Intracerebral Hemorrhage after Evacuation of a Subdural Hematoma in an Infant

Sood, Sandeep; Canady, Alexa; Martino, Anthony

doi:10.1159/000120836

Cited by 5 publications

(7 citation statements)

References 12 publications

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“…Our literature search yielded 35 results (1982–2020); 25 articles met our inclusion criteria and were analyzed in detail. 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Twenty-two articles were case reports and 3 were case series including three to six patients. Overall, 37 patients were included in the study.…”

Section: Resultsmentioning

confidence: 99%

“…All included studies were meticulously reviewed and scrutinized for their study design, methodology, and patient characteristics. Patient data were recorded when available, including age, sex, coexisting factors, use of anticoagulants/antiplatelets, cSDH side, symptoms after burr hole cSDH drainage, RICH location, time course of neurologic deterioration, treatment, and outcome ( Table 1 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 ). Our case was not included in this systematic review.…”

Section: Methodsmentioning

confidence: 99%

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A Review of Remote Intracerebral Hemorrhage after Chronic Subdural Hematoma Evacuation

Umana

Salvati

Fricia

et al. 2021

J Neurol Surg A Cent Eur Neurosurg

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Background Remote intracerebral hemorrhage (RICH) is a severe complication following chronic subdural hematoma (cSDH) drainage, and only case reports and small case series have been reported to date. The authors present an emblematic patient affected by RICH following cSDH drainage. A systematic review of the literature on diagnosis and management of patients affected by RICH following cSDH evacuation has also been performed. Methods A literature search according to the PRISMA statement was conducted using PubMed and Scopus databases with the following Mesh terms: [(remote) AND (intracerebral hemorrhage or cerebral hematoma or cerebral infarction or cerebellar hemorrhage or cerebellar hematoma or cerebellar infarction) AND (chronic subdural hematoma)]. Results The literature search yielded 35 results, and 25 articles met our inclusion criteria: 22 articles were case reports and 3 were case series including three to six patients. Overall, 37 patients were included in the study. Age was reported in all 37 patients, 26 males (70.3%) and 11 females (29.7%), with a male-to-female ratio of 2.4:1. The mean age at diagnosis was 64.6 years (range: 0.25–86 years). Only in 5 cases (13.5%) did the ICH occur contralaterally to the previously drained cSDH. The rapidity of drainage can lead to several types of intracranial hemorrhages, caused by a too rapid change in the cerebral blood flow (CBF) and/or tears of bridging veins. The average time interval between cSDH drainage and neurologic deterioration was 71.05 hours (range: 0–192 hours). Conclusions RICH following cSDH represents a rare occurrence and a serious complication, associated with elevated morbidity. Careful monitoring of drain speed after cSDH evacuation surgery is recommended, and minimally invasive techniques such as twist drill craniostomy are suggested, especially for massive cSDHs.

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Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

A Review of Remote Intracerebral Hemorrhage after Chronic Subdural Hematoma Evacuation

Umana

Salvati

Fricia

et al. 2021

J Neurol Surg A Cent Eur Neurosurg

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“…Recently, needle aspiration was used in four infants suering from acute subdural haematoma with good results [6]. The technique helps to avoid intracerebral haemorrhage after rapid evacuation of the haematoma [8]. The epidural probe allows the monitoring of intracranial pressure during the treatment in the ICU.…”

Section: Discussionmentioning

confidence: 99%

Early vitamin K deficiency bleeding after maternal phenobarbital intake: management of massive intracranial haemorrhage by minimal surgical intervention

Renzulli

Tuchschmid

Eich

et al. 1998

European Journal of Pediatrics

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“…The idea of using pre-operative helmet molding therapy to improve cranial index (CI) in patients with isolated sagittal synostosis was introduced in 2011 (Sood, 2011). The purpose of this study was to review our experience using helmet molding therapy in children with isolated non-syndromic sagittal craniosynostosis prior to placement of cranial springs and provide objective measurements of craniometric changes to help determine its role in treatment.…”

Section: Iintroductionmentioning

confidence: 99%

Utility of Preoperative Helmet Molding Therapy in Patients With Isolated Sagittal Craniosynostosis

Zapatero

Slawinski²,

Kosyk

et al. 2021

Journal of Craniofacial Surgery

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The purpose of this study was to review our institution's experience using helmet molding therapy in children with isolated non-syndromic sagittal craniosynostosis before placement of cranial springs and provide objective measurements of craniometric changes to help determine its role in treatment.Patients who underwent preoperative helmet molding therapy for sagittal craniosynostosis were retrospectively reviewed. Three-dimensional surface tomography scans were used to measure head circumference, cranial width, cranial length, cranial index (CI), and cranial vault asymmetry.Seventeen patients underwent orthotic helmeting therapy before spring mediated cranial vault expansion. Patients spent a median of 48 days (interquartile range [IQR] 32, 57) in preoperative orthotic helmeting therapy. There were increases in both cranial width and length post-helmeting (median: 107.5 mm [IQR 104.8, 110.4] versus 115.6 mm [IQR 114.5, 119.3]; P < 0.001) (median: 152.8 mm [IQR 149.2, 154.9] versus 156.8 mm [IQR 155.0, 161.5]; P < 0.001), respectively. There was a greater increase in cranial width (P ¼ 0.015). Consequently, patients' CI improved after preoperative helmeting (median: 0.702 [IQR 0.693, 0.717] versus 0.739 [0.711, 0.752]; P < 0.001). There was no evidence of growth restriction from helmeting (pre-helmeting Head circumference [HC]: median 96.8 percentile [IQR 90.6, 99.9] versus post-helmeting HC: 98.7 percentile [IQR 94.7, 99.8]; P ¼ 0.109).Preoperative helmeting in patients with non-syndromic isolated sagittal craniosynostosis can be used to improve CI before surgical correction. Significant benefits can be achieved in shorter preoperative helmeting durations than previously reported with no evidence of cranial growth restriction, which supports its feasibility and utility in children undergoing spring mediated cranial vault expansion.

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Intracerebral Hemorrhage after Evacuation of a Subdural Hematoma in an Infant

Cited by 5 publications

References 12 publications

A Review of Remote Intracerebral Hemorrhage after Chronic Subdural Hematoma Evacuation

A Review of Remote Intracerebral Hemorrhage after Chronic Subdural Hematoma Evacuation

Early vitamin K deficiency bleeding after maternal phenobarbital intake: management of massive intracranial haemorrhage by minimal surgical intervention

Utility of Preoperative Helmet Molding Therapy in Patients With Isolated Sagittal Craniosynostosis

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