Acute spontaneous subdural hematoma of arterial origin.

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Acute spontaneous subdural hematoma of arterial origin.

J Korean Neurosurg Soc. 2012 Feb;51(2):91-3

Authors: Sung SK, Kim SH, Son DW, Lee SW

Abstract Acute spontaneous subdural hematoma (SDH) of arterial origin is very rare. We report a case of acute spontaneous SDH that showed contrast media extravasation from cortical artery on angiograms. A 58-year-old male patient developed sudden onset headache and right hemiparesis. Brain CT scan demonstrated acute SDH at left convexity. The patient was drowsy mentality on admission. He had no history of head trauma. Cerebral angiography was performed and revealed a localized extravasation of the contrast media from distal cortical MCA branch. After angiography, the patient deteriorated to comatose mentality. Decompressive craniectomy for removal of SDH was performed. We verified the arterial origin of the bleeding and coagulated the bleeding focus. The histological diagnosis was aneurysmal artery. He recovered after surgery with mild disability. In a case of acute spontaneous SDH, the possibility of a cortical artery origin should be considered.

PMID: 22500200 [PubMed - in process]

Analysis of complications following decompressive craniectomy for traumatic brain injury.

Analysis of complications following decompressive craniectomy for traumatic brain injury.

J Korean Neurosurg Soc. 2010 Sep;48(3):244-50

Authors: Ban SP, Son YJ, Yang HJ, Chung YS, Lee SH, Han DH

Adequate management of increased intracranial pressure (ICP) is critical in patients with traumatic brain injury (TBI), and decompressive craniectomy is widely used to treat refractory increased ICP. The authors reviewed and analyzed complications following decompressive craniectomy for the management of TBI.

PMID: 21082053 [PubMed - in process]

Postoperative course and recurrence of chronic subdural hematoma.

Postoperative course and recurrence of chronic subdural hematoma.

J Korean Neurosurg Soc. 2010 Dec;48(6):518-23

Authors: Oh HJ, Lee KS, Shim JJ, Yoon SM, Yun IG, Bae HG

Chronic subdural hematoma (CSDH) is known to have a significant recurrence rate. There are different criteria defining the recurrence of CSDH. We evaluated the postoperative course of CSDH and tried to propose the reasonable criteria of recurrence.

PMID: 21430978 [PubMed - in process]