1.Diagnosis and results of surgery for 39 patients with chronic post-traumatic subdural haematoma treated at the 103 Hospital
Journal of Practical Medicine 2004;484(8):53-55
Review 39 patients with chronic post-traumatic subdural haematoma, who were treated at the 103 Hospital between January 2000 and July 2003. CT scan is a good method of diagnosis and select surgery. The methods of surgery concluded: Burr-hole cranniostomy for haematoma evacuation and irrigation and closed-system drainge are safe and effective method for treatment. Results: 92.3% patients with good outcome, recurrence occurred in 2 cases, airway injection in 2 cases, there wasn't death.
Diagnosis
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Surgery
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Therapeutics
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Hematoma
2.Postinfarction Left Ventricular Rupture Misdiagnosed Ruptured Intramural Hematoma of Aorta.
Young Won YOON ; Donghoon CHOI ; Bon Kwon KOO ; Won Heum SHIM ; Seung Yun CHO ; Byung Chul CHANG
Yonsei Medical Journal 2001;42(4):436-439
Left ventricular rupture is a fatal complication of acute myocardial infarction, however accurate preoperative diagnosis is still difficult. We experienced a postinfarction left ventricular rupture patient whose symptoms and radiologic findings mimicked those of acute intramural hematoma of the aorta. Upon emergency operation, he was proven to have a postinfarction LV rupture and underwent successful surgery. We herein report the case with a brief review of the literature.
Aortic Diseases/*diagnosis
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Case Report
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Diagnostic Errors
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Heart Rupture, Post-Infarction/*diagnosis/surgery
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Hematoma/*diagnosis
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Human
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Male
;
Middle Age
3.An unusual presentation of primary malignant B-cell-type dural lymphoma.
Yin Yee Sharon LOW ; Siang Hui LAI ; Wai Hoe NG
Singapore medical journal 2014;55(11):e187-90
Primary malignant B-cell-type dural lymphoma is a rare subtype of primary central nervous system lymphoma (PCNSL). We herein report an unusual case of diffuse B-cell lymphoma that presents as a chronic subdural haematoma without extracranial involvement. The notable aspects of this case include the patient's immunocompetence, a short clinical history of symptom onset, rapid neurological deterioration and a fi nal diagnosis of high-grade PCNSL. This case highlights the challenges neurosurgeons face, especially in the emergency setting, when the disease manifests in varied presentations.
Brain Neoplasms
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diagnosis
;
surgery
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Hematoma, Subdural
;
diagnosis
;
surgery
;
Humans
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Lymphoma, B-Cell
;
diagnosis
;
surgery
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Magnetic Resonance Imaging
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Male
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Middle Aged
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Multimodal Imaging
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Tomography, X-Ray Computed
4.Laparoscopic treatment of traumatic iliopsoas hematoma.
Jue-hua JING ; Jun QIAN ; Da-sheng TIAN ; Ji-sen ZHANG ; Lei CHEN ; Jian TANG
Chinese Medical Journal 2013;126(4):795-797
Adolescent
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Hematoma
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diagnosis
;
surgery
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Humans
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Laparoscopy
;
methods
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Magnetic Resonance Imaging
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Male
5.Vertex epidural hematomas: considerations in the MRI era.
Jun Hyeok SONG ; Jung Yul PARK ; Hoon Kap LEE
Journal of Korean Medical Science 1996;11(3):278-281
Two cases of vertex epidural hematomas are described to illustrate their unique diagnostic and treatment problems. Due to its specific location, a correct diagnosis of the intracranial hematoma was delayed in the first case. Quantitative analysis of the hematoma volume was performed in the second case. We would like to emphasize the usefulness of the magnetic resonance imaging and quantitative analysis of vertex epidural hematoma in choosing treatment options in such patients.
Adult
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Case Report
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Hematoma, Epidural/*diagnosis/surgery
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Human
;
Magnetic Resonance Imaging
;
Male
6.Microsurgical treatment of occupying-space lesions of brainstem.
Yu-Guang LIU ; Yu LI ; Meng LIU ; Wan-Dong SU ; Xin-Gang LI ; Shu-Gan ZHU
Chinese Medical Sciences Journal 2004;19(2):96-96
Adolescent
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Adult
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Astrocytoma
;
diagnosis
;
surgery
;
Brain Diseases
;
diagnosis
;
surgery
;
Brain Neoplasms
;
diagnosis
;
surgery
;
Brain Stem
;
surgery
;
Female
;
Follow-Up Studies
;
Hematoma
;
diagnosis
;
surgery
;
Humans
;
Magnetic Resonance Imaging
;
Male
;
Microsurgery
;
methods
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Middle Aged
;
Tomography, X-Ray Computed
7.Diagnosis and treatment of traumatic hematoma of posterior fossa.
