scholarly journals No Value of Routine Brain Computed Tomography 6 Weeks after Evacuation of Chronic Subdural Hematoma

2018 ◽  
Vol 04 (04) ◽  
pp. e235-e236
Author(s):  
Mehmet Turgut
Keyword(s):  
Computed Tomography ◽  
No Value ◽  
Subdural Hematoma ◽  
Chronic Subdural Hematoma ◽  
Brain Computed Tomography

scholarly journals No Value of Routine Brain Computed Tomography 6 Weeks after Evacuation of Chronic Subdural Hematoma

2017 ◽  
Vol 03 (04) ◽  
pp. e174-e176 ◽  
Author(s):  
Christian Pedersen ◽  
Filippa Sundbye ◽  
Frantz Poulsen
Keyword(s):  
Computed Tomography ◽  
Ct Scan ◽  
Subdural Hematoma ◽  
Chronic Subdural Hematoma ◽  
Neurological Symptoms ◽  
Clinical Value ◽  
Brain Computed Tomography ◽  
Brain Ct ◽  
Control Brain ◽  
Postoperative Control

Background The aim of this study was to evaluate the value of planned control postoperative brain computed tomography (CT) scan performed 4 to 6 weeks after the evacuation of chronic subdural hematoma. Materials and Methods This retrospective study examined 202 patients who during a 2-year period from 2011 and 2012 underwent surgical treatment for chronic subdural hematoma (CSDH). Information on patient age, sex, alcohol consumption, anticoagulant/antiplatelet treatment, history of head trauma, Glasgow coma scale (GCS), neurological symptoms, laterality of CSDH, and surgical technique was retrieved from patient charts. Results Overall, 27 out of 202 patients had a recurrence of CSDH and re-evacuation of the hematoma was performed. In all patients recurrence of neurological symptoms preceded the planned postoperative control brain CT 4 to 6 weeks after primary surgery. Conclusion Routinely postoperative control brain CT scan 4 to 6 weeks after the evacuation of a CSDH has no clinical value.

scholarly journals Etizolam, an Anti-anxiety Agent, Attenuates Recurrence of Chronic Subdural Hematoma. Evaluation by Computed Tomography.

2002 ◽  
Vol 42 (2) ◽  
pp. 53-56 ◽  
Author(s):  
Yutaka HIRASHIMA ◽  
Naoya KUWAYAMA ◽  
Hideo HAMADA ◽  
Nakamasa HAYASHI ◽  
Shunro ENDO
Keyword(s):  
Computed Tomography ◽  
Subdural Hematoma ◽  
Chronic Subdural Hematoma

scholarly journals Chronic subdural hematoma - diagnosis, treatment and perspectives

2020 ◽  
Vol 73 (9-10) ◽  
pp. 295-300
Author(s):  
Mirela Jukovic ◽  
Viktor Till
Keyword(s):  
Computed Tomography ◽  
Subdural Hematoma ◽  
Diagnostic Method ◽  
Clinical Presentation ◽  
Management Strategies ◽  
Disease Onset ◽  
Chronic Subdural Hematoma ◽  
Disease Therapy ◽  
Conservative And Surgical Treatment

Introduction. Chronic subdural hematoma has become an important entity in radiological, neurological and neurosurgery practice. Classification. The classification of chronic subdural hematoma is most often done in relation to the time of the disease onset (acute, subacute and chronic), whereas the second classification is based on hematoma density using computed tomography. Clinical presentation. The clinical presentation may mimic a spectrum of various diseases and chronic subdural hematoma can be easily overlooked without radiological verification. Diagnosis. The diagnosis of chronic subdural hematoma is partly clinical and partly radiological. In most cases, computed tomography is the initial diagnostic method for detection of this disease. Many studies point to different management strategies in the diagnosis and treatment of the disease. Therapy. The therapy of chronic subdural hematoma depends on the patient?s neurological deficit, but generally it is divided into conservative and surgical treatment. Conclusion. The aim of this paper is to review chronic subdural hematomas with reference to their clinical and radiological characteristics for better understanding of these phenomena.

scholarly journals Bilateral Chronic Subdural Hematoma in the Posterior Fossa Treated with a Burr Hole Irrigation: A Case Report and Review of the Literature

