Spontaneous resolution of epidural hematomas

1981 ◽  
Vol 54 (2) ◽  
pp. 248-251 ◽  
Author(s):  
David Weaver ◽  
Louis Pobereskin ◽  
John A. Jane
Keyword(s):  
Computerized Tomography ◽  
Head Trauma ◽  
Epidural Hematoma ◽  
Surgical Intervention ◽  
Spontaneous Resolution ◽  
Content Type ◽  
New Class ◽  
Fine Print

✓ Two cases of traumatic epidural hematomas are presented. Both patients were minimally symptomatic, and neither required surgical intervention. It is suggested that the use of computerized tomography in head trauma will reveal a new class of epidural hematoma patients who may be treated conservatively.

Clinicopathological investigation of gyral high density on computerized tomography following severe head injury in children

1995 ◽  
Vol 82 (6) ◽  
pp. 995-1001 ◽  
Author(s):  
Takehide Onuma ◽  
Yasuko Shimosegawa ◽  
Motonobu Kameyama ◽  
Hiroaki Arai ◽  
Kiyoshi Ishii
Keyword(s):  
Computerized Tomography ◽  
Head Trauma ◽  
Brain Atrophy ◽  
High Density ◽  
Ct Scans ◽  
Severe Head Trauma ◽  
Content Type ◽  
Subacute Stage ◽  
Fine Print ◽  
Diffuse Brain

✓ The authors have treated five cases of severe head trauma in children in which abnormally high density along gyri, “gyral high density,” was seen on plain computerized tomography (CT) scans in the subacute stage of the injury. The prognosis in all cases was poor, with either severe disability or a vegetative state as the outcome due to significant brain atrophy following gyral high density. This pathology was classified into three clinical stages: 1) acute stage, cerebral ischemia in which there is diffuse low density of the cerebrum on CT scans (most marked on the 3rd and 4th days); 2) subacute stage, hemorrhagic infarction showing gyral high density on plain CT scans (between 1 and 4 weeks); and 3) chronic stage, brain atrophy (beginning 4 weeks after the trauma). In their consecutive series of head-injured patients (516 children, 1459 adults), the authors did not find gyral high density on CT scan in adults. This is probably due to the fact that adults who suffer the severe head trauma associated with diffuse brain swelling or diffuse brain edema cannot survive, thus making this gyral high density unique to children.

Thoracic myelopathy secondary to ossified ligamentum flavum

1982 ◽  
Vol 56 (3) ◽  
pp. 448-450 ◽  
Author(s):  
Matthew F. Omojola ◽  
Erico R. Cardoso ◽  
Allan J. Fox ◽  
Charles G. Drake ◽  
Quentin J. Durward
Keyword(s):  
Computerized Tomography ◽  
Preoperative Diagnosis ◽  
Ligamentum Flavum ◽  
Surgical Intervention ◽  
Thoracic Myelopathy ◽  
Content Type ◽  
Compressive Myelopathy ◽  
Anatomic Localization ◽  
Fine Print

✓ The authors report a case of ossification of the ligamentum flavum at T-10 and T-11 associated with compressive myelopathy. Metrizamide myelography with computerized tomography allowed precise preoperative diagnosis and anatomic localization of the lesion. The patient had satisfactory and prompt improvement after surgical intervention.

Observations on 82 patients with extradural hematoma

1981 ◽  
Vol 54 (2) ◽  
pp. 179-186 ◽  
Author(s):  
Francisco Cordobés ◽  
Ramiro D. Lobato ◽  
Juan J. Rivas ◽  
María J. Muñoz ◽  
Diego Chillón ◽  
...  
Keyword(s):  
Computerized Tomography ◽  
Epidural Hematoma ◽  
Ct Scanning ◽  
Accurate Diagnosis ◽  
The Other ◽  
Extradural Hematoma ◽  
Cerebral Lesions ◽  
Content Type ◽  
Fine Print

✓ A consecutive, unselected series of 82 patients with epidural hematoma treated between 1973 and 1980 is presented. Forty-one patients were managed before the advent of computerized tomography (CT) and the other 41 after this neuroradiological method was available. Mortality and disability rates which were 29.2% and 31.7% during the pre-CT period decreased to 12.1% and 19.5%, respectively, with the aid of CT scanning. This technique allowed a more rapid and accurate diagnosis of the hematomas than angiography, and defined better the presence and the evolutional changes of the associated cerebral lesions. As a consequence, surgery has been more effectively planned and executed during the CT era.

Concurrent delayed temporal and posterior fossa epidural hematomas

1983 ◽  
Vol 59 (2) ◽  
pp. 351-353 ◽  
Author(s):  
Luis A. Cervantes
Keyword(s):  
Computerized Tomography ◽  
Posterior Fossa ◽  
Epidural Hematoma ◽  
Content Type ◽  
Fine Print

✓ A case of delayed epidural hematoma presenting in two different intracranial compartments is described. The presumptive mechanism of the lesion is discussed and the value of early reevaluation by computerized tomography is stressed.

