ali, Paul A Nyquist, Daniel F Hanley, Wendy C Ziai,

BACKGROUND:With increasing use of direct oral anticoagulants (DOACs) and availability of new reversal agents, the risk of traumatic intracranial hemorrhage (tICH) requires better understanding. We compared hemorrhage expansion rates, mortality, and morbidity following tICH in patients treated with vitamin k antagonists (VKA: warfarin) and DOACs (apixaban, rivaroxaban, dabigatran). METHODS:Retrospective chart ... Read more >>

Neurocrit Care (Neurocritical care)
[2020, 32(2):407-418]

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Elevated Blood Urea Nitrogen are associated with Recurrence of post-operative Chronic Subdural Hematoma

Sheng Ye, Ning Wang, Jiangnan Hu, Anthony Oppong-Gyebi, Xuanhao Zhu, Yihao Li, Jianjing Yang, Qichuan Zhuge, Linhui Ruan,

<title>Abstract</title> <p> BACKGROUND Chronic subdural hematoma (CSDH) is fundamentally treatable with about 2-31% recurrence rate. Recently, there has been renewed interest in the association between Blood Urea Nitrogen (BUN) and intracranial lesion. Therefore, this paper attempts to show the relationship between BUN and CSDH recurrence. METHODS A total ... Read more >>

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Endoscopic Management of Chronic Subdural Hematoma.

Yad Ram Yadav, Shailendra Ratre, Vijay Parihar, Jitin Bajaj, Mallika Sinha, Ambuj Kumar,

BACKGROUND: Twist drill evacuation, burr hole aspiration, mini-craniotomy, and craniotomy are some of the surgical methods to remove chronic subdural hematoma (CSDH). Endoscopic treatment was also recently found to be useful. METHODS: We conducted a prospective study of 72 hematomas in 68 patients. Computed tomography was performed in all cases. Endoscopic surgery ... Read more >>

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

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The impaction of time from injury to surgery in functional recovery of traumatic acute subdural hematoma

Shih-Han Chen, Jui-Ming Sun, Wen-Kuei Fang,

<title>Abstract</title> <p> Background: The time from injury to surgery (TIS) is critical in the functional recovery of individuals with traumatic acute subdural hematoma (TASDH). However, only few studies have confirmed such notion. Methods: The data of TASDH patients who were surgically treated in Chia-Yi Christian Hospital between January ... Read more >>

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Ibrutinib Treatment for First-Line and Relapsed/Refractory Chronic Lymphocytic Leukemia: Final Analysis of the Pivotal Phase 1b/2 PCYC-1102 Study.

John C Byrd, Richard R Furman, Steven E Coutre, Ian W Flinn, Jan Burger, Kristie A Blum, Jeff P Sharman, William Wierda, Weiqiang Zhao, Nyla A Heerema, Ying Luan, Emily A Liu, James P Dean, Susan O'Brien,

PURPOSE:The safety and efficacy of ibrutinib, a once-daily Bruton's tyrosine kinase inhibitor, in chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL) was demonstrated in this phase 1b/2 study. Extended follow-up up to 8 years is described, representing the longest follow-up for single-agent ibrutinib, or any BTK inhibitor, to date. PATIENTS AND METHODS:Phase ... Read more >>

Clin. Cancer Res. (Clinical cancer research : an official journal of the American Association for Cancer Research)
[2020, :]

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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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Incidence and Effect of Diabetes Insipidus in the Acute Care of Patients with Severe Traumatic Brain Injury.

Andrés Gempeler, Eduardo Orrego-González, Andrés Hernandez-Casanas, Andrés M Castro, Juan D Aristizabal-Mayor, Jorge H Mejia-Mantilla,

BACKGROUND:Literature on diabetes insipidus (DI) after severe traumatic brain injury (TBI) is scarce. Some studies have reported varying frequencies of DI and have showed its association with increased mortality, suggesting it as a marker of poor outcome. This knowledge gap in the acute care consequences of DI in severe TBI ... Read more >>

Neurocrit Care (Neurocritical care)
[2020, :]

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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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Bone flap resorption associated with indolent Propionibacterium acnes infection after cranioplasty: case report with pathological analysis.

Nathan A Shlobin, Aaron H Palmer, Kwok-Ling Kam, Daniel J Brat, Matthew B Potts,

BACKGROUND:Autologous bone resorption is a frequent complication of cranioplasty, often necessitating reoperation. The etiology of this phenomenon is not known although it has recently been associated with indolent Propionibacterium acnes (P. acnes) infection. CASE DESCRIPTION:Here we present the case of a patient who initially presented with a traumatic acute subdural ... Read more >>

World Neurosurg (World neurosurgery)
[2020, :]

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Predictors of acute intracranial hemorrhage and recurrence of chronic subdural hematoma following burr hole drainage.

