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Middle meningeal artery embolization and subdural evacuating port system placement for chronic subdural hematomas: how I do it.
Acta Neurochir (Wien)
March 2025
Department of Neurosurgery, MedStar Washington Hospital Center, 110 Irving St. NW, Washington, DC, USA.
Background: Chronic subdural hematoma (cSDH) is a common neurosurgical pathology causing significant morbidity and mortality, yet optimal management and intervention remains controversial.
Methods: We describe embolization of the middle meningeal artery (MMA) and placement of subdural evacuating port systems (SEPS) by a dual trained open and endovascular neurosurgeon. Both procedures are done in sequence in the interventional radiology suite, and real time radiographic results are demonstrable with Xper-CT.
Burr hole evacuation of chronic subdural hematoma in general versus local anesthesia: a systematic review and meta-analysis.
Acta Neurochir (Wien)
March 2025
Department of Neurosurgery, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.
Purpose: Chronic subdural hematoma (cSDH) is a highly prevalent condition that frequently requires surgical evacuation. This is typically achieved through burr hole evacuation, which can be performed under either local anesthesia (LA) or general anesthesia (GA). In the present study, we provide a systematic review and meta-analysis to study and compare the safety and efficacy of cSDH evacuation in LA and GA.
View Article and Find Full Text PDFPott's Puffy Tumor Associated with Subperiosteal Empyema and Osteomyelitis in a Pediatric Patient.
Eur J Case Rep Intern Med
February 2025
Department of General Practice, The Medical Centre, Roscommon, Ireland.
Unlabelled: Pott's puffy tumor, a rare complication of frontal sinusitis or trauma, presents with subperiosteal abscess and osteomyelitis of the frontal bone. Early diagnosis with imaging studies and prompt treatment with antibiotics and percutaneous drainage of the abscess requires in most cases for a successful outcome. We report a case of a 12-year-old boy who initially presented with left sided retro-orbital/frontal area headache associated with high grade temperature and painful localized small forehead swelling.
View Article and Find Full Text PDFFactors Predicting Recurrence and Resolution of Chronic SDH after Surgery.
Asian J Neurosurg
March 2025
Department of Neurosurgery, Sawai Man Singh Hospital, Jaipur, Rajasthan, India.
Chronic subdural hematoma (SDH) is notoriously known to have high recurrence rates after surgery. We followed the course of 100 postoperative patients to determine the various stipulated factors associated with recurrence. In our study of 100 patients, there was a significant association with the size of SDH, amount of midline shift, increasing age, less duration of primary injury, and the increasing incidence of delayed resolution and recurrence.
View Article and Find Full Text PDFSubdural hygroma due to traumatic rupture of a middle cranial fossa arachnoid cyst that has transformed into a chronic subdural hematoma after burr hole operation: A case report.
Surg Neurol Int
February 2025
Department of Neurosurgery and Neuroendovascular Therapy, Osaka Medical and Pharmaceutical University Hospital, Osaka, Japan.
Background: Middle cranial fossa arachnoid cysts (MFACs) cause subdural hygromas due to head trauma or spontaneous rupture. We report the case of a patient who has performed burr hole surgery for subdural hygroma and chronic subdural hematoma (CSDH) caused by the rupture of an arachnoid cyst.
Case Description: A 30-year-old man fell off a motorbike and hit his head.
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