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About 2,948 results
Association of Antithrombotic Drug Use With Subdural Hematoma Risk.
https://doi.org/10.1001/jama.2017.0639
JAMA Gaist D, García Rodríguez LA et. al.

Feb 28th, 2017 - Incidence of subdural hematoma has been reported to be increasing. To what extent this is related to increasing use of antithrombotic drugs is unknown. To estimate the association between use of antithrombotic drugs and subdural hematoma risk and determine trends in subdural hematoma incidence and antithrombotic drug use in the general population. Case-control study of 10 010 patients aged 20 t...

Neuraxial block for delivery among women with low platelet counts: a retrospective anal...
https://doi.org/10.1016/j.ijoa.2018.01.006
International Journal of Obstetric Anesthesia; Levy N, Goren O et. al.

Mar 5th, 2018 - Laboring women with low platelet counts may be denied neuraxial block due to concerns about causing a spinal-epidural hematoma. To assess the anesthetic management, complications and outcome variables of women with low platelet counts, and to expand the existing data regarding the safety of neuraxial blocks in this patient population. This is a retrospective analysis of anesthetic and obstetric...

Neuraxial Anesthesia in Obstetric Patients Receiving Thromboprophylaxis With Unfraction...
https://doi.org/10.1213/ANE.0000000000002173
Anesthesia and Analgesia; Leffert LR, Dubois HM et. al.

Jun 19th, 2017 - Venous thromboembolism remains a major source of morbidity and mortality in obstetrics with an incidence of 29.8/100,000 vaginal delivery hospitalizations; cesarean delivery confers a 4-fold increased risk of thromboembolism when compared with vaginal delivery. Revised national guidelines now stipulate that the majority of women delivering via cesarean and women at risk for ante- or postpartum ...

Risk of Epidural Hematoma after Neuraxial Techniques in Thrombocytopenic Parturients: A...
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5445642
Anesthesiology Lee LO, Bateman BT et. al.

Apr 6th, 2017 - Thrombocytopenia has been considered a relative or even absolute contraindication to neuraxial techniques due to the risk of epidural hematoma. There is limited literature to estimate the risk of epidural hematoma in thrombocytopenic parturients. The authors reviewed a large perioperative database and performed a systematic review to further define the risk of epidural hematoma requiring surgic...

Epidural Hematoma and Abscess Related to Thoracic Epidural Analgesia: A Single-Center S...
https://doi.org/10.1053/j.jvca.2016.07.022
Journal of Cardiothoracic and Vascular Anesthesia; Kupersztych-Hagege E, Dubuisson E et. al.

Oct 10th, 2016 - To report the major complications (epidural hematoma and abscess) of postoperative thoracic epidural analgesia in patients who underwent lung surgery. Prospective, monocentric study. A university hospital. All lung surgical patients who received postoperative thoracic epidural analgesia between November 2007 and November 2015. Thoracic epidural analgesia for patients who underwent lung surgery....

Efficacy of antifibrinolytic agents on surgical bleeding and transfusion requirements i...
https://doi.org/10.1007/s00586-016-4792-x
European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society; Li G, Sun TW et. al.

Sep 27th, 2016 - Spine surgery is usually associated with large amount of blood loss and blood transfusion. Excessive blood loss may cause hypotension, inadequate oxygenation of organs, necessitate allogeneic blood transfusion, and spinal epidural hematoma formation. Aprotinin, TXA, and EACA are antifibrinolytics currently offered as prophylactic agents to reduce surgery-associated blood loss. The purpose of th...

Pediatric patients with traumatic epidural hematoma at low risk for deterioration and n...
https://doi.org/10.1016/j.jpedsurg.2016.09.005
Journal of Pediatric Surgery; Flaherty BF, Moore HE et. al.

Sep 24th, 2016 - Although some pediatric patients with small traumatic epidural hematoma (EDH) are observed without surgical drainage, clinical practice remains variable. Create a prediction rule to identify patients with EDH unlikely to fail hospital observation. Retrospective review at a level I pediatric trauma center between 2003 and 2014. Presenting clinical and radiographic features were compared between ...

