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Symptomatic contralateral subdural hygromas after decompressive craniectomy: plausible causes and management protocols.
CONCLUSIONS Arachnoid tears and blockage of arachnoid villi appear to be the underlying causes of a CLSDC. The absence of sufficient fluid pressure required for CSF absorption after a DC further aggravates such fluid collections. Underlying hydrocephalus may appear as subdural collections in some patients after the DC. Bur hole drainage appears to be only a temporary measure and leads to recurrence of a CLSDC. Therefore, cranioplasty is the definitive treatment for such collections and, if performed early, may even avert CLSDC formation. A temporary ventriculostomy or an external lumbar drainage may be added to aid the cra...
Source: Journal of Neurosurgery - December 12, 2014 Category: Neurosurgery Authors: Salunke P, Garg R, Kapoor A, Chhabra R, Mukherjee KK Tags: J Neurosurg Source Type: research

MRI of Normal Pressure Hydrocephalus
Publication date: Available online 20 January 2016 Source:Seminars in Ultrasound, CT and MRI Author(s): William G. Bradley Normal Pressure Hydrocephalus (NPH) is a syndrome found in the elderly which is characterized by ventriculomegaly and deep white matter ischemia (DWMI) on MRI and the clinical triad of gait disturbance, dementia and urinary incontinence. NPH has been estimated to account for up to 10% of cases of dementia and is significant because it is treatable by ventriculoperitoneal shunting (VPS). Patients with a known cause of chronic communicating hydrocephalus, ie, meningitis or hemorrhage, tend to respond ...
Source: Seminars in Ultrasound, CT and MRI - January 21, 2016 Category: Radiology Source Type: research

Magnetic Resonance Imaging of Normal Pressure Hydrocephalus
Publication date: April 2016 Source:Seminars in Ultrasound, CT and MRI, Volume 37, Issue 2 Author(s): William G. Bradley Normal pressure hydrocephalus (NPH) is a syndrome found in the elderly, which is characterized by ventriculomegaly and deep white matter ischemia (DWMI) on magnetic resonance imaging (MRI) and the clinical triad of gait disturbance, dementia, and urinary incontinence. NPH has been estimated to account for up to 10% of cases of dementia and is significant because it is treatable by ventriculoperitoneal shunting. Patients with a known cause of chronic communicating hydrocephalus, that is, meningitis or ...
Source: Seminars in Ultrasound, CT and MRI - April 12, 2016 Category: Radiology Source Type: research

Sensors, Vol. 21, Pages 1747: Multimodal Sensing Capabilities for the Detection of Shunt Failure
ung Il Park Hydrocephalus is a medical condition characterized by the abnormal accumulation of cerebrospinal fluid (CSF) within the cavities of the brain called ventricles. It frequently follows pediatric and adult congenital malformations, stroke, meningitis, aneurysmal rupture, brain tumors, and traumatic brain injury. CSF diversion devices, or shunts, have become the primary therapy for hydrocephalus treatment for nearly 60 years. However, routine treatment complications associated with a shunt device are infection, obstruction, and over drainage. Although some (regrettably, the minority) patients with shunts can go...
Source: Sensors - March 3, 2021 Category: Biotechnology Authors: Milenka Gamero Woo Seok Kim Sungcheol Hong Daniel Vorobiev Clinton D. Morgan Sung Il Park Tags: Communication Source Type: research

Clinical presentation and assessment of older patients presenting with headache to emergency departments: A multicentre observational study
CONCLUSION: Older patients with headache had different clinical features to the younger cohort and were more likely to have a serious secondary cause of headache than younger adults. There should be a low threshold for investigation in older patients attending ED with non-traumatic headache.PMID:34570422 | DOI:10.1111/ajag.12999
Source: Australasian Journal on Ageing - September 27, 2021 Category: Geriatrics Authors: Sierra Beck Frances B Kinnear Anne Maree Kelly Kevin H Chu Win Sen Kuan Gerben Keijzers Richard Body Mehmet A Karamercan Sharon Klim Tissa Wijeratne Sinan Kamona Colin A Graham Tom Roberts Daniel Horner Said Laribi HEAD Study Group Source Type: research