Subarachnoid hemorrhage (SAH) almost invariably develops following the rupture of a cerebral aneurysm, and is often complicated by intracerebral hematoma (ICH) and intraventricular hematoma. Subdural hematoma (SDH) can occur rarely. Reported incidence of SDH associated with aneurysm bleed varies from 0.5 to 7.9%.1,2 In most cases SDH is associated with SAH and/or ICH. Intracranial aneurysmal ru...

Traumatic acute subdural hematoma (ASDH) is generally addressed by craniotomy under general anesthesia. We report a patient whose traumatic ASDH was treated under local anesthesia by one-burr-hole endoscopic surgery. This 87-year-old woman had undergone coil embolization for a ruptured right middle-cerebral artery aneurysm and placement of a ventriculoperitoneal shunt for normal pressure hydroc...

Sequential development of extradural hematoma (EDH) during decompressive craniotomy and evacuation for acute subdural hematoma (ASDH) causing massive brain bulge is rare, it may represent to be first indication of hematoma development. About thirty seven cases are published in the form of isolated case report till date. Management is debated, as first to carry out exploratory burr-hole or neces...

The patient was a 39-year-old pregnant woman who was scheduled for cesarean section. Spinal anesthesia was induced using a 26-gauge needle with an atraumatic bevel. Postoperatively, the patient developed cranial subdural hematoma manifesting as severe non-postural headache, associated with right eye tearing, fifth cranial nerve palsy and left hemiparesis. The diagnosis was confirmed by computed...

BACKGROUND Traumatic brain injury represents a significant cause of mortality and permanent disability in the adult population. Acute subdural hematoma is one of the conditions most strongly associated with severe brain injury. Knowledge on the natural history of the illness and the outcomes of patients conservatively managed may help the neurosurgeon in the decision-making process. METHODS W...

A 63-year-old male with a preexisting chronic subdural hematoma presented with progressive confusion and left hemiparesis as well as high fever. Subdural empyema was strongly suspected. At surgery, the empyema was encapsulated by definite inner and outer membranes. Cultures isolated from the subdural fluid and from an abscess of his left thigh yielded methicillin-resistant Staphylococcus aureus...

We report herein a case of hyperacute onset of spontaneous cervical spinal subdural hematoma treated with methylprednisolone pulse therapy that showed good results. A 57-year-old man was admitted for posterior neck pain and paraparesis which occurred an hour ago. MRI revealed a ventral subdural hematoma distributed from the level of C1 down to T3, compressing the spinal cord. Conservative manag...

Chronic subdural hematomas and cephalhematomas are known to become calcified in some patients. We present interesting cases of cephalhematoma in a child and calcified chronic subdural hematoma in an elderly lady with both getting calcified. The first patient was a 7 months male with calcified cephalhematoma who presented with cosmetic deformity of the skull but did not have any neurological def...