Chun LUO ; Chi-yuan MA ; Guang-ji ZHANG
Chinese Journal of Traumatology 2003;6(1):56-59
Adolescent
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Adult
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Aged
;
Child
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Child, Preschool
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Female
;
Glasgow Coma Scale
;
Hematoma
;
diagnosis
;
surgery
;
Humans
;
Infant
;
Intracranial Hemorrhage, Traumatic
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diagnosis
;
surgery
;
Male
;
Middle Aged
;
Prognosis
8.Ossified Chronic Subdural Hematoma.
Han Gun MOON ; Hyung Shik SHIN ; Tae Hong KIM ; Yong Soon HWANG ; Sang Keun PARK
Yonsei Medical Journal 2003;44(5):915-918
A relatively rare condition of ossified chronic subdural hematoma (SDH) mimicking cerebral stroke is presented. A 67-year-old man presented with headache, dysphasia, and left-sided hemiparesis. Routine skull x-ray showed a huge calcification extending from the frontal to the parietal regions in the right side. CT and MRI scan revealed a huge ossified SDH covering the right hemisphere. Right frontoparietal craniotomy was performed and the ossified SDH was completely removed. Severe adhesion was noticed between the pia mater and the inner surface of the ossified mass. The subdural mass had ossified hard outer and inner rims and a soft central part. The postoperative course was uneventful and 3 months after the operation, the patient was neurologically intact. The authors report the successful treatment of a patient with a huge ossified SDH covering the right hemisphere. Careful dissection and total removal are needed in such symptomatic cases to avoid cortical injury and to improve results.
Aged
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Hematoma, Subdural, Chronic/diagnosis/pathology/*surgery
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Human
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Magnetic Resonance Imaging
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Male
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Ossification, Heterotopic/diagnosis/pathology/*surgery
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Tomography, X-Ray Computed
9.Surgical repair of the tunica albuginea for penis fracture: Selection of incision.
Yuan-Shen MAO ; Bao HUA ; Wei-Xin PAN ; Wen-Feng LI ; Yu-Fei GU ; Hai-Jun YAO ; Zhi-Kang CAI ; Zhong WANG ; Chao LU
National Journal of Andrology 2018;24(4):331-334
ObjectiveTo investigate the diagnosis and management of penile fracture.
METHODSFrom June 1993 to May 2017, 46 cases of penile fracture were treated in our hospital, averaging 33.5 (25-42) years of age and 3.45 (1-10) hours in duration, of which 41 occurred during sexual intercourse, 4 during masturbation and 1 during prone sleeping, 4 with hematuria, but none with dysuria or urethral bleeding. Hematoma was confined to the penis. Emergency surgical repair was performed for all the patients, 45 under spinal anesthesia and 1 under local anesthesia, 16 by coronal proximal circular incision and the other 30 by local longitudinal incision according to the rupture location on ultrasonogram. The tunica albuginea ruptures averaged 1.31 (0.5-2.5) cm in length, which were sutured in the "8" pattern for 6 cases and with the 3-0 absorbable thread for 18 cases. The skin graft or negative pressure drainage tube was routinely placed, catheters indwelt, and gauze used for early pressure dressing. In the recent few years, elastic bandages were employed for 3-5 days of pressure dressing and antibiotics administered to prevent infection. The stitches and catheter were removed at 7 days after surgery.
RESULTSShort-term postoperative foreskin edema occurred in 14 of the 16 cases of circular degloving incision, but no postoperative complications were observed in any of the cases of local incision. Twenty-eight of the patients completed a long-term follow-up of 49.4 (10-125) months, which revealed good erectile function, painless erection, and satisfactory sexual intercourse.
CONCLUSIONSFor most penile fractures, local longitudinal incision is sufficient for successful repair of the tunica albuginea, with mild injury, no influence on the blood supply or lymph reflux, and a low rate complications. It therefore is obviously advantageous over circular degloving incision except when the cavernous body of urethra is to be explored, which necessitates circular degloving incision below the coronal groove.
Adult ; Coitus ; Edema ; etiology ; Hematoma ; diagnosis ; etiology ; Humans ; Male ; Masturbation ; complications ; Penile Erection ; Penis ; injuries ; Postoperative Complications ; etiology ; Rupture ; diagnosis ; etiology ; surgery ; Surgical Wound ; Ultrasonography ; Urethra ; surgery