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MeSH: subdurální hematom-chirurgie

10 záznamů v PubMed Filtry

Článek

Interhemisferický subdurální hematom
[Interhemispheric subdural haematoma]

Rozhledy v chirurgii. 2007 Feb ; 86 (2) : 63-7.

Rozhl Chir
ISSN 0035-9351
Zdroj

Interhemispheric subdural haematoma is considered to be rare finding even in the era of computer tomography. The aim of the paper is to present a group of 14 patients (5 males, 9 females), average age 57.9 years, operated on for interhemispheric subdural haematoma, in all but one patient of traumatic origin. Symptoms related to the compression of medial cortex of cerebral hemisphere described as typical were not fully exacerbated in all patients. Falx syndrome as the sole manifestation was described in two patients, in other patients the clinical symptoms were determined by associated injuries. CT was the investigation of choice in all patients. Surgical evacuation of haematoma by means of parasagital osteoplastic craniotomy or burr hole trephination was used in all patients. Clinical outcome was determined by clinical condition on admission and the presence of haemorrhagic contusions. Another adversive prognostic factors were anticoagulation treatment or the presence of coagulopathy. It is mandatory to stress the possibility of sudden clinical worsening of initially conservatively treated patients.

MeSH
lidé středního věku MeSH
lidé MeSH
počítačová rentgenová tomografie MeSH
senioři nad 80 let MeSH
senioři MeSH
subdurální hematom diagnóza diagnostické zobrazování chirurgie MeSH
Check Tag
lidé středního věku MeSH
lidé MeSH
mužské pohlaví MeSH
senioři nad 80 let MeSH
senioři MeSH
ženské pohlaví MeSH
Publikační typ
časopisecké články MeSH

Článek

Diagnostika a lécba chronického subdurálního hematomu
[Diagnosis and therapy of chronic subdural hematoma]

Rozhledy v chirurgii. 1993 Apr ; 72 (3) : 118-23.

Rozhl Chir
ISSN 0035-9351
Zdroj

The authors evaluate a group of 72 patients with the diagnosis of chronic subdural haematoma (cSDH). All subdural collections were confirmed on a computer tomograph. Sixty-nine patients were operated by trepanation and drainage into a closed system which was maintained for a maximum of five days. Three patients with a hyperdense CT finding were subjected to extended trepanation or craniectomy with membranectomy. The CT picture made on the 2nd-4th day after operation revealed a persisting subdural collection in 35% of the patients subjected to trephination. The authors were concerned with the problem whether this percentage makes trephination with drainage controversial as the only universal therapeutic method in cSDH. Nevertheless successful reinsertion of the drain (85%) is in favour of trephination although drainage from the first trephination in not always the definite solution. Conversely revision by craniotomy was a failure in 7 patients where the drainage method was not successful. Radical surgery proved useful only in the initial period in patients who despite a chronic course had on CT a hyperdense collection. The influence of the site, volume of collection, lateral overpressure and possibly a subsidiary CT finding could not be proved on a statistically significant scale, therefore the authors did not use these CT markers when selecting surgical intervention.