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Globular subdural hematoma in a shunt-treated infant

Case report

Takahiro Murata, Hiroaki Shigeta, Tetsuyoshi Horiuchi, Keiichi Sakai, and Kazuhiro Hongo

V entriculoperitoneal shunt surgery is the most common procedure for hydrocephalus of diverse causes and is associated with a wide variety of complications. Subdural hematoma, one of the most frequent complications of shunt insertion, is usually caused by excessive drainage of CSF. 2 , 4 , 5 , 10 , 12 The SDH generally appears as a crescent-shaped mass over the convexity adjacent to the inner table of the skull on CT scans or adjacent to the dura mater on MR images. We describe the rare case of an infant with an SDH in whom, after VP shunt insertion, a

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Thoracolumbar spine subdural hematoma as a result of nonaccidental trauma in a 4-month-old infant

Case report

Thomas J. Gruber and Curtis J. Rozzelle

S pinal subdural hematoma is a rare condition usually associated with lumbar puncture, spinal anesthesia, antiplatelet or anticoagulant therapy, or hematological disease. 13 , 15 Traumatic injury is also an uncommon, but documented, cause of spinal SDH. 6 , 8 Spinal trauma accounts for only 1–10% of injuries resulting from nonaccidental trauma. 1 , 3–5 , 7 Spinal SDH as a result of nonaccidental trauma has been reported in the cervical spine, but thoracolumbar SDH has not been reported in this setting. 4 , 7 , 16 Nonaccidental trauma in infants is a

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Surgical options for treatment of traumatic subdural hematomas in children younger than 2 years of age

Clinical article

José Roberto Tude Melo, Federico Di Rocco, Marie Bourgeois, Stephanie Puget, Thomas Blauwblomme, Christian Sainte-Rose, Philippe G. Meyer, and Michel Zerah

T he most common findings on cranial CT in pediatric victims of abusive head trauma (AHT) are subdural hematomas (SDHs), present in more than 70% of cases. 2 , 3 , 8 , 14 , 16 , 23 The SDHs are commonly bilateral and sometimes associated with interhemispheric hyperdensity and/or convexity hemorrhages. 3 , 7 , 8 , 30 The management options remain controversial and range from conservative clinical surveillance (nonsurgical management) to subdural punctures, external subdural drainage, subcutaneous reservoirs, subdural-subgaleal shunts, subdural

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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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Subdural hematoma, retinal hemorrhage, and fracture triad as a clinical predictor for the diagnosis of child abuse

James C. Mamaril-Davis, Katherine Riordan, Hasan Sumdani, Paul Bowlby, Maryam Emami Neyestanak, Lauren Simpson, Anthony M. Avellino, Andrew Tang, and Martin E. Weinand

biomechanical study . J Neurosurg . 1987 ; 66 ( 3 ): 409 – 415 . 8 Skoch J , Weinand M . Validity of subdural hematoma, retinal hemorrhage and non-cranial fracture triad for suspicion and diagnosis of child abuse . Presented at: 82nd American Association of Neurological Surgeons (AANS) Annual Scientific Meeting ; April 5, 2014 ; San Francisco, CA . 9 Skoch J , Weinand M . Subdural hematoma, retinal hemorrhage, and non-cranial fracture triad as a predictor for the diagnosis of child abuse . Presented at: Western Neurosurgical Society Annual Meeting

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Subdural hematoma prevalence and long-term developmental outcomes in patients with benign expansion of the subarachnoid spaces

Katherine G. Holste, Clare M. Wieland, Mohannad Ibrahim, Hemant A. Parmar, Sara Saleh, Hugh J. L. Garton, and Cormac O. Maher

neurocognitive difficulties persisting into adolescence. 9–11 BESS is thought to be a risk factor for subdural hematoma (SDH) formation with or without minor trauma. It is hypothesized that this is due to the enlarged SAS leading to stretching of bridging veins. As a result, these infants may be more prone to injury after even minor trauma. 12 In the general population, the incidence of SDH in infants younger than 2 years is 13–16.5 cases per 100,000 infants. 13–15 In infants with BESS, the prevalence of spontaneous SDHs, defined as onset of SDH without a known inciting

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Blunt prenatal trauma resulting in fetal epidural or subdural hematoma: case report and systematic review of the literature

Jacob R. Joseph, Brandon W. Smith, and Hugh J. L. Garton

T rauma is the leading nonobstetric cause of maternal death among pregnant women, and complicates as many as 1 in 12 pregnancies. 18 , 20 Damage to the developing brain is a known consequence of maternal trauma, regardless of severity. 6 Most potential damage to the brain is indirect, as a result of stroke, periventricular leukomalacia, or intraventricular hemorrhage (IVH). 2 , 14 However, the risk of direct damage resulting in skull fractures, epidural hematoma (EDH), or subdural hematoma (SDH) is also present. We present a case of trauma occurring in

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Cortical herniation through compressive subdural membrane in an infant with a history of a large bihemispheric subdural hematoma and subdural-peritoneal shunt: case report

Aleka Scoco, E. Emily Bennett, and Violette Recinos

internal subdural membrane: a rare complication seen with chronic subdural hematomas in children. Case report . J Neurosurg 107 : 6 Suppl 485 – 488 , 2007 18154018 2 Aoki N : Chronic subdural hematoma in infancy. Clinical analysis of 30 cases in the CT era . J Neurosurg 73 : 201 – 205 , 1990 10.3171/jns.1990.73.2.0201 2366077 3 Aoki N , Mizutani H , Masuzawa H : Unilateral subdural-peritoneal shunting for bilateral chronic subdural hematomas in infancy. Report of three cases . J Neurosurg 63 : 134 – 137 , 1985 10.3171/jns.1985

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Ruptured temporal lobe arachnoid cyst presenting with severe back pain

Case report

Subash Lohani, Richard L. Robertson, and Mark R. Proctor

A rachnoid cysts are benign, congenital, nonneoplastic, extraaxial, intraarachnoid lesions filled with CSF. They can occur in the brain or spine. The most common presenting symptom of a cerebral arachnoid cyst is headache, either due to local mass effect, high intracranial pressure, or hydrocephalus. Infrequently, arachnoid cysts of the middle cranial fossa may be associated with hemorrhage. Rarely, they are also implicated in the development of subdural hematomas and hygromas. 8 , 10 We present a case of an 11-year-old boy presenting with severe back

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Acute subdural hematoma secondary to distal middle cerebral artery aneurysm rupture in a newborn infant

Case report

Begoña Iza-Vallejo, Olga Mateo-Sierra, Fernando Fortea-Gil, Fernando Ruiz-Juretschke, and Yolanda Ruiz Martín

The authors present the case of a peripheral aneurysmal lesion that developed in a newborn baby and was successfully treated by endovascular parent artery occlusion. Given the natural history of aneurysms, which are prone to rupture and to cause deleterious intracerebral hemorrhage, with high mortality rates, aggressive and early management (endovascular or surgical) is recommended.