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David Balser, Sameer Farooq, Talha Mehmood, Marleen Reyes and Uzma Samadani

SDH cases for a particular year: Alcoholism/alcohol dependence is a major risk factor for chronic SDH. However historical data on these parameters are not readily available. As a substitute, we used average alcohol consumption measured in liters per capita (LPC). At the approximate time of the Kudo et al. study in Japan (1990), 26 alcohol consumption by persons 15 years of age or older in Japan was 8 LPC; at the approximate time of the Foelholm and Waltimo study in Finland (1970), 11 alcohol consumption by persons 15 years of age or older in Finland was 5

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Abdullah Bin Zahid, David Balser, Rebekah Thomas, Margaret Y. Mahan, Molly E. Hubbard and Uzma Samadani

D ue to an aging population, chronic subdural hematoma (cSDH) is projected to become the most common adult neurosurgical diagnosis requiring an operative procedure in the US by 2030. 2 Morbidity for this condition is often high, with mean lengths of hospital stay longer than those for brain tumors, 3 and a 1-year mortality of approximately 30%. 25 Brain atrophy, increasing age, and alcoholism all predispose a patient to the development of cSDH. 22 , 26 , 27 Preceding trauma is often denied or noted to be unremarkable. 10 , 26 Loss of consciousness is

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Uzma Samadani, Sameer Farooq, Robert Ritlop, Floyd Warren, Marleen Reyes, Elizabeth Lamm, Anastasia Alex, Elena Nehrbass, Radek Kolecki, Michael Jureller, Julia Schneider, Agnes Chen, Chen Shi, Neil Mendhiratta, Jason H. Huang, Meng Qian, Roy Kwak, Artem Mikheev, Henry Rusinek, Ajax George, Robert Fergus, Douglas Kondziolka, Paul P. Huang and R. Theodore Smith

preoperative CT scan [ Fig. 5B ]): right cistern 61% of baseline, left cistern 73% of baseline. Radiologist 1: “Cisterns are effaced but there is no direct mass effect on CN III.” Radiologist 2: “There is mass effect, but no overt compression of CN III.” Left Glioblastoma Multiforme The patient was a 67-year-old man with a medical history of prostate cancer, hypertension, hyperlipidemia, alcoholism in remission, and gunshot wound to the left shoulder with retained missile fragment. His ophthalmic baseline was 20/40 vision in the right eye and 20/50 in the left eye

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found a significant relation between epidural empyema after bone flap reimplantation and the presence of a VP shunt at the time of cranial vault reconstruction, the implantation of a VP shunt together (p=0.001) with the bone flap and the implantation of fragmented bone flaps (p=0.016). We also found a significant relation between aseptic necrosis and an open traumatic brain injury (open TBI) as primary diagnosis (p=0.004). Further alcoholism was identified as a risk factor for aseptic bone flap necrosis (p=0.010). Conclusions In order to avoid infectious