to determine the factors affecting the outcome of patients with traumatic acute subdural hematoma, we reviewed the records of7 4 consecutive comatose patients with a glascow coma scale score (gcs) of less than 8 who had been admitted to imam hosein medical center from 1990 to 1996 and had undergone a uniform treatment protocol. the overall mortality rate was 73% and 23% had functional recovery,...

BACKGROUND AND PURPOSE Postoperative intraspinal subdural collections in children after posterior fossa tumor resection may temporarily hinder metastasis detection by MR imaging or CSF analysis, potentially impacting therapy. We investigated the incidence, imaging and clinical features, predisposing factors, and time course of these collections after posterior fossa tumor resection. MATERIALS...

Chronic subdural hematoma manifests differently and may mimic the presentation of psychiatric illnesses. Many a time, physicians are quick to judge that new onset of psychiatric symptoms is due to the worsening of the existing psychiatric illness. We reported a case of a lady with learning disability presenting with neuropsychiatric symptoms who was found to have an acute-on-chronic subdural he...

Traumatic subdural hematomas of the posterior fossa are rare but dangerous neurosurgical emergencies that require prompt diagnosis and management to avoid the uniformly poor outcome. We present a case of a teenager with severe TBI and acute subdural hematoma of the posterior fossa that deteriorated rapidly before surgery but eventually made a good recovery. We also the review the literature con...

PURPOSE To compare CT and MR in the differentiation of benign enlargement of the subarachnoid spaces and subdural collections in infants with macrocephaly. METHODS MR was performed in 19 infants with macrocephaly, showing bifrontal enlargement of the subarachnoid spaces on CT. RESULTS In 11 patients, a single fluid layer could be distinguished on MR of the pericerebral collections, suggesti...

BACKGROUND AND PURPOSE Brain abscess and subdural empyema are the 2 most common forms of intracranial pyogenic infections. Predisposing factors and etiological agents may change with time. This study examined the epidemiological features of these conditions. METHODS The medical records of all inpatients with a diagnosis of brain abscess or subdural empyema from 1998 to 2007 were reviewed. The...

OBJECTIVE To determine the time course for the development of posttraumatic nonhemic subdural fluid collections in infants and young children. DESIGN Retrospective consecutive case series during 16 years. Patients Fifty-five head trauma patients younger than 3 years with low attenuation subdural fluid on computed tomography. MAIN OUTCOME MEASURE Time after head trauma when low attenuation f...

INTRODUCTION Spinal subdural hematoma is rare and can cause serious neurological symptoms. Sometimes, idiopathic spinal subdural hematoma can spontaneously occur without any identifiable underlying etiologies. In this report, we present such an uncommon case of paraplegia caused by idiopathic spinal subdural hematoma that was successfully managed by laminectomy. CASE PRESENTATION A 45-year-ol...

OBJECTIVE To compare the outcome after surgery for chronic subdural hematoma when the drain is placed in subdural space or subgaleal space. STUDY DESIGN Quasi experimental study. PLACE AND DURATION OF STUDY Combined Military Hospital, Lahore, from July 2015 to June 2016. METHODOLOGY Patients with chronic subdural hematoma of both genders and age, ranging between 55 to 85 years, were inclu...

BACKGROUND Malignant disease metastasising to the cranial dura is rare. Dural metastases manifesting as a subdural fluid collection and presenting as a chronic subdural hematoma is an uncommon entity with unknown pathophysiology. CASE DESCRIPTION We present a patient with known prostate cancer metastasising to the cranial dura masquerading as a chronic subdural hematoma. The patient presented...