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Posterior fossa subdural hematoma due to ruptured arteriovenous malformation

Case report

Narendra N. Datta, Kwong Y. Chan, John C. K. Kwok, and Christopher Y. F. Poon

Patients with cerebellar arteriovenous malformations (AVM) commonly present to the neurosurgical department after having suffered hemorrhages. The subarachnoid space is the usual location for these often repeating episodes of bleedings. In addition, these patients can present with parenchymal hemorrhage. Acute subdural hematoma caused by a ruptured cerebellar AVM is a rare entity and is not generally recognized. The authors present a case of acute posterior fossa subdural hematoma resulting from a ruptured cerebellar AVM.

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The implications of antithrombotic agents on subdural hematoma evacuation: what does "reversal" truly entail?

Danielle D. Dang, Luke A. Mugge, Purushotham Ramanathan, John V. Dang, Omar K. Awan, Noah Diekemper, Erik J. Teicher, and Mateo Ziu

unclear when considering operative management. 9 , 10 , 15 Its use and safety specifically for subdural hematoma (SDH) evacuation have been insufficiently investigated in comparison with intraparenchymal hemorrhage. 16 Furthermore, reversal incurs its own risk of serious adverse events, including thrombosis, anaphylaxis, and potential delays in care. 9 , 12 , 15 , 17 At our institution, ATT reversal for neurosurgical trauma patients follows multidisciplinary institutional guidelines that direct the use of reversal agents for all patients with active ATT use and

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Cavernous hemangioma of the skull presenting with subdural hematoma

Case report

Oren N. Gottfried, Wayne M. Gluf, and Meic H. Schmidt

Cavernous hemangioma of the calvaria is a very rare disease, and patients usually present with headaches or a visible skull deformity. Few reports of patients presenting with intradiploic or epidural hemorrhages are found in the literature. No case of an intradural hemorrhage from a cavernous hemangioma of the skull has been reported to date. The authors present the case of a 50-year-old man in whom a symptomatic subdural hematoma (SDH) resulting from a cavernous hemangioma of the calvaria had hemorrhaged and eroded through the inner table of the skull and dura mater. The patient underwent surgery for evacuation of the SDH and resection of the calvarial lesion. Postoperatively, the patient experienced immediate relief of his symptoms and had no clinical or radiological recurrence. Calvarial cavernous hemangiomas should be considered in the differential diagnosis of nontraumatic SDHs. Additionally, skull lesions that present with intracranial hemorrhages must be identified and resected at the time of hematoma evacuation to prevent recurrences.

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Subdural hematomas in boxing: the spectrum of consequences

Vincent J. Miele, Julian E. Bailes, Robert C. Cantu, and Craig H. Rabb

✓Boxing is a violent sport in which every participant accepts the risk of brain damage or death. This sport has been linked to acute neurological injury and chronic brain damage. The most common life-threatening injury encountered by its participants is subdural hematoma (SDH), and the most feared consequence of chronic insult to the nervous system is dementia pugilistica, or punch drunkenness. Although advances in imaging and neuropsychological testing have improved our ability to diagnose these injuries, the unprecedented sensitivity and wide availability of these modalities have increased the detection of mild cognitive impairment and small, asymptomatic imaging abnormalities. The question has thus been raised as to where on the spectrum of these injuries an athlete should be permanently banned from the sport.

In this report the authors describe six boxers who were evaluated for SDH sustained during participation in the sport, and who experienced remarkably different outcomes. Their presentations, clinical courses, and boxing careers are detailed. The athletes ranged in age from 24 to 55 years at the time of injury. Two were female and four were male; half of them were amateurs and half were professionals. Treatments ranged from observation only to decompressive craniectomy. Two of the athletes were allowed to participate in the sport after their injury (one following a lengthy legal battle), with no known sequelae. One boxer died within 48 hours of her injury and at least two suffered permanent neurological deficits. In a third, dementia pugilistica was diagnosed 40 years later, and the man died while institutionalized.

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Computed tomography findings after head injury preceding chronic subdural hematoma

Kazuki Komiyama, Masahiko Tosaka, Hiroya Shimauchi-Ohtaki, Masanori Aihara, Tatsuya Shimizu, and Yuhei Yoshimoto

.1016/0090-3019(87)90286-2 6 Kristof RA , Grimm JM , Stoffel-Wagner B : Cerebrospinal fluid leakage into the subdural space: possible influence on the pathogenesis and recurrence frequency of chronic subdural hematoma and subdural hygroma . J Neurosurg 108 : 275 – 280 , 2008 18240922 10.3171/JNS/2008/108/2/0275 7 Lee KS , Bae WK , Doh JW , Bae HG , Yun IG : Origin of chronic subdural haematoma and relation to traumatic subdural lesions . Brain Inj 12 : 901 – 910 , 1998 10.1080/026990598121972 9839025 8 Lee KS , Bae WK , Park YT , Yun IG : The

