Spontaneous Acute Subdural Hematoma following Contralateral Calcified Chronic Subdural Hematoma Surgery: An Unusual Case

2006 ◽  
Vol 42 (2) ◽  
pp. 122-124 ◽  
Author(s):  
M. Tatli ◽  
A. Guzel ◽  
N. Altinors
Keyword(s):  
Subdural Hematoma ◽  
Unusual Case ◽  
Chronic Subdural Hematoma ◽  
Acute Subdural Hematoma ◽  
Calcified Chronic Subdural Hematoma

Contralateral acute subdural hematoma occurring after removal of calcified chronic subdural hematoma

2007 ◽  
Vol 14 (3) ◽  
pp. 283-286 ◽  
Author(s):  
Kyung-Sub Moon ◽  
Jung-Kil Lee ◽  
Tae-Sun Kim ◽  
Shin Jung ◽  
Jae-Hyoo Kim ◽  
...  
Keyword(s):  
Subdural Hematoma ◽  
Chronic Subdural Hematoma ◽  
Acute Subdural Hematoma ◽  
Calcified Chronic Subdural Hematoma

scholarly journals Calcified Chronic Subdural Hematoma: Case Report

2015 ◽  
Vol 53 (2) ◽  
pp. 168-170 ◽  
Author(s):  
Mehmet Ufuk Akmil ◽  
Ezgi Akar ◽  
Metin Orakdöğen ◽  
Tamer Altay
Keyword(s):  
Case Report ◽  
Subdural Hematoma ◽  
Chronic Subdural Hematoma ◽  
Calcified Chronic Subdural Hematoma

Skull angiosarcoma associated with a calcified chronic subdural hematoma

2019 ◽  
pp. 1-4
Author(s):  
Guowen Qin ◽  
Peng Xu ◽  
Shengyong Lan ◽  
Yipu Mao ◽  
Yongta Huang ◽  
...  
Keyword(s):  
Subdural Hematoma ◽  
Chronic Subdural Hematoma ◽  
Calcified Chronic Subdural Hematoma

Frequency of and Risk Factors for Chronification in Traumatic Acute Subdural Hematoma following Conservative Therapy

2019 ◽  
Vol 80 (05) ◽  
pp. 359-364 ◽  
Author(s):  
Stefanie Kaestner ◽  
Marina van den Boom ◽  
Wolfgang Deinsberger
Keyword(s):  
Risk Factors ◽  
Subdural Hematoma ◽  
Head Injuries ◽  
Chronic Subdural Hematoma ◽  
Length Of Hospital Stay ◽  
The Elderly ◽  
Coagulation System ◽  
Acute Subdural Hematoma ◽  
Neurosurgical Department ◽  
Anticoagulant Medication

Background In an aging society, traumatic head injuries, such as acute subdural hematomas (aSDHs), are increasingly common because the elderly are prone to falls and are often undergoing anticoagulation treatment. Especially in advanced age, cranial surgery such as craniotomies may put patients in further jeopardy. But if treatment is conservative, a chronic subdural hematoma (cSDH) may develop, requiring surgical evacuation. Existing studies have reported a correlation between several risk factors contributing to the frequency of chronification. To improve the prediction of the course of disease and to aid counseling patients and relatives, this study aimed to determine the frequency and the main risk factors influencing the process of chronification of an aSDH following conservative treatment. Methods We identified patients presenting between January 2012 and September 2017 at our neurosurgical department with an aSDH. All patients treated conservatively were selected retrospectively, and the following parameters were documented: age, sex, chronification status, Glasgow Coma Scale score on admission and discharge, hematoma thickness and density, the degree of midline shift (MLS), prior anticoagulants and administration of procoagulants, thrombosis management, other coagulopathies, initial length of hospital stay, interval between discharge and readmission, and interval between initial injury and date of surgery and last follow-up. The cohort was divided into patients with complete resolution of their aSDH, and patients who needed surgery due to chronification. Results A total of 75 conservatively treated patients with aSDH were included. A chronification was observed in 24 cases (32%). The process of chronification takes an average of 18 days (range: 10–98 days). The following factors were significantly associated with the process of chronification: age (p = 0.001), anticoagulant medication (acetylsalicylic acid [ASA], Coumadin, and novel anticoagulants [NOACs]) before injury (p = 0.026), administration of procoagulants (p = 0.001), presence of other coagulopathies such as thrombocytopenia (p = 0.002), low hematoma density at discharge (p = 0.001), hematoma thickness on admission and discharge (p = 0.001), and the degree of MLS (p = 0.044). Conclusion Chronification occurred in a third of all patients with conservatively treated aSDH, on average within 3 weeks. The probability of developing a cSDH is 0.96 times higher with every yearly increase in age, resulting in 56% chronification in patients ≥ 70 years. Hematoma thickness and impairment of the coagulation system such as anticoagulant medication (ASA, Coumadin, and NOACs) or thrombocytopenia are further risk factors for chronification.