Fu Mei Chen, Ke Wang, Kang Li Xu, Li Wang, Tian Xiang Zhan, Fei Cheng, Hao Wang, Zuo-Bing Chen, Liang Gao, Xiao Feng Yang,

BACKGROUND:To investigate predictors of postoperative acute intracranial hemorrhage (AIH) and recurrence of chronic subdural hematoma (CSDH) after burr hole drainage. METHODS:A multicenter retrospective study of patients who underwent burr hole drainage for CSDH between January 2013 and March 2019. RESULTS:A total of 448 CSDH patients were enrolled in the study. ... Read more >>

BMC Neurol (BMC neurology)
[2020, 20(1):92]

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Long-term excess mortality after chronic subdural hematoma.

Minna Rauhala, Pauli Helén, Karri Seppä, Heini Huhtala, Grant L Iverson, Tero Niskakangas, Juha Öhman, Teemu M Luoto,

OBJECTIVE:To assess possible long-term excess mortality and causes of death of patients with chronic subdural hematoma (CSDH). METHODS:A retrospective study (1990-2015) of adult patients (n = 1133, median age = 76 years old, men = 65%) with CSDH identified by ICD-codes and verified by medical records. All patients were followed until death or the end of 2017. ... Read more >>

Acta Neurochir (Wien) (Acta neurochirurgica)
[2020, :]

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Efficacy of high dose versus low dose vitamin D supplementation on serum levels of inflammatory factors and mortality rate in severe traumatic brain injury patients: study protocol for a randomized placebo-controlled trial

Abdolreza Norouzy, Seyed Arabi, Alireza Sedaghat, Mohammadreza Ehsaei, Mohammad Safarian, Golnaz Ranjbar, Hamid Rezaee, Reza Rezvani, Hamed Tabesh,

<title>Abstract</title> <p> Background Traumatic Brain Injury (TBI) is the most common trauma worldwide and is a leading cause of injury-related death and disability. Inflammation is a major problem among TBL patients which is in association with severity of illness and mortality in brain trauma patients, especially in subdural ... Read more >>

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Recurrent Bilateral Chronic Subdural Hematoma After Interventional Embolization Combined With Drilling and Drainage Treatment.

Henglu Wang, Chao Wang, Zefu Li,

The main treatment for chronic subdural hematoma (CSDH) is surgical drilling and drainage. Meanwhile, the most accepted treatment strategy for bilateral CSDHs (bCSDHs) is unilateral evacuation only on the larger or symptomatic side because the contralateral hematoma is generally either small or asymptomatic. However, the probability of recurrence is high. ... Read more >>

J Craniofac Surg (The Journal of craniofacial surgery)
[2020, 31(2):e171-e173]

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Predictors of acute intracranial hemorrhage and recurrence of chronic subdural hematoma following burr hole drainage

Xiaofeng Yang, FuMei Chen, Ke Wang, KangLi Xu, Li Wang, TianXiang Zhan, Fei Cheng, Hao Wang, Zuo-Bing Chen, Liang Gao,

<title>Abstract</title> <p> Background To investigate predictors of postoperative acute intracranial hemorrhage (AIH) and recurrence of chronic subdural hematoma (CSDH) after burr hole drainage. Methods A multicenter retrospective study of patients who underwent burr hole drainage for CSDH between January 2013 and March 2019. Results A total of 448 ... Read more >>

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Delayed Cerebrospinal Fluid Cleft Formation Through the Midbrain and Thalamus Following Hemicraniectomy and Cranioplasty for Acute Subdural Hematoma.

Brandon A Sherrod, Nam K Yoon, Yoshimi Anzai, Richard H Schmidt, William T Couldwell, Gregory W J Hawryluk,

BACKGROUND AND IMPORTANCE:Cerebrospinal fluid (CSF) cleft formation through brain parenchyma following nonpenetrating traumatic brain injury (TBI) is a rare phenomenon. Here we present a unique case of delayed CSF cleft formation months after initial injury. CLINICAL PRESENTATION:A 41-yr-old male presented after a fall with a right convexity acute subdural hematoma ... Read more >>

Oper Neurosurg (Hagerstown) (Operative neurosurgery (Hagerstown, Md.))
[2020, 18(3):E88-E94]

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