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Clinical, arteriographic, and cisternographic observations after removal of acute subdural hematoma

Julian Hoff, John Grollmus, Barbara Barnes, and M. Theodore Margolis

A lthough recovery from an acute subdural hematoma may be dramatically rapid and complete, convalescence is usually gradual, with only partial functional recovery. Some of the changes within the cranium that may prolong convalescence following removal of the hematoma are regional brain swelling, 2, 4 ventricular distortion, 3 prolonged deformity of the cerebral vessels, 6, 8 persistence of the subdural space, 9, 10 and impaired circulation of cerebrospinal fluid (CSF). 1, 5, 7 The relative importance of these changes, particularly of the persistent

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Middle meningeal artery embolization for chronic subdural hematoma in cancer patients with refractory thrombocytopenia

Sungho Lee, Aditya Srivatsan, Visish M. Srinivasan, Stephen R. Chen, Jan-Karl Burkhardt, Jeremiah N. Johnson, Daniel M. S. Raper, Jeffrey S. Weinberg, and Peter Kan

E , Giorgi-Coll S , Whitfield PC , Pathophysiology of chronic subdural haematoma: inflammation, angiogenesis and implications for pharmacotherapy . J Neuroinflammation . 2017 ; 14 ( 1 ): 108 . 10.1186/s12974-017-0881-y 28558815 14 Tanaka T , Kaimori M . Histological study of vascular structure between the dura mater and the outer membrane in chronic subdural hematoma in an adult . Article in Japanese. No Shinkei Geka . 1999 ; 27 ( 5 ): 431 – 436 . 15 Hashimoto T , Ohashi T , Watanabe D , Usefulness of embolization of the middle

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Spontaneous spinal cerebrospinal fluid leaks as the cause of subdural hematomas in elderly patients on anticoagulation

Report of 3 cases

Wouter I. Schievink, M. Marcel Maya, Brian K. Pikul, and Charles Louy

: Comparison of idraparinux with vitamin K antagonists for prevention of thromboembolism in patients with atrial fibrillation: a randomized, open-label, noninferiority trial . Lancet 371 : 315 – 321 , 2008 2 Chung SJ , Lee JH , Kim SJ , Kwun BD , Lee MC : Subdural hematoma in spontaneous CSF hypovolemia . Neurology 67 : 1088 – 1089 , 2006 3 de Noronha RJ , Sharrack B , Hadjivassiliou M , Romanowski CA : Subdural haematoma: a potentially serious consequence of spontaneous intracranial hypotension . J Neurol Neurosurg Psychiatry 74

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Spontaneous spinal subarachnoid hemorrhage and subdural hematoma

Report of two cases

Karl W. Swann, Allan H. Ropper, Paul F. J. New, and Charles E. Poletti

S pinal subarachnoid hemorrhage is unusual, accounting for less than 1% of all cases of subarachnoid hemorrhage (SAH). 51 It is important to recognize this disease early because hematomas can cause spinal cord damage, the clinical syndrome can mimic intracranial SAH, and the source of hemorrhage (for instance, arteriovenous malformation (AVM), spinal cord tumor, or aneurysm) is frequently treatable with surgery. This report details some unusual features in two patients with spontaneous spinal SAH. One had a spinal subdural hematoma (SDH) that was recognized

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Spontaneous chronic subdural hematomas in young adults with a deficiency of coagulation factor XIII

Report of three cases

Alessio Albanese, Antonio Tuttolomondo, Carmelo Anile, Giovanni Sabatino, Angelo Pompucci, Antonio Pinto, Guiseppe Licata, and Annunziato Mangiola

, Miloszewski KJ: Factor XIII: inherited and acquired deficiency. Blood Rev 7: 229–242, 1993 10.1016/0268-960X(93)90010-2 4. Bonnaud I , Saudeau D , de Toffol B , Autret A : Recurrence of spontaneous subdural haematoma revealing acquired haemophilia. Eur Neurol 49 : 253 – 254 , 2003 Bonnaud I, Saudeau D, de Toffol B, Autret A: Recurrence of spontaneous subdural haematoma revealing acquired haemophilia. Eur Neurol 49: 253–254, 2003 10.1159/000070200 5. Chen JC , Levy ML : Causes, epidemiology, and

