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Recurrent Subdural and Epidural Hematomas: A Case Report of Complications Following Craniotomy and Middle Meningeal Artery Embolization.
Cureus
November 2024
Internal Medicine, UChicago Medicine AdventHealth, La Grange, USA.
This report presents a 76-year-old male patient who developed indolent right-sided upper and lower extremity weakness and low back pain following a fall that resulted in no trauma and was not prompted by syncope or vertigo. Imaging revealed a chronic subdural hematoma (cSDH) with midline shift, for which the patient underwent craniotomy and middle meningeal artery (MMA) embolization. Despite initial intervention, the patient experienced rare and severe complications, including the recurrence of a subdural hematoma (SDH), the development of an epidural hematoma, and frontal lobe herniation.
View Article and Find Full Text PDFSubdural Collection Above the Surgical Site After Endoscopic Surgery: A Case Report.
Cureus
August 2024
Anesthesiology/Pain Medicine, University of Florida College of Medicine, Gainesville, USA.
Article Synopsis
- * A unique case presented involves a patient developing a subdural collection after an endoscopic spine surgery, despite no visible dural puncture occurring during the procedure.
- * The patient's follow-up revealed new symptoms and an MRI showed the subdural collection, prompting speculation about its cause, including possible vascular injuries or changes in spinal blood vessel pressure.
Sudden death in a newborn from cerebral venous sinus thrombosis resulting from meningitis.
Med Leg J
July 2024
Department of Integrated Surgical and Diagnostic Sciences, University of Genova, Italy.
Septic cerebral venous sinus thrombosis is a rare but often fatal complication caused by bacterial meningitis and paranasal sinusitis.We report a particular case of the sudden and unexpected death of a six-day-old infant from unrecognised acute meningitis that caused a thrombotic occlusion of the venous sinuses (with the particular involvement of the torcular Herophili at the confluence of sinuses) resulting in subdural haemorrhage.This case report alerts paediatricians and neonatologists to the importance of promptly considering a possible diagnosis of meningitis without delay to avoid the fatal complications described here.
View Article and Find Full Text PDFDevelopment of a delayed chronic subdural haematoma 3 years after traumatic brain injury with urinary incontinence: a case report.
Ann Med Surg (Lond)
July 2024
Department of Neurosurgery, SMBB Trauma Centre.
Introduction: The authors present a case of a delayed chronic subdural haematoma, a rare occurrence that manifested 3 years after a traumatic brain injury, accompanied by an unexpected symptom of urinary incontinence. Chronic subdural haematoma (CSDH) is a well-known condition characterised by the accumulation of old, liquefied blood under the dura mater, usually following minor head trauma. However, the atypical presentation of CSDH in a young patient without predisposing factors and the association with urinary incontinence challenge conventional understanding.
View Article and Find Full Text PDFComparative clinical outcomes of irrigation techniques in burr-hole craniostomy for chronic subdural hemorrhage: a multicenter cohort study.
Eur J Trauma Emerg Surg
December 2024
Department of Neurosurgery, Konkuk University Medical Center, Neungdong-Ro, Gwangjin-Gu, Seoul, Republic of Korea.
Background: Chronic Subdural Hemorrhage(cSDH) is often treated with surgical blood drainage, but concerns about recurrence and outcomes persist. Surgical techniques, including irrigation, vary. This study compares the outcomes of irrigation in cSDH surgery.
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