1.Subdural hematoma associated with high altitude.
Hui LU ; Xiang-Bo WANG ; Yi TANG
Chinese Medical Journal 2015;128(3):407-408
Altitude
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Female
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Hematoma, Subdural
;
diagnosis
;
etiology
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Humans
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Middle Aged
2.Not Available.
Feng ZHANG ; Yan yan FAN ; Guang hua YE ; Xing biao LI ; Lin sheng YU ; Zhong ZHANG
Journal of Forensic Medicine 2021;37(5):727-728
3.Traumatic subdural hydroma developing into chronic subdural hematoma.
Yu-guang LIU ; Chang-jun XU ; Shu-gan ZHU ; Yu-quan JIANG ; Gang LI ; Xin-gang LI ; Wan-dong SU ; Cheng-yuan WU
Chinese Journal of Traumatology 2004;7(3):188-190
OBJECTIVETo probe the incidence, pathogenesis and clinical characteristics of traumatic subdural hydroma (TSH) developing into chronic subdural hematoma (CSDH).
METHODSWe retrospectively analyzed the clinical data of 32 patients with TSH developing into CSDH and reviewed related literature.
RESULTS16.7% of TSH developed into CSDH in this study. The time of evolution was from 22 to 100 days after head injury. All the patients were cured with hematoma drainage.
CONCLUSIONSTSH is one of the origins of CSDH. The clinical characteristics of TSH developing into CSDH follow that the ages of the patients are polarized, that the evolution often happens in the patients with small chronic hydromas and being treated conservatively, that the patients are usually injured deceleratedly and that the accompanying cerebral damage is often very mild.
Adolescent ; Adult ; Brain Injuries ; complications ; Child ; Chronic Disease ; Female ; Hematoma, Subdural ; etiology ; Humans ; Male ; Middle Aged ; Subdural Effusion ; complications ; etiology
4.The fate of traumatic subdural hygroma in serial computed tomographic scans.
Kyeong Sook LEE ; Won Kyoung BAE ; Hack Gun BAE ; Il Gyu YUN
Journal of Korean Medical Science 2000;15(5):560-568
We reviewed serial computed tomographic (CT) scans of 58 patients with traumatic subdural hygroma (SDG) to investigate its natural history. All were re-evaluated with a special reference to the size and density of SDG. Thirty-four patients (58.6%) were managed conservatively and 24 patients (41.4%) underwent surgery. The lesion was described as remained, reduced, resolved, enlarged and changed. Means of interval from injury to diagnosis and any changes in CT were calculated. SDGs were resolved in 12 (20.7%), reduced in 15 (25.9%), remained in 10 (17.2%), enlarged in 2 (3.4%), and changed into chronic subdural hematoma (CSDH) in 19 patients (32.8%). SDG was diagnosed at 11.6 days after the injury. It was enlarged at 25.5 days, remained at 46.0 days, reduced at 59.3 days, resolved at 107.5 days, and changed into CSDH at 101.5 days in average. SDGs were developed as delayed lesions, and changed sequentially. They enlarged for a while, then reduced in size. The final path of a SDG was either resolution or CSDH formation. Nearly half of SDGs was resolved or reduced within three months, however, 61.3% of unresolved or unreduced SDG became iso- or hyperdense CSDH. These results suggest that the unresolved SDG is the precursor of CSDH.
Adolescence
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Adult
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Aged
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Aged, 80 and over
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Child
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Child, Preschool
;
Craniocerebral Trauma/complications
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Disease Progression
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Hematoma, Subdural, Chronic/radiography*
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Hematoma, Subdural, Chronic/pathology*
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Hematoma, Subdural, Chronic/etiology
;
Human
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Infant
;
Longitudinal Studies
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Lymphangioma/radiography
;
Lymphangioma/pathology
;
Lymphangioma/etiology
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Middle Age
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Subdural Effusion/radiography*
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Subdural Effusion/pathology*
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Subdural Effusion/etiology
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Tomography, X-Ray Computed*
5.Chronic subdural hematoma associated with sylvian arachnoid cyst in juvenile athletes: report of two cases and literature review.
Tao ZENG ; Song-Sheng SHI ; Yu-Feng LIN
Chinese Journal of Traumatology 2011;14(3):174-177
The association of chronic subdural hematoma (CSDH) and arachnoid cyst (AC) is uncommon. We reported 2 juvenile athletes with CSDH associated with AC which occurred in their daily sports activities and reviewed the literature. Both of them were treated surgically, with satisfactory outcome. AC is a common predisposing factor in young patients with CSDH. The complication of intracranial bleeding is an indication for surgical management. Though there are still controversies in the treatment of asymptomatic AC, it is the consensus that the patients with AC should avoid violent sports so as to reduce the incidence of intracranial hemorrhage resulted from head injuries.