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A pitfall in the diagnosis of child abuse: external hydrocephalus, subdural hematoma, and retinal hemorrhages

Joseph H. Piatt Jr

External hydrocephalus has been associated with subdural hematomas in infancy, and the hematomas have been noted to be secondary to minor trauma or have even been described as spontaneous. The author reports the case of an infant with external hydrocephalus who developed retinal as well as subdural hemorrhages after sustaining a minor head injury. Although retinal hemorrhage in infancy has been considered virtually pathognomonic of child abuse, in the setting of external hydrocephalus a more cautious interpretation may be appropriate.

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Effect of perioperative anticoagulant prophylaxis in patients with traumatic subdural hematoma and a history of anticoagulant use: a propensity-matched National Trauma Data Bank analysis

Sam H. Jiang, Mishaal Hukamdad, Andrew Gould, Mounika Bhaskara, Ryan G. Chiu, Morteza Sadeh, and Ankit I. Mehta

supervision: Mehta, Sadeh. References 1 Aromatario M , Torsello A , D’Errico S , Traumatic epidural and subdural hematoma: epidemiology, outcome, and dating . Medicina (Kaunas) . 2021 ; 57 ( 2 ): 125 . 2 Hanif S , Abodunde O , Ali Z , Pidgeon C . Age related outcome in acute subdural haematoma following traumatic head injury . Ir Med J . 2009 ; 102 ( 8 ): 255 – 257 . 3 Saket R , Aggarwal S , Kumar V , Kumar P , Patel S . Acute venous thromboembolism in Indian patients of isolated proximal femur fractures . J Clin

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Causes, clinical presentation, management, and outcomes of chronic subdural hematoma at Mbarara Regional Referral Hospital

David Kitya, Maria Punchak, Jihad Abdelgadir, Oscar Obiga, Derek Harborne, and Michael M. Haglund

, Jacobson S (eds): Brain Degeneration and Dementia in Sub-Saharan Africa . New York : Springer Science , 2015 , pp 183 – 199 10.1016/S0733-8627(20)30281-9 17 Iliescu IA : Current diagnosis and treatment of chronic subdural haematomas . J Med Life 8 : 278 – 284 , 2015 26351527 18 Jones S , Kafetz K : A prospective study of chronic subdural haematomas in elderly patients . Age Ageing 28 : 519 – 521 , 1999 10.1093/ageing/28.6.519 10604502 19 Kageyama H , Toyooka T , Tsuzuki N , Oka K : Nonsurgical treatment of chronic subdural hematoma

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Acute subdural hematoma in the elderly: outcome analysis in a retrospective multicentric series of 213 patients

Gianluca Trevisi, Carmelo Lucio Sturiale, Alba Scerrati, Oriela Rustemi, Luca Ricciardi, Fabio Raneri, Alberto Tomatis, Amedeo Piazza, Anna Maria Auricchio, Vito Stifano, Carmine Romano, Pasquale De Bonis, and Annunziato Mangiola

G iven the aging population, especially in some countries, the incidence of traumatic acute subdural hematoma (ASDH) in the elderly is an increasing clinical scenario, 1 often presenting a dramatic picture with poor chances of recovery regardless of the treatment. 2 Neither clear-cut evidence nor guidelines are currently available to help neurosurgeons detect those elderly patients who can benefit from prompt surgical treatment. 3 In general, ASDH surgery is indicated in cases of impaired consciousness, neurological symptoms, hematoma thickness > 1 cm, or

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Patterns of care: burr-hole cover application for chronic subdural hematoma trepanation

Julia Velz, Flavio Vasella, Kevin Akeret, Sandra F. Dias, Elisabeth Jehli, Oliver Bozinov, Luca Regli, Menno R. Germans, and Martin N. Stienen

-hole trepanation for symptomatic chronic subdural hematomas . World Neurosurg 77 : 111 – 118 , 2012 10.1016/j.wneu.2011.05.036 22154148 3 Gelabert-González M , Iglesias-Pais M , García-Allut A , Martínez-Rumbo R : Chronic subdural haematoma: surgical treatment and outcome in 1000 cases . Clin Neurol Neurosurg 107 : 223 – 229 , 2005 10.1016/j.clineuro.2004.09.015 15823679 4 Im TS , Lee YS , Suh SJ , Lee JH , Ryu KY , Kang DG : The efficacy of titanium burr hole cover for reconstruction of skull defect after burr hole trephination of chronic