Predictive Value of SubduralEffusion Thickness for the Transformation of Post-Traumatic SubduralEffusion into Chronic Subdural Hematoma. The primary aim of this research is to investigate the predictive value of subduraleffusion thickness in determining the progression of post-traumatic subduraleffusion to chronic subdural hematoma. Studying this progression is crucial as it helps in early diagnosis and effective management of chronic subdural hematoma, which is a serious and life-threatening condition. This research is valuable and relevant for improving patient outcomes and reducing the associated risks and complications. We conducted a retrospective examination of the clinical data obtained from 124 patients who were treated for post-traumatic subduraleffusion at our neurosurgery
Management of subduraleffusion and hydrocephalus following decompressive craniectomy for posttraumatic cerebral infarction in a patient with traumatic brain injury: a case report. Subduraleffusion with hydrocephalus (SDEH) is a rare complication of traumatic brain injury, especially following decompressive craniectomy (DC) for posttraumatic cerebral infarction. The diagnosis and treatment are still difficult and controversial for neurosurgeons. A 45-year-old man developed traumatic cerebral infarction after traumatic brain injury and underwent DC because of the mass effect of cerebral infarction. Unfortunately, the complications of traumatic subduraleffusion (SDE) and hydrocephalus occurred in succession following DC. Burr-hole drainage and subdural peritoneal shunt were performed
An Unusual Presentation of Kikuchi-Fujimoto Disease with Recurrent SubduralEffusion A 24-year-old man complained of a right temporal headache for four weeks. The patient denied any trauma or previous anticoagulation use. He also reported tender right facial swelling. His physical exam was unrevealing except for right cranial nerve (CN) VI palsy, right parotid enlargement, and cervical adenopathy . Laboratory findings were significant for mild leukopenia at 3300 cells/uL. The computed tomography (CT) scan obtained showed a chronic left subduraleffusion with a 4 mm midline shift and confirmed right parotid enlargement and cervical lymphadenopathy. Surgical burr hole evacuation was done and the fluid was sent for wound culture analysis. The infectious diseases service recommended initiating
Efficacy of early elastic bandage decompression in the treatment of subduraleffusion after craniotomy: a meta-analysis PROSPERO International prospective register of systematic reviews Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms
Study on the Efficacy of Long-term Drainage of SubduralEffusion After Decompressive Craniectomy Drilling or puncture drainage is commonly used in TBI patients with subduraleffusion following decompressive craniectomy who fail to respond to conservative treatment, but there is no exact regulation or guideline recommendation for the drainage time. The investigators aimed to conduct a randomized controlled trial to evaluate the efficacy and safety of long-term versus short-term drainage in the treatment of subduraleffusion after decompressive craniectomy in patients with traumatic brain injury. Subduraleffusion is a common complication following decompressive craniectomy for TBI (traumatic brain injury), with an overall incidence of 20%-50%. The clinical symptoms of subduraleffusion are mainly
A male infant had subduraleffusion and paroxysmal supraventricular tachycardia during the febrile episode of Kawasaki disease: a case report and literature review. Kawasaki disease is an acute, febrile, self-limiting, inflammatory systemic vasculitis seen in early childhood, most commonly in those below 5 years of age. In Kawasaki disease, the coronary arteries are most commonly affected, which may lead to asymptomatic coronary artery ectasia or formation of an aneurysm. Paroxysmal supraventricular tachycardia(PSVT) is a severe and rare cardiovascular complication of Kawasaki disease. A case of Kawasaki disease presenting with unusual findings, including subduraleffusion and PSVT is reported. This is a 4-month-10-day-old boy presents with anterior fontanelle bulging and moderate bilateral
Ommaya reservoir implantation for the treatment of contralateral progressive traumatic subduraleffusion secondary to decompressive craniectomy: a case report. This report describes a new method for the treatment of traumatic subduraleffusion (TSE). Following Ommaya reservoir implantation, a patient with contralateral progressive TSE secondary to decompressive craniectomy after traumatic brain