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Ischemic neuronal damage after acute subdural hematoma in the rat: effects of pretreatment with a glutamate antagonist

Min-Hsiung Chen, Ross Bullock, David I. Graham, Jimmy D. Miller, and James McCulloch

ischemic brain damage is, therefore, to identify those patients in whom there is an acceptable balance of risk versus likely benefit from such compounds. Patients with acute subdural hematoma may fall into this category. At least 50% of patients who undergo surgical removal of an acute subdural hematoma will die and persisting neurological disability will affect 25% to 35% of those who survive. 7, 15, 32, 34 Ischemic brain damage is the commonest neuropathological abnormality found in patients who die of acute subdural hematoma. This is distributed chiefly in the

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Discovering spontaneous intracranial hypotension after failed middle meningeal artery embolization for subdural hematomas: illustrative cases

Lokeshwar S. Bhenderu, Marcus Wong, and Gavin Britz

. 27693247 7 Takahashi K , Mima T , Akiba Y . Chronic subdural hematoma associated with spontaneous intracranial hypotension: therapeutic strategies and outcomes of 55 cases . Neurol Med Chir (Tokyo) . 2016 ; 56 ( 2 ): 69 – 76 . 26489406 8 Zhang J , Jin D , Pan KH . Epidural blood patch for spontaneous intracranial hypotension with chronic subdural haematoma: a case report and literature review . J Int Med Res . 2016 ; 44 ( 4 ): 976 – 981 . 27225863 9 Okuma Y , Hirotsune N , Sotome Y , Middle meningeal artery

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Chronic subdural hematoma: evaluation of the clinical significance of postoperative drainage volume

Taek-Hyun Kwon, Youn-Kwan Park, Dong-Jun Lim, Tai-Hyoung Cho, Yong-Gu Chung, Hung-Seob Chung, and Jung-Keun Suh

, Akagi K, Abekura M, et al: Recurrence factors for chronic subdural hematomas after burr-hole craniostomy and closed system drainage. Neurol Res 21: 277–280, 1999 10.1080/01616412.1999.11740931 10. McKissock W , Richardson A , Bloom WH : Subdural haematoma: A review of 389 cases. Lancet 1 : 1365 – 1369 , 1960 McKissock W, Richardson A, Bloom WH: Subdural haematoma: A review of 389 cases. Lancet 1: 1365–1369, 1960 11. Nomura S , Kashiwagi S , Fujisawa H , et al : Characterization of local hyperfibrinolysis in chronic subdural hematomas by SDS

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Non-Hodgkin lymphoma of the cranial vault with retrobulbar metastasis mimicking a subacute subdural hematoma

Case report

Sang-Hoon Yoon, Sun Ha Paek, Sung-Hye Park, Dong Gyu Kim, and Hee-Won Jung

P rimary skeletal NHL is rare, occurring in only 1 in 20 cases of lymphoma; of these rare cases, > 75% originate in the pelvis and limbs. 11 A primary NHL of the skull is exceedingly rare. 1 , 3 The authors report on a patient found to have NHL of the cranial vault with a retrobulbar metastasis that mimicked a subacute subdural hematoma during preoperative radiological examination. Case Report History and Examination This 53-year-old man without any history of head trauma presented to the emergency department with a 10-day history of right

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Simultaneous spinal and intracranial chronic subdural hematoma

Case illustration

Klaus A. Leber, Gerhard Pendl, Sonja Kogler, Fritz Kammerhuber, and Franz Ebner

that SSDH is a venous hemorrhage that can maintain a chronic course similar to that of intracranial SDHs. Chronic SSDH has been considered to have an uncertain prognosis; however, good results can be expected with early diagnosis and prompt treatment. References 1. Brandt RA : Chronic spinal subdural haematoma. Surg Neurol 13 : 121 – 123 , 1980 Brandt RA: Chronic spinal subdural haematoma. Surg Neurol 13: 121–123, 1980 2. Edelson RN : Spinal subdural hematoma , in Vinken PJ , Bruyn GW (eds