Adolescent
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Arachnoid Cysts
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complications
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Athletes
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Hematoma, Subdural, Chronic
;
etiology
;
surgery
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Humans
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Male
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Tomography, X-Ray Computed
6.Fatal deterioration of delayed acute subdural hematoma after mild traumatic brain injury: two cases with brief review.
Shiwen CHEN ; Chen XU ; Lutao YUAN ; Hengli TIAN ; Heli CAO ; Yan GUO
Chinese Journal of Traumatology 2014;17(2):115-117
Both delayed posttraumatic intracerebral hemorrhage and epidural hematoma have been well described in the neurosurgical literatures. However, delayed posttraumatic acute subdural hematoma which happens more than a week with a rapid progress after mild traumatic brain injury and causes death of patient is rarely reported. We show two such cases and briefly review the literature and discuss the probable pathogenesis of their rapid progress.
Aged
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Brain Injuries
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complications
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Fatal Outcome
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Female
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Hematoma, Subdural, Acute
;
etiology
;
Humans
;
Male
;
Middle Aged
7.Role of matrix metalloproteinase in transformation of subdural effusion into chronic subdural hematoma.
Journal of Southern Medical University 2010;30(5):1188-1189
OBJECTIVETo investigate the role of matrix metalloproteinase (MMP) in the transformation of subdural effusion into chronic subdural hematoma.
METHODSThe clinical data of 8 patients with subdural effusion that transformed into chronic subdural hematoma were collected and MMP-2 and MMP-9 levels were detected in the sudural effusion, chronic subdural hematoma and capsules of hematoma using gelatin-zymography.
RESULTSMMP-2 and MMP-9 increased significantly in chronic subdural hematoma as compared with those in subdural effusion (P<0.01), and their levels were also significantly higher in the outer membrane than in the inner membrane of hematoma.
CONCLUSIONSubdural effusion is a risk factor for the occurrence of chronic subdural hematoma, in which process MMP plays a role as the promoting factor acting primarily in the outer membrane of the hematoma.
Adult ; Aged ; Chronic Disease ; Female ; Hematoma, Subdural ; enzymology ; etiology ; Humans ; Male ; Matrix Metalloproteinase 2 ; metabolism ; Matrix Metalloproteinase 9 ; metabolism ; Middle Aged ; Subdural Effusion ; complications ; enzymology
8.Clinical characteristics of chronic subdural hematoma evolving from traumatic subdural effusion.
Yuguang LIU ; Shugan ZHU ; Yuquan JIANG ; Gang LI ; Xin'gang LI ; Wandong SU ; Chengyuan WU
Chinese Journal of Surgery 2002;40(5):360-362
OBJECTIVETo probe into the incidence, mechanism and clinical characteristics of chronic subdural hematoma (CSDH) evolving from traumatic subdural effusion (TSE).
METHODSThe clinical materials of 32 patients with CSDH evolving from TSH were analyzed retrospectively and the correlative literature was reviewed.
RESULTS16.7% of the patients with TSH evolved into CSDH. The time of evolution was 22 - 100 days after head injury. All patients were cured with hematoma drainage.
CONCLUSIONSTSE is one of the origins of CSDH. The clinical characteristics of TSE evolving into CSDH include polarization of patient age, and chronic small effusion. The patients are usually injured deceleratedly and accompanied with mild cerebral damage.
Adolescent ; Adult ; Child ; Child, Preschool ; Chronic Disease ; Female ; Hematoma, Subdural ; etiology ; Humans ; Infant ; Male ; Middle Aged ; Retrospective Studies ; Subdural Effusion ; physiopathology ; Wounds and Injuries ; physiopathology
10.MR Imaging of Shaken Baby Syndrome Manifested as Chronic Subdural Hematoma.
Yul LEE ; Kwan Seop LEE ; Dae Hyun HWANG ; In Jae LEE ; Hyun Beom KIM ; Jae Young LEE
Korean Journal of Radiology 2001;2(3):171-174
Shaken baby syndrome (SBS) is a form of child abuse that can cause significant head injuries, of which subdural hematoma (SDH) is the most common manifestation. We report the MRI findings of chronic SDH in three cases of SBS, involving two-, three- and eight-month-old babies. The SDH signal was mostly low on T1-weighted images and high on T2-weighted images, suggesting chronic SDH. In chronic SDH, a focal high signal on T1-weighted images was also noted, suggesting rebleeding. Contrast-enhanced MRI revealed diffuse dural enhancement.
Brain/pathology
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Case Report
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*Child Abuse
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Chronic Disease
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Female
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Hematoma, Subdural/diagnosis/*etiology
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Human
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Infant
;
*Magnetic Resonance Imaging
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Male