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Iatrogenic arteriovenous fistula presenting as a recurrent subdural hematoma

Case report

Conrad T. E. Pappas, Joseph M. Zabramski, and Andrew G. Shetter

unusual case of an iatrogenic dural AV fistula that mimicked a recurrent acute subdural hematoma. The AV fistula resulted from injury to the meningeal vessels during burr-hole drainage of a chronic subdural hematoma. Case Report This 58-year-old woman experienced the gradual onset of generalized headache over a period of 3 to 4 weeks. The headaches became progressively more severe, and the patient sought medical evaluation from her family physician. A computerized tomography (CT) scan was obtained, and she was referred to the Barrow Neurological Institute for

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Chronic subdural hematoma simulating transient cerebral ischemic attacks

Case report

Eldad Melamed, Slvan Law, Avinoam Reches, and Abraham Sahar

A s a slowly expanding intracranial mass, chronic subdural hematoma usually has the typical symptomatology of a progressive neurological deficit. In the following report we present an unusual case in which chronic subdural hematoma gave rise to recurrent transient, focal neurological phenomena. Case Report A 59-year-old male was transferred as an emergency to the Department of Neurology of the Hadassah University Hospital in Jerusalem. Until September, 1973, the patient had enjoyed good general health, with no history of hypertension, coronary or

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Middle meningeal artery embolization in the management of chronic subdural hematoma in medically complex pediatric neurosurgical patients: technical note

Anne M. Coyle, Erin K. M. Graves, Shih-Shan Lang, Benjamin C. Kennedy, Tracy M. Flanders, Alexander M. Tucker, Phillip B. Storm, Anne Marie Cahill, Bryan A. Pukenas, and Peter J. Madsen

heart disease: a scientific statement from the American Heart Association . Circulation . 2013 ; 128 ( 24 ): 2622 – 2703 . 26 Hirai S , Ono J , Odaki M , Serizawa T , Nagano O . Embolization of the middle meningeal artery for refractory chronic subdural haematoma. Usefulness for patients under anticoagulant therapy . Interv Neuroradiol . 2004 ; 10 ( Suppl 2 ): 101 – 104 . 27 Yajima H , Kanaya H , Ogino M , Ueki K , Kim P . Middle meningeal artery embolization for chronic subdural hematoma with high risk of recurrence: a single

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Spontaneous spinal subdural hematoma associated with low-molecular-weight heparin

Case report

Yoon-Hee Cha, John H. Chi, and Nicholas M. Barbaro

nontraumatic spinal subdural hematomas in three patients. Spine 26 : E547 – E551 , 2001 Morandi X, Riffaud L, Chabert E, Brassier G: Acute nontraumatic spinal subdural hematomas in three patients. Spine 26: E547–E551, 2001 8. Pedraza Gutierrez S , Coll Masfarre S , Castano Duque CH , Suescun M , Rovira Canellas AR : Hyperacute spinal subdural haematoma as a complication of lumbar spinal anesthesia: MRI. Neuroradiology 41 : 910 – 914 , 1999 Pedraza Gutierrez S, Coll Masfarre S, Castano Duque CH

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Relationship between drainage catheter location and postoperative recurrence of chronic subdural hematoma after burr-hole irrigation and closed-system drainage

Hiroshi Nakaguchi, Takeo Tanishima, and Norio Yoshimasu

subdural haematoma treated by burr holes and closed system drainage: personal experience in 131 patients. Br J Neurosurg 5 : 461 – 465 , 1991 Kotwica Z, Brzezinski J: Chronic subdural haematoma treated by burr holes and closed system drainage: personal experience in 131 patients. Br J Neurosurg 5: 461–465, 1991 10.3109/02688699108998474 5. Markwalder TM : Chronic subdural hematomas: a review. J Neurosurg 54 : 637 – 645 , 1981 Markwalder TM: Chronic subdural hematomas: a review. J Neurosurg 54: 637–645, 1981 10.3171/jns.1981.54.5.0637 6. Markwalder TM

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Aspirin is associated with an increased risk of subdural hematoma in normal-pressure hydrocephalus patients following shunt implantation

Peter Birkeland, Jens Lauritsen, and Frantz Rom Poulsen

I n neurosurgical practice, it is well recognized that patients admitted for subdural hematoma (SDH) often use antiplatelet medication, implying a causal relationship. 1 , 6 , 13 , 14 However, a recent meta-analysis failed to show a significant association between the use of aspirin (acetylsalicylic acid) and the occurrence of SDH. 5 Another frequent cause of referral to neurosurgical departments is normal-pressure hydrocephalus (NPH), which is recognized as a partly treatable cause of dementia. 3 The condition is usually diagnosed in patients of

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Eosinophil degranulation in the capsule of chronic subdural hematomas

Tetsumori Yamashima, Toshihiko Kubota, and Shinjiro Yamamoto

E osinophilic leukocytes (eosinophils) often infiltrate the outer membranes of chronic subdural hematomas. However, it is not established whether the eosinophils operate to the advantage or to the detriment of the hematoma. Despite a number of morphological studies on hematoma capsules, 3, 5, 8, 11, 12 the function of these cells has not been clearly defined in chronic subdural hematomas. A requirement for the eosinophils to function may be the secretion of granule components, 2 but evidence of this is usually difficult to obtain microscopically in the outer

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Hemicraniectomy in the management of acute subdural hematoma

Joseph Ransohoff, M. Vallo Benjamin, E. Lyle Gage Jr., and Fred Epstein

T he destiny of patients with acute subdural hematomas requiring surgical intervention in the first 24 to 48 hours has been quite grim. We define “acute subdural hematoma” as that demanding emergency surgery for preservation of life within 2 days of the initial head injury. Reported mortality rates of up to 80% to 90% 2, 7, 10, 13 are indeed disheartening, particularly in the light of continued advances in neuroradiology, neuroanesthesia, respiratory assistance, as well as the widespread use of cortical steroids, Mannitol, and hypothermia. As evidence of

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Prospective assessment of concomitant lumbar and chronic subdural hematoma: is migration from the intracranial space involved in their manifestation?

Clinical article

Rinko Kokubo, Kyongsong Kim, Masahiro Mishina, Toyohiko Isu, Shiro Kobayashi, Daizo Yoshida, and Akio Morita

subdural hematoma after spontaneous resolution of cranial subdural hematoma: causal relationship or coincidence? Case report . J Neurosurg 100 : 4 Suppl Spine 372 – 374 , 2004 5 Chen HJ , Liang CL , Lu K , Liliang PC , Tsai YD : Cauda equina syndrome caused by delayed traumatic spinal subdural haematoma . Injury 32 : 505 – 507 , 2001 6 Domenicucci M , Ramieri A , Paolini S , Russo N , Occhiogrosso G , Di Biasi C , : Spinal subarachnoid hematomas: our experience and literature review . Acta Neurochir (Wien) 147 : 741 – 750

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Chronic subdural hematoma: surgical management in 133 patients

Richard G. Robinson

, 1951 Browder J, Rabiner AM: Regional swelling of the brain in subdural hematoma. Ann Surg 134: 369–375, 1951 10.1097/00000658-195113430-00008 5. Cameron MM : Chronic subdural haematoma: a review of 114 cases. J Neurol Neurosurg Psychiatry 41 : 834 – 839 , 1978 Cameron MM: Chronic subdural haematoma: a review of 114 cases. J Neurol Neurosurg Psychiatry 41: 834–839, 1978 10.1136/jnnp.41.9.834 6. Coblentz RG : Chronic subdural hematoma. Diagnosis and treatment. Surgery 4 : 194 – 210 , 1938