OBJECTIVE A subdural drain using urokinase after a burr hole hematoma evacuation was performed for subacute subdural hematoma (SASDH), and its effectiveness and safety in elderly patients were evaluated. METHODS Between January 2013 and May 2015, subdural drains using urokinase after burr hole hematoma evacuation were performed in 19 elderly patients. The inclusion criteria were as follows: 1...

Intracerebral hemorrhage (ICH) constitutes 10% to 30% of first-ever strokes and is associated with high morbidity and mortality. The reported 30-day mortality of ICH ranges from 30% to 50% and nearly half of the patients died within 2 days after the onset of symptoms. The initial hematoma volume, level of consciousness, and intraventricular extension of bleeding are well-established predictors ...

CONTEXT Postoperative neck hematoma is a well-known complication of thyroid and parathyroid surgery. Better understanding of risk factors for hematoma formation will help define high-risk populations. OBJECTIVE To examine possible risk factors for neck hematoma after thyroid or parathyroid surgery. DESIGN Retrospective analysis of hospital discharge data from the Nationwide Inpatient Sample...

A 74-year-old male presented with right hemiparesis greater in the lower than the upper extremity. He had no apparent head trauma. He had been treated with anticoagulants for cerebral and myocardiac infarction. Computed tomography (CT) and magnetic resonance imaging demonstrated an unusual combination of subdural hematomas in the interhemispheric space on the left, and the left temporoparietal ...

BACKGROUND AND PURPOSE Hematoma volume is the most potent predictor of outcome in spontaneous intracerebral hemorrhage (ICH), and hematoma expansion after hospital presentation occurs in up to 40% of individuals. Among patients with lobar ICH, the apolipoprotein E (APOE) ε2 allele predicts larger hematoma volumes at presentation. We investigated whether the ε2 allele also identifies individuals...

OBJECTIVE To analyze our experiences in patients with traumatic retroperitoneal hematoma, and highlight the problems in diagnosis and treatment to facilitate the surgeons to make decision. METHODOLOGY One hundred and eight patients of traumatic retroperitoneal hematoma treated in our institution from May 2008 to Jun 2012 were reviewed retrospectively. The data including patient's age, type of...

discussion splenic artery aneurysm is a very uncommon cause of page kidney and to our knowledge, it was the first case of its kind ever reported in the literature. introduction the page kidney is a rare phenomenon that refers to hypertension resulting from any external compression of a kidney by a hematoma, tumor, lymphocele, or urinoma. the activation of the renin-angiotensin-aldosterone syste...

penetrating neck trauma is an important area of trauma care that has undergone evolution in the recent past. a remarkable number of changes have occurred in the treatment paradigm as new technologies have developed and as surgeons have explored the outcomes from different treatment protocols. therapy has evolved from no treatment (before effective anesthesia and instrumentation), to non operati...

spontaneous spinal epidural hematoma (sshe) is a rare entity can have several reasons. its prevalence in population is 0.1 per 100,000 with the male to female ratio of 1/4:1. for the first time jackson in 1869 reported a case of sshe and after that it was declared as several hundred cases in literatures. here, a case of sshe was reported in a 52 year-old male referred to emergency department fo...