A 74-year-old man with a history of hypertension presented 1 hour after a sudden onset of a complete right hemisphere syndrome. Noncontrast CT showed a 43-mL right deep intracranial hematoma (figure, A). CT angiography (CTA) performed 10 minutes later, as per our imaging protocol, detected a dramatic hematoma growth up to 84 mL, together with intraventricular extension. A spot sign was apparent...

Recent reports have shown that administration of Gorei-san (Tsumura, Tokyo, Japan) can prevent recurrence of chronic subdural hematoma (CSDH). However, no report has shown its potential, including its correlation with other recurrent clinical factors. We retrospectively evaluated the recurrent factors and the effects of Gorei-san on CSDH using percutaneous subdural tapping. Between April 2009 a...

OBJECTIVE To describe the characteristics of patients who underwent a cranial operation and postoperatively suffered an intracranial hemorrhage significant enough to require evacuation. MATERIALS & METHODS : 3,109 cranial operations were performed at Houston Methodist Hospital (Texas Medical Center campus) between January 2009 and December 2013. Of these, 59 cases required a second operation fo...

Objective Chronic subdural hematoma is a common and relatively benign disease. However, recurrence is common after surgical treatment, and the recurrence rate varies from 5% to 33%. The aim of this study was to investigate the predictive factors for recurrence of chronic subdural hematoma. Methods We analyzed data from 248 patients with chronic subdural hematoma who were treated by burr-hole ...

OBJECTIVE Spontaneous intestinal intramural hematoma is a rare complication of anticoagulant treatment. In this study, we retrospectively evaluated 14 patients with the diagnosis of intramural hematoma of the small intestine who were followed-up and treated in our clinic, and we aimed to determine current approaches in the diagnosis and treatment of intramural hematoma. MATERIAL AND METHODS B...

We report a case of right ventricular (RV) diastolic dysfunction due to a large hematoma posterior to the left ventricle (LV) after cardiac surgery. An 80-year-old woman underwent cardiac surgery. After surgery, her physical findings revealed right heart failure. Localized hematoma posterior to the pericardial space and the RV compression to the sternum were shown by computed tomography. Transt...

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 ...