Clinical and radiological factors predicting recurrence of chronic subdural hematoma: a retrospective cohort study
Chronic subdural hematoma (CSDH) is one of the most frequent neurologic pathologies and tends to occur in elderly patients after minor head injury. Burr-hole craniotomy with closed-system drainage is the most commonly used technique for treating CSDH patients. Although CSDH has a favorable prognosis following the surgical evacuation, the recurrence rate has been estimated to range from 3% to 33% .
We report the case of waterskiing-related acute subdural hematoma (ASDH) in an adolescent who was successfully treated with endoscopic assisted hematoma evacuation. An 18-year-old male sustained head injury during waterskiing and was referred to our hospital. He had a history of traumatic subarachnoid hemorrhage two years ago. Neurological examination showed mild left hemiparesis and altered consciousness. Computed tomography (CT) indicated ASDH. Cranioplastic craniotomy following rapid mannitol infusion was performed. After dural incision, a rigid endoscope was introduced through the craniotomy, and a malleable suction ca...
CONCLUSION: The results indicated that there was a higher mortality rate among older patients and those with a GCS score of
Publication date: Available online 17 October 2018Source: Journal of Clinical NeuroscienceAuthor(s): Isaac Ng, Nikolay Bugaev, Ron Riesenburger, Aaron C. Shpiner, Janis L. Breeze, Sandra S. Arabian, Reuven RabinoviciAbstractInfratentorial traumatic intracranial bleeds (ICBs) are rare and the distribution of subtypes is unknown. To characterize this distribution the National Trauma Data Bank (NTDB) 2014 was queried for adults with single type infratentorial ICB, n = 1,821: subdural hemorrhage (SDH), subarachnoid hemorrhage (SAH), epidural hemorrhage (EDH), and intraparenchymal hemorrhage (IPH). Comparisons were made bet...
ConclusionWe managed a patient taking dabigatran who suffered traumatic intracranial hemorrhage by administering idarucizumab preoperatively without the need for blood transfusion perioperatively. We suggest that idarucizumab could be a potent therapeutic bridge to definitive surgical management in such patients with traumatic brain injury who are taking dabigatran.
ConclusionsOur model is beneficial to use for simplicity, reproducibility and time saver. It could serve as a platform for research on the pathogenesis, diagnosis and potential therapeutics for rmTBI and CTE.
(Journal of Neurosurgery Publishing Group) Covers the assassination of Robert F. Kennedy. The authors 'review the eyewitness reports of the mechanism of injury, the care rendered for three hours prior to the emergency craniotomy, the clinical course, and, ultimately, the autopsy.' The discussion of autopsy findings is supplemented by an artist's depiction of the extent of Senator Kennedy's head injury.
ConclusionsConcurrence of unilateral lower limb deep vein thrombosis in a typical clinical setting of symmetrical peripheral gangrene is a potential explanation for greater extent of acral ischemic injury in the limb affected by deep vein thrombosis.
This study makes use of the forensic evidence and medical records to examine the possibility that the unique combination of failed cranioplasty, hypothermia, and neurocysticercosis may have contributed to the victim's death. Other potential causes of death are considered.
Conclusions Early increased ICP is a common presentation of severe pediatric TBI during pre–trauma center management. However, what constitutes optimal care remains unknown. Given the difficulties of diagnosing early increased ICP in this setting, prophylactic raising ICP-lowering strategies may be considered.
Abstract Traumatic brain injury is a highly prevalent and devastating cause of morbidity and mortality in children. A rapid, stepwise approach to the traumatized child should proceed, addressing life-threatening problems first. Management focuses on preventing secondary injury from physiologic extremes such as hypoxemia, hypotension, prolonged hyperventilation, temperature extremes, and rapid changes in cerebral blood flow. Initial Glasgow Coma Score, hyperglycemia, and imaging are often prognostic of outcome. Surgically amenable lesions should be evacuated promptly. Reduction of intracranial pressure through hype...