ACUTE SUBDURAL HEMORRHAGE AT BIRTH

PEDIATRICS ◽  
1954 ◽  
Vol 14 (5) ◽  
pp. 468-474
Author(s):  
RAYMOND SCHIPKE ◽  
DAVID RIEGE ◽  
WILLIAM B. SCOVILLE
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Clinical Significance ◽  
Subdural Hematoma ◽  
Early Recognition ◽  
Chronic Subdural Hematoma ◽  
Subdural Hemorrhage ◽  
Subdural Bleeding ◽  
Directing Attention

The term "acute subdural hemorrhage of the newborn" has been suggested for comparison with subarachnoid hemorrhage of the newborn and chronic subdural hematoma of infancy. Two cases of subdural hemorrhage in the newborn, treated by subdural drainage, are presented in detail. Five additional cases discovered at autopsy are discussed. Increased tension of the fontanelle is the most important single sign for directing attention to the possibility of subdural bleeding at birth. Early recognition as a prerequisite for favorable therapy is emphasized. Subdural bleeding of clinical significance is best demonstrated by coronal subdural taps.

scholarly journals Endoscopic evacuation of septated chronic subdural hemorrhage – Technical considerations, results, and outcome

2022 ◽  
Vol 13 ◽  
pp. 8
Author(s):  
Harnarayan Singh ◽  
Rana Patir ◽  
Sandeep Vaishya ◽  
Rahul Miglani ◽  
Anurag Gupta ◽  
...  
Keyword(s):  
Subdural Hematoma ◽  
Chronic Subdural Hematoma ◽  
The Elderly ◽  
Subdural Hemorrhage ◽  
Subdural Space ◽  
Subdural Bleeding ◽  
Endoscopic Evacuation ◽  
Clinically Significant ◽  
Burr Holes

Background: Chronic subdural hematoma (cSDH) is a common entity in the elderly. Homogeneous or well-liquefied CSDH has a standard line of treatment through burr hole and irrigation. However, the management of septated chronic subdural hematoma (sCSDH) with multiple membranes does not have a well-defined surgical approach. The neomembranes forming septations prevent evacuation of clots through burr holes, and the small remaining loculi with clots will enlarge overtime to cause recurrence. Methods: Patients with sCSDH were operated through a minicraniotomy (2.5 cm × 2.5 cm) using rigid endoscopes for visualization of the subdural space. Using endoscope, the entire subdural space can be visualized. The neomembranes are removed with standard neurosurgical microinstruments. The entire cavity is irrigated under vision to remove all clots and ensures hemostasis. Results: Eighty-three endoscope-assisted evacuations were done in 68 patients from January 2016 to April 2020. Fifty (73.5%) patients had unilateral and 18 (26.5%) had bilateral subdural. Only 1 patient (1.47%) had a clinically significant recollection of subdural bleeding 1 month after the procedure. Over a mean follow-up period of 25.3 months (range 1–53 months), rest of patients did not show any recollection. Conclusion: Endoscopic evacuation of sCSDH is a safe and effective method and can be used to improve clot evacuation, and remove neomembranes under direct vision to reduce the rates of recollection. This method also obviates the need for larger craniotomies to remove membranes.

scholarly journals A Case of Unknown Origin Subarachnoid Hemorrhage Immediately Following Drainage for Chronic Subdural Hematoma

2004 ◽  
Vol 51 (2) ◽  
pp. 163-167 ◽  
Author(s):  
TAKESHI MIYAZAKI ◽  
YOSHIFUMI MATSUMOTO ◽  
FUMIHITO OHTA ◽  
MITSUHIRO DAISU ◽  
KOUZO MORITAKE
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Subdural Hematoma ◽  
Chronic Subdural Hematoma ◽  
Unknown Origin

Chronic subdural hematoma presenting as spontaneous subarachnoid hemorrhage

1985 ◽  
Vol 63 (5) ◽  
pp. 691-692 ◽  
Author(s):  
Zbigniew Kotwica ◽  
Jerzy Brzeziński
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Subdural Hematoma ◽  
Chronic Subdural Hematoma ◽  
Clinical Findings ◽  
Content Type ◽  
Acute Subarachnoid Hemorrhage ◽  
Spontaneous Subarachnoid Hemorrhage ◽  
Fine Print

✓ Six cases of chronic subdural hematoma presenting with the clinical findings of acute subarachnoid hemorrhage are reported. No systemic or focal cause for the bleeding was found, and possible mechanisms are discussed.

scholarly journals Bilateral chronic subdural hematoma: What is the clinical significance?

