scholarly journals Neuroendoscopic Removal of Acute Subdural Hematoma with Contusion: Advantages for Elderly Patients

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Ryota Tamura ◽  
Yoshiaki Kuroshima ◽  
Yoshiki Nakamura
Keyword(s):  
Subdural Hematoma ◽  
Past History ◽  
Brain Infarction ◽  
Ct Scanning ◽  
Acute Stage ◽  
Acute Subdural Hematoma ◽  
Case Presentation ◽  
Advantages And Disadvantages ◽  
Medical Issues ◽  
Alcoholic Woman

Background. Large craniotomy for acute subdural hematoma is sometimes too invasive. We report good outcomes for two cases of neuroendoscopic evacuation of hematoma and contusion by 1 burr hole surgery.Case Presentation.Both patients arrived by ambulance at our hospital with disturbed consciousness after falling. Case1was an 81-year-old man who took antiplatelet drugs for brain infarction. Case2was a 73-year-old alcoholic woman. CT scanning showed acute subdural hematoma and frontal contusion in both cases. In the acute stage, glycerol was administered to reduce edema; CTs after 48 and 72 hours showed an increase of subdural hematoma and massive contusion of the frontal lobe. Disturbed consciousness steadily deteriorated. The subdural hematoma and contusion were removed as soon as possible by neuroendoscopy under local anesthesia, because neither patient was a good candidate for large craniotomy considering age and past history. 40%~70% of the hematoma was removed, and the consciousness level improved.Conclusion. Neuroendoscopic removal of acute subdural hematoma and contusion has advantages and disadvantages. For patients with underlying medical issues or other risk factors, it is likely to be effective.

scholarly journals Enlarged Craniotomy with Membranectomy for Treatment of Completely Organized Chronic Subdural Hematoma: A Case Report and Literature Review

2020 ◽  
Author(s):  
Xiao-Yong Shi ◽  
Jin-Xia Zhang ◽  
Zhu-Xiao Tang ◽  
Hu Sun ◽  
Zheng Shen
Keyword(s):  
Subdural Hematoma ◽  
Chronic Subdural Hematoma ◽  
The Elderly ◽  
Cranial Computed Tomography ◽  
Acute Subdural Hematoma ◽  
Cerebral Contusion ◽  
Liquid Component ◽  
Case Presentation ◽  
Car Accident ◽  
The Brain

Abstract Background Chronic subdural hematoma(CSDH) is a common condition in the elderly which can be treated by burr hole trephination and drainage. But completely organized chronic subdural hematoma(OCSH) is rare which cannot be cured by this technique, only treated by enlarged craniotomy and membranectomy.Case Presentation A 74-year old man admitted to hospital for loss of consciousness for one hour following a car accident. Cranial computed tomography (CT) showed a large mixed density hematoma on the left, acute subdural hematoma, cerebral contusion and subarachnoid hemorrhage. A left standard large craniotomy was performed. A large and completely OCSH with no liquid component was found during surgery, at the same time, we found no obvious adhesions between the inner membrane and the brain tissue, which was easy to separate and finally removed completely. Conclusion Craniotomy with membranectomy is a feasible method for treating completely OCSH.

Results of Surgically Treated Acute Subdural Hematoma Caused by Head Injury

2015 ◽  
Vol 76 (S 02) ◽  
Author(s):  
Antun Azasevac ◽  
T. Cigić ◽  
V. Papić ◽  
Đ. Đilvesi ◽  
N. Krajčinović ◽  
...  
Keyword(s):  
Head Injury ◽  
Subdural Hematoma ◽  
Acute Subdural Hematoma

scholarly journals Primary Gastrointestinal Stromal Tumor of the Liver with Cystic Changes

2019 ◽  
Vol 13 (1) ◽  
pp. 58-65
Author(s):  
Takashi Tashiro ◽  
Fumihiro Uwamori ◽  
Yukiomi Nakade ◽  
Tadahisa Inoue ◽  
Yuji Kobayashi ◽  
...  
Keyword(s):  
Liver Tumors ◽  
Past History ◽  
Brain Infarction ◽  
Arterial Phase ◽  
First Case ◽  
Positron Emission ◽  
Cystic Changes ◽  
Multiple Bone Metastases ◽  
The Right ◽  
Cells Of Cajal

Gastrointestinal stromal tumors (GISTs) are known to originate specifically from the intestinal cells of Cajal located in the gastrointestinal mesenchyme. GISTs developing outside of the digestive tract have barely been reported. We encountered a first case of large primary GISTs in the liver with cystic changes. A 63-year-old man with a past history of brain infarction visited our hospital. The computed tomography (CT) revealed a 6-cm and a 10-cm mass in the right and the caudal lobe of the liver, respectively. These tumors have marginal enhancement in the arterial phase; however, they presented as hypodense in the internal tumor sites. Both liver tumors had cystic changes. Gastrointestinal examinations using endoscopy revealed no other gastrointestinal tumors, and [18F]-fluoro-2-deoxy-D-glucose positron emission tomography/CT revealed multiple bone metastases in addition to the liver tumors. The liver tumor specimens were composed of spindle cells, and the immunohistochemical staining for c-Kit and for DOG1, as discovered on GIST, was positive. The patient was diagnosed with primary hepatic GIST with cystic changes.

Predictors of rapid spontaneous resolution of acute subdural hematoma

2014 ◽  
Vol 118 ◽  
pp. 94-97 ◽  
Author(s):  
Kenji Fujimoto ◽  
Tadahiro Otsuka ◽  
Kimio Yoshizato ◽  
Jun-ichi Kuratsu
Keyword(s):  
Subdural Hematoma ◽  
Spontaneous Resolution ◽  
Acute Subdural Hematoma

scholarly journals Acute subdural hematoma post ventricular puncture in infants: A case report and review of the literature

2021 ◽  
Vol 82 ◽  
pp. 105913
Author(s):  
El Hadji Cheikh Ndiaye Sy ◽  
Yakhya Cisse ◽  
Jean Michel Nzisabira ◽  
Ansoumane Donzo ◽  
Pape Sandene Ndiaye ◽  
...  
Keyword(s):  
Case Report ◽  
Subdural Hematoma ◽  
Acute Subdural Hematoma ◽  
Review Of The Literature ◽  
Ventricular Puncture

Acute Subdural Hematoma: Is the Blood Itself Toxic?

1994 ◽  
Vol 11 (6) ◽  
pp. 669-678 ◽  
Author(s):  
ANN-CHRISTINE DUHAIME ◽  
LAURA M. GENNARELLI ◽  
ANTHONY YACHNIS
Keyword(s):  
Subdural Hematoma ◽  
Acute Subdural Hematoma

Acute subdural hematoma in high school rugby player in Japan: The importance of playing experience for injury prevention

2021 ◽  
Author(s):  
Haruhiko Sato ◽  
Ko Sasaki ◽  
Akihiko Nakamura ◽  
Fusao Nakamura ◽  
Mutsuo Yamada ◽  
...  
Keyword(s):  
High School ◽  
Injury Prevention ◽  
Subdural Hematoma ◽  
Rugby Player ◽  
Acute Subdural Hematoma
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