Cranial epidural hematomas: A case series and literature review of this rare complicati...
https://doi.org/10.1002/pbc.26237
Pediatric Blood & Cancer; Hamm J, Rathore N et. al.

Sep 13th, 2016 - Patients with sickle cell disease (SCD) may experience many complications of the central nervous system (CNS) including stroke, silent cerebral infarcts, and neuropsychological deficits. Cranial epidural hematoma is a rare but potentially serious complication. Case series of cranial epidural hematomas in children with SCD from three different institutions is considered, along with a literature ...

Neuraxial Anesthesia in Parturients with Low Platelet Counts.
https://doi.org/10.1213/ANE.0000000000001312
Anesthesia and Analgesia; Bernstein J, Hua B et. al.

May 9th, 2016 - The obstetric anesthesiologist must consider the risk of spinal-epidural hematoma in patients with thrombocytopenia when choosing to provide neuraxial anesthesia. There are little data exploring this complication in the parturient. In this single-center retrospective study of 20,244 obstetric patients, the incidence of peripartum thrombocytopenia (platelet count <100,000/mm) was 1.8% (368 patie...

Neuraxial Anesthesia in Parturients with Thrombocytopenia: A Multisite Retrospective Co...
https://doi.org/10.1213/ANE.0000000000000882
Anesthesia and Analgesia; Goodier CG, Lu JT et. al.

Sep 17th, 2015 - The primary aim of this study was to estimate the risk of neuraxial hematoma associated with neuraxial anesthetic procedures in thrombocytopenic parturients. A multicenter retrospective cohort study design was used to estimate the risk for spinal-epidural hematoma in parturients with a platelet count of <100,000/mm receiving neuraxial anesthesia and the risk of complications in thrombocytopenic...

Aspirin is associated with an increased risk of subdural hematoma in normal-pressure hy...
https://doi.org/10.3171/2014.11.JNS14804
Journal of Neurosurgery; Birkeland P, Lauritsen J et. al.

Jan 2nd, 2015 - In this paper the authors investigate whether shunt-treated patients with normal-pressure hydrocephalus receiving aspirin therapy are at increased risk of developing subdural hematoma (SDH). Records from 80 consecutive patients who had undergone implantation of a cerebrospinal fluid shunt for the treatment of normal-pressure hydrocephalus were retrospectively reviewed. Eleven cases of symptomat...

Spinal cerebrospinal fluid leak as the cause of chronic subdural hematomas in nongeriat...
https://doi.org/10.3171/2014.6.JNS14550
Journal of Neurosurgery; Beck J, Gralla J et. al.

Jul 18th, 2014 - The etiology of chronic subdural hematoma (CSDH) in nongeriatric patients (≤ 60 years old) often remains unclear. The primary objective of this study was to identify spinal CSF leaks in young patients, after formulating the hypothesis that spinal CSF leaks are causally related to CSDH. All consecutive patients 60 years of age or younger who underwent operations for CSDH between September 2009 a...

Calvarial fracture patterns on CT imaging predict risk of a delayed epidural hematoma f...
https://doi.org/10.3174/ajnr.A4001
AJNR. American Journal of Neuroradiology; Talbott JF, Gean A et. al.

Jun 20th, 2014 - The development of a delayed epidural hematoma as a result of decompressive craniectomy represents an urgent and potentially lethal complication in traumatic brain injury. The goal of this study was to determine the incidence of delayed epidural hematoma and whether patterns of skull fractures on the preoperative CT scan could predict risk of a delayed epidural hematoma. We retrospectively eval...

Thunderclap headache as a presentation of spontaneous spinal epidural hematoma with spo...
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3831335
The Journal of Spinal Cord Medicine; Sathirapanya P, Setthawatcharawanich S et. al.