2013 ◽  
Vol 11 (7) ◽  
pp. 544-548 ◽  
Author(s):  
Yu-Hua Huang ◽  
Ka-Yen Yang ◽  
Tao-Chen Lee ◽  
Chen-Chieh Liao
Keyword(s):  
Clinical Significance ◽  
Subdural Hematoma ◽  
Chronic Subdural Hematoma ◽  
Bilateral Chronic Subdural Hematoma

Relationship between supratentorial arachnoid cyst and chronic subdural hematoma: neuroradiological evidence and surgical treatment

2009 ◽  
Vol 110 (6) ◽  
pp. 1250-1255 ◽  
Author(s):  
Maurizio Domenicucci ◽  
Natale Russo ◽  
Elisabetta Giugni ◽  
Alberto Pierallini
Keyword(s):  
Arachnoid Cyst ◽  
Subdural Hematoma ◽  
Chronic Subdural Hematoma ◽  
Ct Scanning ◽  
Arachnoid Cysts ◽  
Trauma Treatment ◽  
Cranial Trauma ◽  
Subdural Bleeding ◽  
Mass Lesions

Object Arachnoid cysts are relatively common congenital intracranial mass lesions that arise during the development of the meninges. They can be complicated by the formation of an ipsilateral chronic subdural hematoma (CSDH) after minor cranial trauma. Treatment of these coexisting conditions remains controversial. In this study the authors describe the anatomical, clinical, and neuroradiological features and outcome in a series of patients whose CSDH associated with arachnoid cysts were managed surgically by draining the hematoma alone and leaving the cyst intact. The authors based this surgical management on histological and neuroradiological observations concerning these associated medical conditions. Methods A series of 8 patients with CSDHs associated with arachnoid cysts underwent surgery to drain the hematoma though a bur hole. The arachnoid cyst was left intact. Postoperative follow-up included CT scanning and T1- and T2-weighted MR imaging. Results Clinical, anatomical, and radiological observations suggest that because separate membranes cover arachnoid cysts and the related hematoma, arachnoid cysts remain unaffected by the subdural bleeding. In the present study, these observations received support from the neuroimaging appearances, suggesting that arachnoid cysts related to hematoma contained only blood breakdown products from the hematoma that had filtered through the reciprocal dividing membranes. Conclusions Arachnoid cysts associated with SDH are anatomically separate conditions whose neurological symptoms respond to surgical drainage of the CSDH alone.

Chronic subdural hematoma: evaluation of the clinical significance of postoperative drainage volume

2000 ◽  
Vol 93 (5) ◽  
pp. 796-799 ◽  
Author(s):  
Taek-Hyun Kwon ◽  
Youn-Kwan Park ◽  
Dong-Jun Lim ◽  
Tai-Hyoung Cho ◽  
Yong-Gu Chung ◽  
...  
Keyword(s):  
Clinical Significance ◽  
Closed System ◽  
Subdural Hematoma ◽  
Chronic Subdural Hematoma ◽  
Burr Hole ◽  
Low Density ◽  
Content Type ◽  
Drainage Volume ◽  
Postoperative Drainage ◽  
Fine Print