2019 ◽  
Vol 11 (1) ◽  
pp. 87-93
Author(s):  
Takuro Inoue ◽  
Hisao Hirai ◽  
Ayako Shima ◽  
Fumio Suzuki ◽  
Masayuki Matsuda
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Posterior Fossa ◽  
Subdural Hematoma ◽  
Chronic Subdural Hematoma ◽  
Burr Hole ◽  
Ventricular Drainage ◽  
Review Of The Literature ◽  
Bilateral Chronic Subdural Hematoma ◽  
Radiological Examinations

Chronic subdural hematoma (CSH) in the posterior fossa is extremely rare. The surgical strategy is still controversial. We report a case of bilateral CSH in the posterior fossa successfully treated with a single-burr hole surgery. A 74-year-old man under anticoagulation and antiplatelet therapy developed headache and nausea during observation for an asymptomatic supratentorial CSH. Radiological examinations revealed appearance of bilateral CSH in the posterior fossa associated with hydrocephalus. Upon rapid deterioration of the patient’s consciousness, an urgent treatment was required. A burr hole was made near the transverse-sigmoid junction on the left side to access the hematoma. No ventricular drainage was placed as his consciousness improved during the decompression of the hematoma. Postoperative computed tomography showed that bilateral CSH and hydrocephalus had been successfully treated. In bilateral CSH in the posterior fossa, there may be a connection between each side. CSH in the posterior fossa, when urgent, can be treated under local anesthesia with a unilateral burr hole irrigation.

Computed Tomography Diagnosis of Chronic Subdural Hematoma and Subdural Empyema

1977 ◽  
Vol 1 (2) ◽  
pp. 262
Author(s):  
K. Komatsu ◽  
M. Matsunaga ◽  
K. Tanaka ◽  
R. Yoshida ◽  
M. Ohata ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Subdural Hematoma ◽  
Chronic Subdural Hematoma ◽  
Subdural Empyema ◽  
Computed Tomography Diagnosis

scholarly journals Spontaneous Postpartum Subacute Subdural Hematoma: A Case Report of Probable Compilation of Eclampsia

2016 ◽  
Vol 13 (2) ◽  
pp. 109-111
Author(s):  
Sachidanand Gautam ◽  
Shyam C Meena ◽  
Bhawana Gautam
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Subdural Hematoma ◽  
Chronic Subdural Hematoma ◽  
Computed Tomography Scan ◽  
Normal Delivery ◽  
Postoperative Course ◽  
Motor Aphasia ◽  
History Of ◽  
Tomography Scan

The author presents a patient who developed a subacute subdural hematoma approximately 2 weeks after normal delivery with history of postnatal convulsion and lateralizing neurological symptoms. On day 12, she started to feel a nonpostural and severe throbbing headache with motor aphasia and right hemiparesis power grade 4, she was referred to our department. Left subacute subdural hematoma was confirmed by a computed tomography scan. Physical examination revealed only mild right hemiparesis. Left burr hole trepanation was performed and this was followed by uneventful postoperative course, and it completely recovered after 4 weeks. Chronic subdural hematoma should be considered when postpartum patients who have history of ecclampsia with mild to severe, persistent, and non-postural headache.Nepal Journal of Neuroscience. Vol. 13, No. 2, 2016, Page: 109-111

scholarly journals Chronic intracranial subdural hematoma after spinal anesthesia for a cesarean section: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Delayehu Bekele ◽  
Mehari Bayable ◽  
Alemayehu Bedane
Keyword(s):  
Computed Tomography ◽  
Cesarean Section ◽  
Spinal Anesthesia ◽  
Subdural Hematoma ◽  
Chronic Subdural Hematoma ◽  
Elective Cesarean Section ◽  
Delay In Diagnosis ◽  
Elective Cesarean ◽  
High Index Of Suspicion ◽  
Head Computed Tomography

Abstract Background Subdural hematoma is a rare, potentially devastating, yet curable complication of spinal anesthesia. Differentiation between post-dural puncture headache and subdural hematoma can be difficult, resulting in a delay in diagnosis. Case presentation We present a 28-year-old Ethiopian female patient who underwent elective cesarean section under spinal anesthesia and returned to the emergency department after 1 month with a worsening headache. Brain computed tomography revealed a chronic subdural hematoma with a significant midline shift. The patient recovered completely after surgical evacuation. Conclusions A high index of suspicion and close attention to the pattern and characteristics of the headache, coupled with a meticulous neurologic examination and neuroimaging, can help to achieve timely diagnosis of this serious entity. Investigation with head computed tomography or magnetic resonance imaging is vital.

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