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Ossification of Cranial Epidural Hematomas: A Systematic Review of Management Strategies and Presentation of an Illustrative Case.
Neurotrauma Rep
August 2024
Department of Neurosurgery, Hôpitaux Universitaires de Genève, Geneva, Switzerland.
The presence of a calcified or ossified chronic cranial epidural hematoma (EDH) is rare and has been described in only a few case reports in the literature. Consequently, clear treatment strategies remain elusive and may entail conservative and surgical approaches. In this study, we performed a systematic review of reported cases to evaluate the clinical course and treatment options for these patients.
View Article and Find Full Text PDFEarly Recurrence of Thoracic Ossification of the Ligamentum Flavum After Posterior Decompression Surgery: A Case Report.
Cureus
May 2024
Department of Orthopaedic Surgery, Institute of Medicine, University of Tsukuba, Tsukuba, JPN.
Thoracic ossification of the ligamentum flavum (OLF) is known to result in spinal canal stenosis and myelopathy. It is typically treated through decompressive laminectomy and resection of the ossified ligament, which is known to improve neurological deficits. However, the recurrence of OLF post-surgery remains a relatively undocumented and complex issue.
View Article and Find Full Text PDFTreatment of cerebrospinal fluid leakage with prolonged use of subfascial epidural drain and antibiotics in patients of thoracic myelopathy after posterior decompression surgery.
Front Surg
November 2023
Department of Orthopaedic Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, China.
Background: Cerebrospinal fluid leakage (CSFL) is a prevalent and vexing complication associated with spine surgery. No standard protocol is available guiding CSFL management, especially for thoracic CSFL. The aim of this study was to retrospectively evaluate the efficacy of prolonged use of subfascial epidural drain and antibiotics to treat CSFL after posterior thoracic decompression surgery.
View Article and Find Full Text PDFManagement of infected hydroxyapatite cranioplasty: Is salvage feasible?
Brain Spine
June 2022
Department of Neurosurgery, Università Politecnica delle Marche, Azienda Ospedali Riuniti Ancona, Ancona, Italy.
Introduction: The use of hydroxyapatite cranioplasties has grown progressively over the past few decades. The peculiar biological properties of this material make it particularly suitable for patients with decompressive craniectomy where bone reintegration is a primary objective. However, hydroxyapatite infection rates are similar to those of other reconstructive materials.
View Article and Find Full Text PDFCalcified Epidural Hematoma after Conservative Treatment of Acute Epidural Hematoma in the Pediatric Population: A Systematic Review.
Pediatr Neurosurg
February 2023
Neurosurgery Department, Children's Hospital A. Meyer, University of Florence, Florence, Italy.
Background: Acute traumatic epidural hematoma (EDH) is a complication in 2-3% of pediatric head injuries. Surgery is mandatory in symptomatic cases; otherwise, conservative treatment is a valid approach, especially in the pediatric population. Ossified epidural hematomas (OEHs) have been reported in the pediatric population as a rare complication of conservative EDH management, although the exact incidence remains unknown.
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