Object. A wide variation in postoperative drainage volumes is observed during treatment of chronic subdural hematoma (CSDH) with twist-drill or burr-hole craniostomy and closed-system drainage. In this study the authors investigate the causes of the variation, the clinical significance thereof, and its influence on treatment outcome.Methods. A total of 175 cases were investigated between January 1991 and December 1997. Of these, 145 patients had surgery for CSDH, of whom 30 had bilateral lesions. The cases of CSDH were divided into five subtypes (low-density, isodense, high-density, mixed-density, and layering types) on the basis of the brain computerized tomography (CT) findings. Burr-hole craniostomies with closed-system drainage were performed in all patients and the drainage was maintained for 5 days, during which daily amounts of fluid were measured. The mean drainage volume over 5 days was 320 ml, with the largest volume (413 ml) seen in the low-density type and the smallest (151 ml) in the mixed-density type of CSDH. There were recurrences in six patients (seven instances, 4%). The mixed-density type had the highest recurrence rate (8.6%), whereas there was no recurrence for the low-density type. There were no recurrences in 81 patients in whom the total drainage volumes for 5 days were more than 200 ml, but there were recurrences in six (seven instances) of 94 patients in whom the total drainage volume was less than 200 ml.Conclusions. The postoperative drainage volumes varied greatly because of differences in the outer membrane permeability of CSDH, and such variation seems to be related to the findings on the CT scans obtained preoperatively. Patients with CSDH in whom there is less postoperative drainage than expected should be carefully observed, with special attention paid to the possibility of recurrence.

scholarly journals Management of spontaneous cerebrospinal fluid hypovolemia-associated massive chronic subdural hematoma with reinforced restriction of physical activity: report of three cases

2020 ◽  
Vol 48 (11) ◽  
pp. 030006052096932
Author(s):  
Lanhua Zou ◽  
Guichen Li ◽  
Jinchuan Zhao ◽  
Yang Zhang ◽  
Kun Hou
Keyword(s):  
Physical Activity ◽  
Cerebrospinal Fluid ◽  
General Population ◽  
Subdural Hematoma ◽  
Complete Resolution ◽  
Early Recognition ◽  
Chronic Subdural Hematoma ◽  
Promising Strategy ◽  
Treatment Measures ◽  
Activity Report

Spontaneous cerebrospinal fluid hypovolemia (SCFH) is an uncommon entity in neurosurgical practice. Without early recognition and management, some patients with SCFH can develop chronic subdural hematoma (CSDH). Generally, management of patients with SCFH without CSDH is relatively straightforward. However, this circumstance becomes more complicated in patients with concurrent CSDH. Treatment measures simply based on the respective management principles of SCFH and CSDH are insufficient or even disastrous. Our previous study showed that reinforced restriction of physical activity was a promising strategy in managing CSDH in the general population. We applied this strategy in three consecutive patients with SCFH and massive CSDH. All of the patients experienced complete resolution of CSDH. This study not only enriches the basic theory of formation and progression of CSDH, but also demonstrates that reinforced restriction of physical activity could be treated as an alternative or adjuvant management of CSDH secondary to SCFH.

scholarly journals Risk Factors for Chronic Subdural Hematoma after a Minor Head Injury in the Elderly: A Population-Based Study

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Jen-Ho Tseng ◽  
Ming-Yuan Tseng ◽  
Ann-Jeng Liu ◽  
Wen-Hsiung Lin ◽  
Hsiao-Yun Hu ◽  
...  
Keyword(s):  
Risk Factors ◽  
Head Injury ◽  
Predictive Factors ◽  
Subdural Hematoma ◽  
Early Recognition ◽  
Chronic Subdural Hematoma ◽  
The Elderly ◽  
Population Based ◽  
Population Based Study ◽  
Early Management

Chronic subdural hematoma (CSDH) is one of the major comorbidities in elderly resulting in disability and death. Early recognition of CSDH is important for early management. However, manifestations of CSDH are nonspecific and subtle. Therefore, identification of risk factors of CSDH can offer clinical follow-up strategies for patients after episodes of head injury. The purpose of the study aimed at identifying risk factors of CSDH of Taiwanese. Analysis of data from the National Health Insurance provides important information on predictive factors influencing the early diagnosis of CSDH in elderly patients following minor head injuries. The current study is the first nationwide population-based study in Taiwan, showing that old age (≥75 years), male gender, and coexisting hydrocephalus are significantly predictive factors, irrespective to their medical comorbidities.

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