Management of Recurrent Subdural Hematomas

Oct 12, 2017 by in NEUROSURGERY Comments Off on 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,…

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Perioperative Management of Anticoagulation

Oct 12, 2017 by in NEUROSURGERY Comments Off on 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….

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Cranioplasty

Oct 12, 2017 by in NEUROSURGERY Comments Off on 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…

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Neurocritical Care of Acute Subdural Hemorrhage

Oct 12, 2017 by in NEUROSURGERY Comments Off on 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…

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Natural History of Acute Subdural Hematoma

Oct 12, 2017 by in NEUROSURGERY Comments Off on 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…

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Chronic Subdural Hematoma ICU Management

Oct 12, 2017 by in NEUROSURGERY Comments Off on 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…

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Craniotomy for Treatment of Chronic Subdural Hematoma

Oct 12, 2017 by in NEUROSURGERY Comments Off on 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…

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Chronic Subdural Medical Management

Oct 12, 2017 by in NEUROSURGERY Comments Off on 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…

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Chronic Subdural Hematoma

Oct 12, 2017 by in NEUROSURGERY Comments Off on Chronic Subdural Hematoma

This article discusses the epidemiology and natural history of chronic subdural hematoma (CSDH), a common disease prevalent in the elderly population. The incidence of CSDH ranges from 1.72 to 20.6…

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