Enhancing subduraleffusions mimicking acute subdural hematomas following angiography and endovascular procedures: report of 2 cases. Hyperdense enhancing subduraleffusion due to contrast extravasation has been recently described as a potential mimicker of acute subdural hematoma following a percutaneous coronary procedure. Herein, the authors report on 2 patients who presented with subarachnoid hemorrhage from ruptured cerebral aneurysms and who developed enhancing subduraleffusions mimicking acute subdural hematomas after angiography and endovascular coil placement. In 1 case, the subduraleffusions completely cleared but recurred after a second angiography. CT attenuation values higher than expected for blood, as well as the evolution of the effusions and density over time, allowed
Recurrent, symptomatic, late-onset, contralateral subduraleffusion following decompressive craniectomy treated by cranial strapping. Subduraleffusions following decompressive craniotomy for trauma are usually benign, ipsilateral to the craniotomy and resolve spontaneously. Far less common and more dangerous are contralateral subduraleffusions causing external cerebral herniation. We report a case of recurrent contralateral effusion and highlight the management dilemmas. Arachnoid tear is probably the cause of these collections. Contralateral subduraleffusions should be suspected in patients who have delayed neurological deterioration after an initial improvement particularly in the setting of increased "flap bulge" though they may also be found in patients who remain moribund after
Early pressure dressing for the prevention of subduraleffusion secondary to decompressive craniectomy in patients with severe traumatic brain injury. This study was performed to investigate the effect of early pressure dressing on the prevention of postoperative subduraleffusion secondary to decompressive craniectomy (DC) in patients with severe traumatic brain injury (STBI). Patients with STBI of subduraleffusion, hospitalization time, and postoperative Glasgow Outcome Scale score were compared between groups. Intracranial pressure was measured immediately before and on the day after pressure dressing. No significant difference in age, sex, preoperative Glasgow Coma Scale score, or postoperative Glasgow Outcome Scale score was observed between groups (P > 0.05). Subduraleffusion incidence rates
Subduraleffusions and lack of early pontocerebellar hypoplasia in siblings with RARS2 mutations. Mutations in the recently described RARS2 gene encoding for mitochondrial arginyl-transfer RNA synthetase give rise to a disorder characterised by early onset seizures, progressive microcephaly and developmental delay. The disorder was named pontocerebellar hypoplasia type 6 (PCH6) based on the corresponding radiological findings observed in the original cases. We report two siblings with the RARS2 mutation who displayed typical clinical features of PCH6, but who had distinct neuroimaging features. Early scans showed marked supratentorial, rather than infratentorial, atrophy, and the pons remained preserved throughout. One sibling also had bilateral subduraleffusions at presentation
Contralateral subduraleffusion related to decompressive craniectomy performed in patients with severe traumatic brain injury. Contralateral subduraleffusion caused by decompressive craniectomy (DC) is not uncommon. However, it has rarely been reported. From 2004 to 2008, 123 severe traumatic brain injury (TBI) patients were identified as having undergone DC for increased intracranial pressure (IICP) with or without removal of a blood clot or contused brain. Of these 123 patients, nine developed delayed contralateral subduraleffusion. Demographics, clinical presentations, treatment and outcome were reported. The overall incidence of contralateral subduraleffusion was 7.3%. On average, this complication was found 23 days after DC. Of the nine patients, six had neurological deterioration
pressure valve was associated with 4 cases of post-shunt subduraleffusion or slit ventricle syndrome, while the Delta valve was associated with only 1 case of subduraleffusion. The Delta valve group had 3 infections, whereas the differential pressure valve group had no infections. Warf et al34 (2005) conducted a prospective randomized trial in which they compared the Codman-Hakim microprecision valve
syndrome and subduraleffusion were demonstrated. Differential neurotransmitters of decreased 3-htdroxybutyric acid expression and increased sarcosine, tyrosine, betaine aldehyde chloride, kynurenic acid, glycine, succinic acid and lysine were identified in combined group. Patients of MMD combined with psychiatric disorders presented unique clinical characteristics. Neurotransmitters disorder may