1/13. Acute bilateral extradural haematoma of the posterior cranial fossa.Traumatic haematomas located in the posterior fossa are less frequent than those above the tentorium. Extradural haematomas are the most common type of haematomas in the posterior fossa and are usually unilateral. We present the case of a patient with a bilateral extradural haematomas of the posterior fossa and review eight cases previously reported in the literature.- - - - - - - - - - ranking = 1keywords = haematoma (Clic here for more details about this article) |
2/13. Acute subdural haematoma successfully treated by percutaneous subdural tapping in an elderly patient.An elderly patient suffering acute subdural haematoma associated with cerebral contusion was treated by percutaneous subdural tapping while preparing for craniotomy. Most of the subdural haematoma, though of high density on computed tomography scanning, proved to be semiliquid. drainage of the haematoma yielded resolution of the mass effect, and was followed by a rapid improvement of consciousness. This observation suggests the significance of trial subdural tapping for the treatment of acute traumatic subdural haematoma prior to craniotomy.- - - - - - - - - - ranking = 1keywords = haematoma (Clic here for more details about this article) |
3/13. Features of chronic subdural haematoma developed from definitely identified acute subdural haematoma.Follow-up results for 13 cases of acute subdural haematoma, which were identified by CT scan within two days of head injury and treated conservatively, were classified into two groups: In the first group of seven cases the acute subdural haematoma disappeared spontaneously within two weeks; in the second group the other six cases revealed clinical signs and CT scan findings which were identical to chronic subdural haematoma and underwent surgery within three weeks after the head injury. This group showed low ICP signs, such as the chronic stage of cerebral thrombosis, atrophic brain or subdural fluid collection with acute subdural haematoma at the initial CT scan, and most of these cases had only minor head injury. Common features of the operative findings in this second group, in which chronic subdural haematoma developed, included the identification of an external haematoma capsule based on the fibrin layer and granulation tissue beneath the dura. Also, fluid type haematoma was present under these structures, but no inner membrane of the haematoma could be identified other than the non-transparent white arachnoid membrane. Our results indicate the importance of a low ICP in determining whether or not acute subdural haematoma progresses to chronic subdural haematoma.- - - - - - - - - - ranking = 2.25keywords = haematoma (Clic here for more details about this article) |
4/13. Epidural haematoma and unilateral exophthalmos--a review.Based on 9 cases in the literature and one of our own a review is made on the occurrence of an association of an intracranial epidural haematoma with unilateral exophthalmos. The possible pathogenesis of this infrequent phenomenon is discussed.- - - - - - - - - - ranking = 0.625keywords = haematoma (Clic here for more details about this article) |
5/13. Acute subdural haematoma mimicking an epidural haematoma on a CT scan.This paper reports an acute subdural haematoma mimicking an epidural haematoma as seen on a non-enhanced computerized tomography (CT) scan of the head in a patient who had sustained a traumatic head injury. The patient had undergone a craniotomy 4 years prior to the injury described here.- - - - - - - - - - ranking = 1.25keywords = haematoma (Clic here for more details about this article) |
6/13. Delayed deterioration in patients with traumatic frontal contusions.The clinical course of 18 head injured patients in whom CT had shown frontal contusions without diffuse brain injury or intracranial haematoma was reviewed. All 10 patients with unilateral frontal contusion made a good recovery. Only two of five patients with limited bilateral frontal contusions made a good recovery. Two of three patients with extensive bilateral frontal contusions deteriorated more than 24 hours after injury, and one died. Delayed deterioration is an important complication of extensive traumatic bifrontal contusions.- - - - - - - - - - ranking = 0.125keywords = haematoma (Clic here for more details about this article) |
7/13. Necessity for ICP monitoring to supplement GCS in head trauma cases.The necessity for ICP monitoring together with GCS findings to detect deterioration in head trauma cases and determine the treatment required was studied. There were 18 subjects (14 males, 4 females) aged from 11 to 61. Cases of primary brain stem damage were excluded. Eight cases had GCS of 6-10, and 10 cases scores of 11-15. Initial CTs of these cases indicated the following conditions: thin acute extradural haematoma (A-EDH), thin acute subdural haematoma (A-SDH), brain contusion, and single or multiple intracerebral haematoma (ICH). However, in no case was any mass effect clearly shown. Medical decompression (osmotherapy, barbiturate, steroid and mechanical hyperventilation) was carried out with simultaneous ICP monitoring. Based upon our cases which showed a GCS score of 10 or less, ICP monitoring should accompany medical decompression. Where the ICP cannot be maintained below 20 mm Hg, there is a high risk (about 60%) of haematoma enlargement, delayed haematoma, or increasing brain oedema. ICP monitoring in these cases should be maintained for at least one week. Timely surgical decompression is necessary when the ICP stays above 20 mm Hg, the GCS score drops below 10, and repeat CT scan indicates progress of the mass effect.- - - - - - - - - - ranking = 0.625keywords = haematoma (Clic here for more details about this article) |
8/13. Chronic extradural haematoma of the posterior fossa. Case report.The authors present the case of extradural haematoma of the posterior fossa in a four-year-old boy who was successfully operated on seventeen days after he had suffered a blow on his occiput. Emphasis is placed on the importance of an early CT scan in a patient showing any clinical signs of possible intracranial pathology following such injury.- - - - - - - - - - ranking = 0.625keywords = haematoma (Clic here for more details about this article) |
9/13. Extradural haematoma of the posterior fossa: a report of eight cases and a review of the literature.The authors review the literature and present 8 cases of extradural haematoma of the posterior fossa operated from 1979 to 1985 at the Neurosurgical Clinic of the University of Pavia. Emphasis is placed on the importance of an early diagnosis of the symptoms which are often ignored due to the absence of specific clinical signs. The authors recognize a substantial improvement in results because of the recent introduction of CT scanning facilities which permit an early and precise diagnosis of this traumatic pathology.- - - - - - - - - - ranking = 0.625keywords = haematoma (Clic here for more details about this article) |
10/13. Chronic extradural haematoma: a late complication of head injury.Three cases of chronic extradural haematoma are presented. The patients who were admitted with neurological signs, were fully conscious at the time of diagnosis. They were operated on 9, 14 and 29 days after the initial trauma. The necessity for adopting a generally accepted chronological criterion of chronicity for extradural haematoma is emphasized. A distinction between conscious and comatose patients with chronic extradural haematoma is made.- - - - - - - - - - ranking = 0.875keywords = haematoma (Clic here for more details about this article) |
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