Lipoma of the insula

1983 ◽  
Vol 58 (2) ◽  
pp. 300-302 ◽  
Author(s):  
Shizuo Hatashita ◽  
Tokiwa Sakakibara ◽  
Shozo Ishii
Keyword(s):  
Computerized Tomography ◽  
Surgical Intervention ◽  
Content Type ◽  
Grand Mal ◽  
Fine Print

✓ The authors present a case of lipoma of the insula. This 20-year-old man with grand mal seizure was diagnosed by computerized tomography, and improved satisfactorily following surgical intervention.

Traumatic epidural hematoma of the cervical spine: diagnosis with magnetic resonance imaging

1988 ◽  
Vol 68 (5) ◽  
pp. 798-801 ◽  
Author(s):  
Golden Pan ◽  
Madan Kulkarni ◽  
David J. MacDougall ◽  
Michael E. Miner
Keyword(s):  
Cervical Spine ◽  
Magnetic Resonance ◽  
Mr Imaging ◽  
Epidural Hematoma ◽  
Surgical Intervention ◽  
Resonance Imaging ◽  
Content Type ◽  
Cord Injury ◽  
Spinal Epidural ◽  
Fine Print

✓ A traumatic epidural hematoma of the cervical spine is reported in a 13-year-old girl. The patient recovered spontaneously over several days without surgical intervention. The diagnosis was made on magnetic resonance (MR) imaging, which also demonstrated subsequent resolution of the hematoma. The etiological factors of spinal epidural hematomas are reviewed and the utility of MR imaging in differentiating other causes of acute spinal cord injury is emphasized.

Rapid spontaneous resolution of acute extradural and subdural hematomas

1993 ◽  
Vol 78 (1) ◽  
pp. 126-128 ◽  
Author(s):  
Toshihiko Kuroiwa ◽  
Harushi Tanabe ◽  
Hiroyuki Takatsuka ◽  
Motohiro Arai ◽  
Nobuyoshi Sakai ◽  
...  
Keyword(s):  
Spontaneous Resolution ◽  
Content Type ◽  
First Report ◽  
Simultaneous Resolution ◽  
Subdural Hematomas ◽  
Fine Print

✓ The rapid spontaneous resolution of two traumatic acute hematomas, one extradural and one subdural, is reported in a 17-year-old young man. The authors believe that this is the first report of simultaneous resolution of both types of hematoma.

Progressive neurological deficits with benign intracerebral cysts

1986 ◽  
Vol 65 (5) ◽  
pp. 706-709 ◽  
Author(s):  
Yoko Nakasu ◽  
Jyoji Handa ◽  
Kazuyoshi Watanabe
Keyword(s):  
Histological Examination ◽  
Computerized Tomography ◽  
Cyst Wall ◽  
Benign Lesion ◽  
Ct Scanning ◽  
Neurological Deficits ◽  
Review Of The Literature ◽  
Content Type ◽  
Ct Findings ◽  
Fine Print

✓ Two patients with benign intracerebral cysts are reported and a brief review of the literature is given. Although computerized tomography (CT) scanning is useful in detecting a variety of intracerebral cysts, the CT findings are not specific for any lesion. An exploratory operation with establishment of an adequate route of drainage and a histological examination of the cyst wall are mandatory in the management of patients with a progressive but benign lesion.

Intracranial epithelial cysts

1976 ◽  
Vol 44 (1) ◽  
pp. 109-115 ◽  
Author(s):  
Beth J. L. MacGregor ◽  
Jeffrey Gawler ◽  
John R. South
Keyword(s):  
Computerized Tomography ◽  
Content Type ◽  
Diagnostic Aspects ◽  
Epithelial Cysts ◽  
Emi Scanner ◽  
Fine Print

✓ The authors report two cases with large unilocular intracerebral epithelial cysts. Diagnosis was facilitated in both patients by computerized tomography (EMI scanner). The clinical and diagnostic aspects of previously reported cases are reviewed, and the etiology and pathogenesis of these cysts discussed.

Preliminary experience with Brown-Roberts-Wells (BRW) computerized tomography stereotaxic guidance system

1983 ◽  
Vol 59 (2) ◽  
pp. 217-222 ◽  
Author(s):  
M. Peter Heilbrun ◽  
Theodore S. Roberts ◽  
Michael L. J. Apuzzo ◽  
Trent H. Wells ◽  
James K. Sabshin
Keyword(s):  
Ct Scan ◽  
Computerized Tomography ◽  
Guidance System ◽  
Production Model ◽  
Ct Scanner ◽  
Content Type ◽  
Ct Scanners ◽  
Guidance Systems ◽  
Fine Print

✓ The production model of the Brown-Roberts-Wells (BRW) computerized tomography (CT) stereotaxic guidance system is described. Hardware and software modifications to the original prototype now allow the system to be used independently of the CT scanner after an initial scan with the localizing components fixed to the skull. The system is simple and efficient, can be used universally with all CT scanners, and includes a phantom simulator system for target verification. Preliminary experience with 74 patients at two institutions is described. It is concluded that CT stereotaxic guidance systems will become important tools in the neurosurgical armamentarium, as they allow accurate approach to any target identifiable on the CT scan.

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