Background. Spontaneous intracerebral hemorrhage (ICH) is common and causes significant mortality and morbidity. To date, optimal medical and surgical intervention remains uncertain. A lack of definitive benefit for operative management may be attributable to adverse surgical effect, collateral tissue injury. This is particularly relevant for ICH in dominant, eloquent cortex. Minimally invasive...

BACKGROUND AND PURPOSE Decompressive craniectomy (DC) lowers intracranial pressure and improves outcome in patients with malignant middle cerebral artery stroke. Its usefulness in intracerebral hemorrhage (ICH) is unclear. The aim of this study was to analyze feasibility and safety of DC without clot evacuation in ICH. METHODS We compared consecutive patients (November 2010-January 2012) with...

Background: Extra Dural hematoma (EDH) is a blood clot that develops between the dura mater and skull, found in 2.5% to 5% of head injured patients. Patient with small EDH may be treated conservatively through close observation advised, yet sudden neurological deterioration occur. Objective: To review literature evaluate safety efficacy conservative management extradural trauma patients selecte...

The present report describes an acute subdural hematoma (ASDH) associated with subarachnoid hemorrhage (SAH), due to ruptured cortical aneurysm. To our knowledge, extremely rare cases of this sort have been reported so far. A 23-year-old male patient without previous trauma presented with severe headache and rapidly decreasing level of consciousness to decerebrate status. Computed tomography (C...

OBJECTIVE To report a case of severe hemorrhagic cystitis successfully treated by bilateral percutaneous nephrostomy. METHODS The case of a 67-year-old female patient who had monosymptomatic gross hematuria with clots is reported. RESULTS Standard conservative treatments failed and the patient developed a clot-retention plugged bladder. Endoscopic evacuation and electrocoagulation of bleedi...

Established nonexpanding hematomas can be successfully treated with minimal morbidity using standard liposucstion techniques at the bedside or in an outpatient setting under local anesthesia. The authors presents a series of eight patients and discuss current concepts of dealing with this common and distressing surgical complication.

In any decision involving radiation a risk-risk or risk-benefit comparison should be done. This can be either explicit or implicit. When the adverse effect of an alternate action is less than the planned action, such as medical use of X rays or nuclear power in ordinary operation, the comparison is simple. But in this paper I argue that with the situation faced by the Japanese in Fukushima, the...

A 35-year-old man with a history of ketamine abuse for 2 years came to our outpatient clinic with dysuria and urinary frequency for 2 weeks. Acute urinary retention and gross hematuria occurred the next day after cystoscopy and hydrodistention of the bladder. He was admitted for blood clot evacuation under the impression of ketamine cystitis with blood clot tamponade in the bladder. He had repe...

The case records of patients with extradural haematomas treated in the Lothian region during 1951-60 and 1968-77 were analysed to assess the effect of delay in treatment on morbidity and mortality. Delay was defined as the time from deterioration in level of consciousness to surgical evacuation of clot. There were 83 supratentorial extradural haematomas unassociated with intradural clot or cont...