Adult and Pediatric Spine Trauma
NEUROSURGERY CLINICS OF NORTH AMERICA www.neurosurgery.theclinics.com January 2017 • Volume 28 • Number 1
Management of Recurrent Subdural Hematomas
Subdural hematomas commonly recur after surgical evacuation, at a rate of 2% to 37%. Risk factors for recurrence can be patient related, radiologic, or surgical. Patient-related risk factors include alcoholism,…
Perioperative Management of Anticoagulation
Antiplatelet and anticoagulant drugs (antithrombotics) predispose to acute and chronic subdural hematomas. Patients on these drugs are at higher likelihood of presenting with larger hematomas and more severe neurologic deficits….
Cranioplasty
Cranioplasty following craniectomy for trauma is a common, safe neurosurgical procedure that restores the natural cosmesis and protective barrier of the skull and may be instrumental in normalizing cerebrospinal fluid…
Neurocritical Care of Acute Subdural Hemorrhage
Although urgent surgical hematoma evacuation is necessary for most patients with subdural hematoma (SDH), well-orchestrated, evidenced-based, multidisciplinary, postoperative critical care is essential to achieve the best possible outcome. Acute SDH…
Natural History of Acute Subdural Hematoma
Because published guidelines for surgical decision-making in patients with acute subdural hematomas (ASDHs) are based largely on case series and other weak evidence, management often must be individualized. Nonoperative management…
Chronic Subdural Hematoma ICU Management
Patients with cSDH presenting with new or worsening neurological deficits, especially if they are debilitating and adversely affecting quality of life require urgent medical and surgical attention. Neurological and neurosurgical…
Craniotomy for Treatment of Chronic Subdural Hematoma
Chronic subdural hematomas are commonly encountered pathologies in neurologic surgery. Primary management for a symptomatic lesion usually entails surgical intervention. There is controversy regarding ideal modality selection among twist drill…
Minimally Invasive Surgical Approaches for Chronic Subdural Hematomas
Chronic subdural hematomas are one of the most common clinical entities encountered in today’s neurosurgical practices owing to an aging population and continued increases in life expectancy. Although there is…
Chronic Subdural Medical Management
Chronic subdural hematomas (cSDHs) that are asymptomatic or have minimal symptoms have become more prevalent, with an increased rate of detection with neuroimaging in the setting of an aging population…
