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Acute subdural hematomas of arterial origin

Paul K. O'Brien, John W. Norris, and Charles H. Tator

A cute subdural hematomas of arterial origin are commonly associated with laceration or contusion of the brain, or, less frequently, with an underlying aneurysm or vascular malformation. However, occasionally brisk bleeding from a pinpoint source in an otherwise normal artery on the cortical surface is encountered at craniotomy during removal of a subdural hematoma. It is this type of lesion that we are presenting and discussing. 1, 3, 5 Vance 6 examined autopsy material from cases of subdural hematoma and found arterial ruptures, which he postulated were

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Meningioma recurrence at a different site masquerading as a subdural hematoma

Case report

Jake Timothy, David Lafuente, Arundhati Chakrabarty, Amar Saxena, and Paul Marks

findings were normal apart from a minimal pyramidal drift on his left side. Magnetic resonance imaging revealed a right-sided acute subdural hematoma ( Fig. 2 ). Fig. 2. Magnetic resonance image obtained 4 years after the one shown in Fig. 1 demonstrating the right-sided acute subdural hematoma. Operation and Postoperative Course The patient was admitted to the hospital where he underwent a right-sided frontoparietal craniotomy. The lesion was typical of an organized hematoma; however, within the hematoma there was some firmer tissue adherent to the dura. This was

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Rupture of cavernous carotid artery aneurysm causing subdural hematoma and death

Case report

Jonathan E. Hodes, William A. Fletcher, Daniel F. Goodman, and William F. Hoyt

, filling the cavernous sinus and bringing the aneurysmal wall adjacent to the overlying dura. Although the aneurysm may become very large, intracranial rupture is exceedingly rare. We describe a case of intracranial rupture of an intracavernous carotid artery aneurysm that resulted in a lethal massive subdural hematoma with transtentorial herniation. Case Report This 62-year-old woman had suffered headache in the left orbital area monthly for many years, but because it responded to aspirin she had never sought medical attention. On December 6, 1985, she developed

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Anti-siphon and reversible occlusion valves for shunting in hydrocephalus and preventing post-shunt subdural hematomas

Harold D. Portnoy, Rudolf R. Schulte, John L. Fox, Paul D. Croissant, and Lucius Tripp

the cases of craniosynostosis reported as a complication of shunting. 2, 23 Similarly, persistent low IVP may convert a communicating hydrocephalus to a noncommunicating hydrocephalus with stenotic or occluded aqueduct. 10 In the adult, low intracranial pressure may produce headaches. 22 The most severe problem however, is the development of a subdural hematoma (SDH) or effusion. 1, 4, 7, 8, 11, 12, 15–20, 25, 30, 32 To eliminate the deleterious “siphon effect,” we (H.D.P., R.R.S.) have designed a valve that closes under the influence of a negative pressure

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Development of the Subdural Hematoma in the Elderly (SHE) score to predict mortality

Elizabeth N. Alford, Lauren E. Rotman, Matthew S. Erwood, Robert A. Oster, Matthew C. Davis, H. Bruce C. Pittman, H. Evan Zeiger, and Winfield S. Fisher III

-009-0215-3 2 Balser D , Farooq S , Mehmood T , Reyes M , Samadani U : Actual and projected incidence rates for chronic subdural hematomas in United States Veterans Administration and civilian populations . J Neurosurg 123 : 1209 – 1215 , 2015 10.3171/2014.9.JNS141550 25794342 3 Benedetto N , Gambacciani C , Montemurro N , Morganti R , Perrini P : Surgical management of acute subdural haematomas in elderly: report of a single center experience . Br J Neurosurg 31 : 244 – 248 , 2017 10.1080/02688697.2016.1244249 27760467 4 Brennan PM

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Results of nonoperative treatment in 15 cases of infantile subdural hematoma

Robert L. McLaurin, Emily Isaacs, and H. Paul Lewis

D espite extensive investigation and clinical experience relating to subdural hematomas during the past 3 decades, several aspects of the intracranial pathophysiology remain unexplained. These include: 1) the initial development and the later persistence, enlargement, or resolution of the hematoma; 2) the response of the underlying brain to the presence of a hematoma; and 3) in infancy and early childhood, membrane formation and its effect on normal cerebral growth. These factors are difficult to define and measure clinically. The problem is compounded by the

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Calcified chronic subdural hematoma: illustrative case

Rupesh Pakrasi, Payoz Pandey, Srijan Das, Shreya Datta, and Dipti Saha

): 330 – 342 . 10.4103/1793-5482.145102 2 Xiao Z , Chen X , Li K , Zhang Z . Calcified chronic subdural hematoma: a case report and literature review . Transl Neurosc Clin . 2017 ; 3 ( 4 ): 220 – 223 . 10.18679/CN11-6030_R.2017.032 12118221 3 Von Rokitansky C . Handbuch der Pathologischen Anatomie . Braumüller & Seidel ; 1846 . 4 Dammers R , ter Laak-Poort MP , Maas AI . Neurological picture. Armoured brain: case report of a symptomatic calcified chronic subdural haematoma . J Neurol Neurosurg Psychiatry

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Ultrastructural observations of the capsule of chronic subdural hematoma in various clinical stages

So Sato and Jiro Suzuki

S ince the detailed description of pachymeningitis hemorrhagica interna was reported by Virchow, 21 many theories of the etiology or pathogenesis of chronic subdural hematoma have been proposed. 6, 7, 10, 14, 20, 21 Chronic subdural hematoma is one of the most common diseases in neurosurgery; it frequently occurs after head trauma and gradually increases in size after encapsulation. The mechanism by which the hematoma grows is, however, still obscure. We have previously reported the successful treatment of chronic subdural hematoma by osmotherapy. 19

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Subdural hematoma as a complication of shunting procedures for normal pressure hydrocephalus

Stephen Samuelson, Don M. Long, and Shelly N. Chou

S ubdural hematoma is an infrequently reported though particularly devastating complication of shunting procedures used for the treatment of hydrocephalus. In high pressure hydrocephalus (HPH) in which intracranial pressure was known to be elevated prior to shunting, Becker and Nulsen 2 reported seven cases of subdural hematoma in a series of 140 patients, an incidence of 5%. In 175 consecutive shunting procedures for HPH, Illingsworth 3 found eight subdural hematomas, or 4.5%. Subdural hematoma as a complication of shunting procedures for normal

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Spontaneous middle meningeal arteriovenous fistula without cortical venous reflux presenting with acute subdural hematoma: illustrative case

Masahiro Yabuki, Yosuke Akamatsu, Hiroshi Kashimura, Yoshitaka Kubo, and Kuniaki Ogasawara

–14 We demonstrate a rare case of spontaneous acute subdural hematoma (SDH) caused by an MMAVF without CVR and discuss the mechanism of hemorrhagic presentation based on the findings during transarterial Onyx embolization. Illustrative Case A 17-year-old previously healthy male presented to our emergency department with the acute onset of headache. The patient had no history of head trauma. Computed tomography (CT) revealed a left acute SDH without significant mass effect ( Fig. 1A ). T2-weighted magnetic resonance imaging (MRI) performed on admission showed no