Chronic subdural hematoma in infancy

1990 ◽  
Vol 73 (2) ◽  
pp. 201-205 ◽  
Author(s):  
Nobuhiko Aoki
Keyword(s):  
Computerized Tomography ◽  
Subdural Hematoma ◽  
Treatment Protocol ◽  
Chronic Subdural Hematoma ◽  
Neurological Deficits ◽  
Acute Subdural Hematoma ◽  
Hemorrhagic Diathesis ◽  
Content Type ◽  
Fine Print ◽  
Subdural Tapping

✓ The cases of 30 infants with chronic subdural hematoma treated surgically between 1978 and 1987 (after the introduction of computerized tomography) were reviewed. This series was limited to infants presenting with increased intracranial pressure, neurological deficits, or developmental retardation. Nineteen patients were male and 11 were female, ranging in age from 1 to 14 months (average 6.1 months). The surgical treatment was initiated with percutaneous subdural tapping which was repeated periodically, if indicated, for 2 weeks. If the patients failed to respond to subdural tapping, subdural-peritoneal shunting was installed. The follow-up periods were from 3 months to 9 years 8 months (average 4 years 10 months). Computerized tomography at that time disclosed disappearance or minimal collection of subdural fluid in 28 cases (93%) and a significant collection (> 5 mm) in two (7%). Neurological examination revealed that the patients were “normal” in 17 cases (57%), “mildly or moderately disabled” in nine (30%), and “severely disabled” in four (13%). The majority of disabled patients had lesions secondary to infantile acute subdural hematoma, child abuse, or hemorrhagic diathesis. These results indicate that the treatment protocol in the present series is acceptable for the elimination of subdural hematoma. Together, early diagnosis and treatment of the etiological conditions causing the lesion are indispensable for obtaining a satisfactory neurological outcome.

Contralateral trigeminal neuralgia as a false localizing sign in calcified chronic subdural hematoma: A case report

1989 ◽  
Vol 32 (6) ◽  
pp. 471-475 ◽  
Author(s):  
Takeshi Kondoh ◽  
Norihiko Tamaki ◽  
Naoya Takeda ◽  
Kunio Shirataki ◽  
Satoshi Mastumoto
Keyword(s):  
Case Report ◽  
Trigeminal Neuralgia ◽  
Subdural Hematoma ◽  
Chronic Subdural Hematoma ◽  
False Localizing Sign ◽  
Calcified Chronic Subdural Hematoma

Calcified chronic subdural hematoma: A case report and literature review

2017 ◽  
Vol 3 (4) ◽  
pp. 220-223
Author(s):  
Zongyu Xiao ◽  
Zongyu Xiao ◽  
Xiaojuan Chen ◽  
Kunzheng Li ◽  
Zhengping Zhang ◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Subdural Hematoma ◽  
Chronic Subdural Hematoma ◽  
Calcified Chronic Subdural Hematoma
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