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Drainage of an extradural haematoma by intraosseous needle in a remote hospital.
Trauma Case Rep
February 2023
Wessex Neurosurgical Centre, Southampton General Hospital, UK.
We report the case of an intraosseous needle used to drain an acute extra-dural haematoma in a remote hospital. An 18 yr. old female attended the Emergency Department, after sustaining a closed head injury from a fall.
View Article and Find Full Text PDFDiffuse pneumocephalus : a rare complication of spinal surgery.
J Korean Neurosurg Soc
September 2010
Department of Neurosurgery, Dankook University Medical College, Cheonan, Korea.
The common etiologies of pneumocephalus, presence of air in the intracranial cavity, are trauma and cranial surgery. Pneumocephalus after spinal surgery is an unusual postoperative complication. We report the case of a male 59-year-old man who developed a pneumacephalus after posterior lumbar surgery for spinal stenosis.
View Article and Find Full Text PDFAir in "extra-dural space" after hyperbaric oxygen therapy.
J Trauma
October 2007
Department of Orthopaedic and Traumatology, Teaching Military Hospital, Toulon Naval, France.
After a survey of data in the literature the authors have used four criteria for the identification of the supraacute extradural hematoma:--an interval of maximum two hours between the occurence of the trauma and the performance of the intervention or exitus;--a severe cerebral syndrome with primary brutal coma, or coma that has developed in the above-mentioned interval;--the discovery during intervention of a "developing" hematoma, mostly as fluid, and the identification of the source of haemorrhage;--persistent cerebro-ventricular collapse after evacuation of the hematoma, that makes necessary the application of operative procedures for achieving recovery. Two of the 5 observations of the authors are presented, both in males, aged 22 and 73 years respectively, in whom surgery was performed in an interval of less than two hours. All the patients were comatose when the intervention was carried out, and 3 of them had a temporal fracture.
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