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...

We report a case of fatal duret hemorrhage (DH) in a patient with acute tentorial subdural hematoma and bilateral chronic subdural hematoma along the cerebral hemispheres. Preoperative CT angiography (CTA) revealed prominent parenchymal enhancement in the ventral pontomesencephalic area. After burr-hole drainage, a large hemorrhage developed in this area. The parenchymal enhancement in the CTA ...

Even if the visual impression of the photographic density of the brain in head CT images is shown as physically the same, it is known that optical illusions of lightness perception (assimilation, contrast, picture frame effect, etc.) occur and that practical density can be observed psychologically differently, according to differences in the color of the skull and background, and differences in...

A 75-year-old man with no history of head trauma presented with a 10-day episode of left forehead heaviness followed by sudden headache and vomiting. Neurologic examinations were unremarkable. Neuroimaging showed left frontal extra-axial lesion suggestive of acute and subacute subdural hematoma (figure 1, A–D). CSF analysis revealed normal cytology and the absence of xanthochromia. An angiogram...

Subdural hematomas (SDH) in patients with implanted deep brain stimulating (DBS) electrodes are rare. Only a handful of cases have been reported in the literature. No clear management guidelines exist regarding the management of the hematoma and the existing electrodes. We describe a 68-year-old female with bilateral DBS electrodes, who presented with acute, severe hemiparesis due to a large su...

background & aim: chronic subdural hematoma (csdh) is a common neurosurgical pathology. the objective of this study was to describe the epidemiology of this pathology and the results in treating it combined from three hospital centers in benin. methods & materials/patients: from september 2010 to september 2013 a multi-center, retrospective and descriptive study was conducted in three hospital ...

Intracranial aneurysm rupture usually manifests with subarachnoid hemorrhage, often combined with intracerebral hemorrhage with intraventricular hemorrhage extension. In rare cases, however, these aneurysms present only as subdural hematomas. Recently, we treated a 48-years-old female patient who presented only with subdural hematoma. Interestingly, she did not have a history of trauma. Compute...

A 38-year-old male complains of a right-sided retro-orbitaltemporal headache of 2-day duration. It is described as intermittent and pressure-like, and is preceded by bouts of left arm numbness. He denies diplopia, visual changes, nausea, vomiting, or alterations in his consciousness. No acute trauma is reported, but he gives a history of airline travel within the past 24 h. His parents are pres...

Malaria is a major health problem in tropical countries. Among its complications, cerebral malaria is the most devastating and can present as hemiplegia, convulsions, disorientation, delirium, coma and finally death1,2. Rare complications of cerebral malaria such as spontaneous subdural empyema and subarachnoid hemorrhage has also been reported in literature1,3,4. We report development of spont...