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Acute subdural hematoma and death following lateral cervical spinal puncture

Case report

Larry A. Rogers

S pinal puncture via the lateral approach at the C1–2 vertebral level is generally accepted as a safe method of obtaining cerebrospinal fluid (CSF) or introducing medication or radiographic contrast medium into the subarachnoid space when lumbar puncture is not possible or practical. We recently experienced a case in which the patient underwent a standard cervical spinal tap that resulted in puncture of an anomalous artery within the upper cervical spinal cord. The resulting subdural hematoma dissected into the posterior cranial fossa and caused death within

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Peritoneal drainage of chronic subdural hematomas in older patients

Charles Probst

17. Richter HP , Klein HJ , Schäfer M : Chronic subdural haematomas treated by enlarged burr-hole craniotomy and closed system drainage. Retrospective study of 120 patients. Acta Neurochir 71 : 179 – 188 , 1984 Richter HP, Klein HJ, Schäfer M: Chronic subdural haematomas treated by enlarged burr-hole craniotomy and closed system drainage. Retrospective study of 120 patients. Acta Neurochir 71: 179–188, 1984 18. Shulman K , Ransohoff J : Subdural hematoma in children. The fate of children with

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Transient glucose hypermetabolism after acute subdural hematoma in the rat

Yasuhiro Kuroda, Fiona M. Inglis, Jimmy D. Miller, James McCulloch, David I. Graham, and Ross Bullock

, cannot explain certain aspects of the development of ischemic damage after a hematoma. 1, 10, 13 For example, ischemic damage is seen bilaterally in the hippocampus in 62% of patients without clinical or pathological evidence of raised ICP. 10 After acute subdural hematoma, the causes of secondary ischemic damage are particularly difficult to understand. The sources of bleeding are usually at low pressure, a torn bridging vein or small vessel at the site of a cortical contusion being the most common cause. 8, 23 Moreover, there is frequent hemispheric swelling

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Long-term follow-up review of patients with acute and subacute subdural hematomas

Jarl Rosenørn and Flemming Gjerris

haematoma, in Vinken PJ, Bruyn GW (eds): Handbook of Clinical Neurology, Vol 24: Injuries of the Brain and Skull, Part II. Amsterdam/NY: North Holland, 1976, pp 275–296 19. Ransohoff J , Benjamin MV , Gage EL Jr , et al : Hemicraniectomy in the management of acute subdural hematoma. J Neurosurg 34 : 70 – 76 , 1971 Ransohoff J, Benjamin MV, Gage EL Jr, et al: Hemicraniectomy in the management of acute subdural hematoma. J Neurosurg 34: 70–76, 1971 10.3171/jns.1971.34.1.0070 20. Richards T , Hoff J

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Subdural hematoma associated with disseminated intravascular coagulation in patients with advanced cancer

Tomoo Furui, Kaoru Ichihara, Akira Ikeda, Suguru Inao, Nagatoshi Hirai, Jun Yoshida, and Naoki Kageyama

N ontraumatic subdural hematoma is found only rarely in patients with advanced cancer. 2–5, 7, 9, 11, 12 So far, it has been assumed that this type of hematoma is a result of obstruction of the dural veins by tumor cells. 2–4, 9 We have recently encountered four cases of subdural hematoma, which seemed to be secondary to disseminated intravascular coagulation (DIC) due to advanced cancer. We believe that not only the vascular obstruction but also DIC plays a role in the formation of nontraumatic subdural hematoma in patients with advanced cancer. Summary

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Recurrent subdural hematoma caused by cerebrospinal fluid leakage

Case report

Junichi Mizuno, Praveen V. Mummaneni, Gerald E. Rodts, and Daniel L. Barrow

N ontraumatic SDH is often found in the elderly population. Risk factors for developing spontaneous SDH include hypertension, vascular abnormality, neoplasm, infection, alcoholism, or coagulopathy. Subdural hematomas may also form after CSF overdrainage following a shunt placement procedure, lumbar puncture, external ventricular drainage, and administration of epidural anesthesia. 4 , 5 , 7 , 10 We report a rare case of recurrent SDH caused by a spontaneous CSF fistula located at L-1 to L-2. Case Report Presentation and Examination. This 34

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Subdural tension pneumocephalus following surgery for chronic subdural hematoma

Yusuke Ishiwata, Kazuhiko Fujitsu, Tsunemi Sekino, Hideyo Fujino, Takamichi Kubokura, Kyoji Tsubone, and Takeo Kuwabara

I ntracranial air is often seen after operations for chronic subdural hematoma (SDH), but there is seldom enough mass effect to cause neurological deterioration. Although subdural tension pneumocephalus has been reported in increasing numbers of cases since the advent of computerized tomography (CT) scanning, there are only a few reports in which the CT findings are discussed in relation to the mechanism of increased tension of the subdural air. 1, 5, 9, 10 To make a diagnosis of subdural tension pneumocephalus, increased tension of the subdural air must be

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Delayed clinical improvement after deep brain stimulation–related subdural hematoma

Report of 4 cases

Genko Oyama, Michael S. Okun, Theresa A. Zesiewicz, Tiffany Tamse, Janet Romrell, Pamela Zeilman, and Kelly D. Foote

patient with chronic subdural hematoma: relationship with neuropsychological test . J Nucl Med 33 : 246 – 248 , 1992 7 Ishikawa T , Kawamura S , Hadeishi H , Suzuki A , Yasui N , Shishido F , : Uncoupling between CBF and oxygen metabolism in a patient with chronic subdural haematoma: case report . J Neurol Neurosurg Psychiatry 55 : 401 – 403 , 1992 8 Kenney C , Simpson R , Hunter C , Ondo W , Almaguer M , Davidson A , : Short-term and long-term safety of deep brain stimulation in the treatment of movement disorders . J

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Acute subdural hematomas: an age-dependent clinical entity

Matthew A. Howard III, Alan S. Gross, Ralph G. Dacey Jr., and H. Richard Winn

Seelig JM, Becker DP, Miller JD, et al: Traumatic acute subdural hematoma. Majority mortality reduction in comatose patients treated within four hours. N Engl J Med 304: 1511–1518, 1981 10.1056/NEJM198106183042503 28. Shigemori M , Syojima K , Nakayama K , et al : The outcome from acute subdural haematoma following decompressive hemicraniectomy. Acta Neurochir 54 : 61 – 69 , 1980 Shigemori M, Syojima K, Nakayama K, et al: The outcome from acute subdural haematoma following decompressive hemicraniectomy. Acta

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Chronic subdural hematoma in adults

Influence of patient's age on symptoms, signs, and thickness of hematoma

Rainer Fogelholm, Olli Heiskanen, and Olli Waltimo

C hronic subdural hematoma is relatively common and its outcome without operative treatment is almost invariably fatal. Early diagnosis and proper operative treatment, on the other hand, result in complete recovery in most cases. Unfortunately, one encounters certain difficulties in diagnosis, especially in elderly patients, 2, 9, 11 due to the characteristically nonspecific symptoms and signs. Influence of the patient's age on the clinical picture of chronic subdural hematoma has received little attention. We have found only one report dealing primarily