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Infantile acute subdural hematoma

Clinical analysis of 26 cases

Nobuhiko Aoki and Hideaki Masuzawa

A clear definition for “infantile acute subdural hematoma” (IASDH) has not been published. Some reports regard the term as covering any case of acute subdural hematoma in infants, 5 including those with skull fracture and cerebral contusion. Because of the biophysiological characteristic in infants, we have limited the term to describe an acute subdural hematoma due to apparently minor head trauma without loss of consciousness that is not associated with cerebral contusion in infants; this may possibly be caused by rupture of a bridging vein. 16 This

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Acute subdural hematomas

Review of 144 cases

David A. Fell, Sean Fitzgerald, Richard H. Moiel, and Pedro Caram

T te acute subdural hematoma represents one of the most lethal neurosurgical problems. In the 1940's, the mortality from this injury was reported as ranging from 82% 1 to 90%. 4, 17 In the past 14 years, despite the introduction of carotid angiography, corticosteroids, and dehydrating agents, the mortality figures reported for large series of cases have remained at 54% 9 to 87%. 6 In 1967, two of the present authors reported a series of 84 cases of acute subdural hematomas treated in our institution between 1960 and 1966, with a mortality rate of 44%. 12

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Acute subdural hematomas of arterial origin

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

the trauma experienced was trivial. He believed these rents were caused either by avulsion of a small dural twig from the parent cortical artery, or by damage to a knuckle of a surface artery which had been protruding through the arachnoid and was adherent to the overlying dura. In all of his cases the bleeding came from vessels in the vicinity of the Sylvian fissure. Talalla and McKissock 5 reported six cases of arterial bleeding seen at operation in eight cases of spontaneous acute subdural hematoma. They postulated that organization of a previous “subclinical

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Acute subdural hematoma

Review of 39 consecutive cases with high incidence of cortical artery rupture

Henry A. Shenkin

, and those requiring partial care included patients who could at least look after some of their own needs, but were unemployable. A summary of the findings in these 39 patients is presented in Table 1 . TABLE 1 Clinical data in 39 cases of acute subdural hematoma (SDH) Feature Arterial Bleed Venous Bleed Contusions Rebleed into SDH Total no. of cases 24 10 3 2 39 average age (yrs) 56.4 46.8 50 52 & 73 53.8 sex  male 16 9 3 2 30  female 8 1 0 0

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Hemicraniectomy in the management of acute subdural hematoma

Joseph Ransohoff, M. Vallo Benjamin, E. Lyle Gage Jr., and Fred Epstein

T he destiny of patients with acute subdural hematomas requiring surgical intervention in the first 24 to 48 hours has been quite grim. We define “acute subdural hematoma” as that demanding emergency surgery for preservation of life within 2 days of the initial head injury. Reported mortality rates of up to 80% to 90% 2, 7, 10, 13 are indeed disheartening, particularly in the light of continued advances in neuroradiology, neuroanesthesia, respiratory assistance, as well as the widespread use of cortical steroids, Mannitol, and hypothermia. As evidence of

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Role of dural fenestrations in acute subdural hematoma

Joseph N. Guilburd and Gil E. Sviri

therapy (HITT) in the management of acute subdural hematoma.] No To Shinkei 36 : 709 – 716 , 1984 (Jpn) Aruga T, Mii K, Sakamoto T, et al: [Significance of hematoma irrigation with trephination therapy (HITT) in the management of acute subdural hematoma.] No To Shinkei 36: 709–716, 1984 (Jpn) 3. Bigler ED , Kurth S , Blatter D , et al : Day-of-injury CT as an index to pre-injury brain morphology: degree of post-injury degenerative changes identified by CT and MR neuroimaging. Brain Inj 7 : 125 – 134

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Outcome after severe brain trauma due to acute subdural hematoma

Clinical article

Johannes Leitgeb, Walter Mauritz, Alexandra Brazinova, Ivan Janciak, Marek Majdan, Ingrid Wilbacher, and Martin Rusnak

.D. (Klagenfurt), A. Waltensdorfer, M.D. (Graz Uni), and A. Zechner, M.D. (Klagenfurt). References 1 Bullock R , Chesnut RM , Clifton G , Ghajar J , Marion DW , Narayan RK , : Guidelines for the management of severe head injury . Eur J Emerg Med 3 : 109 – 127 , 1996 2 Dent DL , Croce MA , Menke PG , Young BH , Hinson MS , Kudsk KA , : Prognostic factors after acute subdural hematoma . J Trauma 39 : 36 – 43 , 1995 3 Gennarelli TA , Spielman GM , Langfitt TW , Gildenberg PL , Harrington T , Jane JA

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Coagulopathy and inhospital deaths in patients with acute subdural hematoma

Clinical article

Eric M. Bershad, Saeid Farhadi, M. Fareed K. Suri, Eliahu S. Feen, Olga H. Hernandez, Warren R. Selman, and Jose I. Suarez

, 1993 10.1161/01.STR.24.7.987 3 Brody DL , Aiyagari V , Shackleford AM , Diringer MN : Use of recombinant factor VIIa in patients with warfarin-associated intracranial hemorrhage . Neurocrit Care 2 : 263 – 267 , 2005 10.1385/NCC:2:3:263 4 Depreitere B , Van Calenbergh F , van Loon J : A clinical comparison of non-traumatic acute subdural haematomas either related to coagulopathy or of arterial origin without coagulopathy . Acta Neurochir (Wien) 145 : 541 – 546 , 2003 10.1007/s00701-003-0020-7 5 Dickneite G : Prothrombin complex

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Mechanics of acute subdural hematomas resulting from bridging vein rupture

Bart Depreitere, Carl Van Lierde, Jos Vander Sloten, Remy Van Audekercke, Georges Van Der Perre, Christiaan Plets, and Jan Goffin

Medvision NV for supplying us with the fluoroscopy apparatus and Stefan Govaerts and Jozef Verbinnen for their technical assistance. References 1 Aoki N , Masuzawa H : Infantile acute subdural hematoma. Clinical analysis of 26 cases . J Neurosurg 61 : 273 – 280 , 1984 10.3171/jns.1984.61.2.0273 2 Blumbergs PC , Pathology . Reilly P , Bullock R : Head Injury London , Chapman & Hall Medical , 1997 . 39 – 70 3 Bradshaw DRS : Linear wave propagation in traumatic brain injury . PhD thesis, 2001, Faculty of engineering and applied science

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Acute subdural hematoma from bridging vein rupture: a potential mechanism for growth

Clinical article

Jimmy D. Miller and Remi Nader

of cerebral venous and intracranial pressures . Acta Neurochir Suppl 96 : 435 – 437 , 2006 10.1007/3-211-30714-1_89 42 O'Brien PK , Norris JW , Tator CH : Acute subdural hematomas of arterial origin . J Neurosurg 41 : 435 – 439 , 1974 10.3171/jns.1974.41.4.0435 43 Oikawa A , Aoki N , Sakai T : Arteriovenous malformation presenting as acute subdural haematoma . Neurol Res 15 : 353 – 355 , 1993 10.1080/01616412.1993.11740161 44 Oka K , Rhoton AL Jr , Barry M , Rodriguez R : Microsurgical anatomy of the superficial