Oct 4th, 2013 - Spontaneous spinal epidural hematoma (SSEH) is a rare spinal cord compression disorder. Thunderclap headache mimicking subarachnoid hemorrhage as an initial manifestation of this disorder has been scarcely reported. Moreover, the neurological outcome of conservative treatment is satisfactory only in some clinical settings. The unusual presentation and mechanisms for spontaneous recovery of SSEH...

Overdrainage shunt complications in idiopathic normal-pressure hydrocephalus and lumbar...
https://doi.org/10.3171/2013.7.JNS13484
Journal of Neurosurgery; Khan QU, Wharen RE et. al.

Aug 12th, 2013 - Management of idiopathic normal-pressure hydrocephalus (iNPH) is hard because the diagnosis is difficult and shunt surgery has high complication rates. An important complication is overdrainage, which often can be treated with adjustable-shunt valve manipulations but also may result in the need for subdural hematoma evacuation. The authors evaluated shunt surgery overdrainage complications in i...

Low-molecular-weight heparin prophylaxis 24 to 36 hours after degenerative spine surger...
https://doi.org/10.1097/BRS.0b013e3182a4408d
Spine Strom RG, Frempong-Boadu AK

Jul 22nd, 2013 - Retrospective review. To assess the safety and efficacy of prophylactic low-molecular-weight heparin (LMWH) started 24 to 36 hours after degenerative spine surgery. Venous thromboembolism (VTE) is a significant postoperative complication best averted with dual mechanical/pharmacological prophylaxis. Pharmacological prophylaxis is widely used in patients with spinal cord injury, but there is no ...

Dabigatran-associated subdural hemorrhage: using thromboelastography (TEG(®)) to guide ...
https://doi.org/10.1007/s11239-013-0933-9
Journal of Thrombosis and Thrombolysis; Neyens R, Bohm N et. al.

May 14th, 2013 - Novel oral anticoagulants present challenges and uncertainties in the management of hemorrhagic emergencies. An 84-year-old man taking dabigatran presented with a subdural hematoma requiring neurosurgical intervention. Routine coagulation assays were prolonged at admission and following administration of Factor VIII Inhibitor Bypassing Activity (FEIBA). Thromboelastography (TEG(®)) was utilized...

Aneurysm-related subarachnoid hemorrhage and acute subdural hematoma: single-center ser...
https://doi.org/10.3171/2012.11.JNS121435
Journal of Neurosurgery; Schuss P, Konczalla J et. al.

Jan 7th, 2013 - Subarachnoid hemorrhage (SAH) with simultaneous acute subdural hematoma (SDH) is a severe disease. The authors' objective was to analyze the incidence, prognosis, and clinical outcome of patients suffering from aneurysm-related SAH and space-occupying acute SDH. Between June 1999 and June 2011, data from 989 patients with aneurysm-related SAH were prospectively entered into a database. Eighteen...

A single center's experience with the bedside subdural evacuating port system: a useful...
https://doi.org/10.3171/2012.11.JNS12689
Journal of Neurosurgery; Safain M, Roguski M et. al.

Dec 24th, 2012 - Object The traditional methods for managing symptomatic chronic subdural hematoma (SDH) include evacuation via a bur hole or craniotomy, both with or without drain placement. Because chronic SDH frequently occurs in elderly patients with multiple comorbidities, the bedside approach afforded by the subdural evacuating port system (SEPS) is an attractive alternative method that is performed under...

Prothrombin complex concentrates to reverse warfarin-induced coagulopathy in patients w...
https://doi.org/10.1016/j.clineuro.2012.07.006
Clinical Neurology and Neurosurgery; Cabral KP, Fraser GL et. al.

Jul 27th, 2012 - Prothrombin complex concentrates (PCCs) offer a means for the rapid reversal of warfarin, particularly in the setting of life-threatening bleeding. We evaluated the effectiveness and safety of a PCC-based protocol in patients with warfarin-associated intracerebral hemorrhage (ICH), subdural hematoma (SDH), or subarachnoid hemorrhage (SAH). This was a retrospective case-series review of patients...