Duret Haemorrhage

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Shuujiun Wang - One of the best experts on this subject based on the ideXlab platform.

  • subdural haematoma in patients with spontaneous intracranial hypotension
    Cephalalgia, 2007
    Co-Authors: Tzuhsien Lai, Jongling Fuh, Jiingfeng Lirng, P H Tsai, Shuujiun Wang
    Abstract:

    The incidence and clinical relevance of subdural haematoma (SDH) in patients with spontaneous intracranial hypotension (SIH) remain undetermined. We reviewed 40 consecutive SIH patients (18 female, 22 male) in a tertiary hospital. Eight (20%) of them had SDH and nine (23%), non-haemorrhagic subdural collections. The presence of SDH was associated with higher frequencies of male gender, recurrence of severe headache and neurological deficits. Outcomes were satisfactory after supportive care or epidural blood patches except for one SDH patient, who developed transtentorial herniation resulting in Duret Haemorrhage and infarctions of bilateral posterior cerebral artery territories. In conclusion, subdural fluid collections were common in patients with SIH. SDH was associated with headache worsening or neurological deficits. Patients with SDH generally recovered well; however, serious sequela might occur.

Jiingfeng Lirng - One of the best experts on this subject based on the ideXlab platform.

  • subdural haematoma in patients with spontaneous intracranial hypotension
    Cephalalgia, 2007
    Co-Authors: Tzuhsien Lai, Jongling Fuh, Jiingfeng Lirng, P H Tsai, Shuujiun Wang
    Abstract:

    The incidence and clinical relevance of subdural haematoma (SDH) in patients with spontaneous intracranial hypotension (SIH) remain undetermined. We reviewed 40 consecutive SIH patients (18 female, 22 male) in a tertiary hospital. Eight (20%) of them had SDH and nine (23%), non-haemorrhagic subdural collections. The presence of SDH was associated with higher frequencies of male gender, recurrence of severe headache and neurological deficits. Outcomes were satisfactory after supportive care or epidural blood patches except for one SDH patient, who developed transtentorial herniation resulting in Duret Haemorrhage and infarctions of bilateral posterior cerebral artery territories. In conclusion, subdural fluid collections were common in patients with SIH. SDH was associated with headache worsening or neurological deficits. Patients with SDH generally recovered well; however, serious sequela might occur.

GusmÃo, SebastiÃo Silva - One of the best experts on this subject based on the ideXlab platform.

  • Increased intracranial pressure in victims of fatal road traffic accident
    Academia Brasileira de Neurologia - ABNEURO, 1999
    Co-Authors: Pittella, JosÉ Eymard Homem, GusmÃo, SebastiÃo Silva
    Abstract:

    Foi realizada análise morfológica, macro e microscópica, das lesões encefálicas de 120 vítimas fatais de acidente de trânsito. A hérnia para-hipocampal, a hemorragia de Duret e o infarto médio-basal occipital, indicadores fidedignos de que o paciente apresentou hipertensão intracraniana (HIC), ocorreram em 43 pacientes (35,8%). A HIC no trauma cranioencefálico é causada pela tumefação cerebral congestiva e pelos hematomas intracranianos. Na presente casuística foram observados 3 hematomas extradurais (7,0%), 9 hematomas subdurais agudos (20,9%), 6 hematomas intracerebrais (14%), 6 explosões lobares (14%) e 9 tumefações cerebrais congestivas (20,9%).A morphological study, macro and microscopical, was made of brain lesions in 120 victims of fatal road traffic accidents. Parahipoccampal hernia, Duret Haemorrhage and infarction in the medio-basal occipital lobe, clear evidence of raised intracranial pressure, occurred in 43 (35.8%) patients. The increased intracranial pressure from the head injury is caused by brain swelling and by intracranial haematomas. In this series 3 cases of extradural haematomas (7.0%), 9 of subdural haematomas (20.9%), 6 of intracerebral haematomas (14%), 6 of burst lobe (14%) and 9 of brain swelling (20.9%) were observed

Tzuhsien Lai - One of the best experts on this subject based on the ideXlab platform.

  • subdural haematoma in patients with spontaneous intracranial hypotension
    Cephalalgia, 2007
    Co-Authors: Tzuhsien Lai, Jongling Fuh, Jiingfeng Lirng, P H Tsai, Shuujiun Wang
    Abstract:

    The incidence and clinical relevance of subdural haematoma (SDH) in patients with spontaneous intracranial hypotension (SIH) remain undetermined. We reviewed 40 consecutive SIH patients (18 female, 22 male) in a tertiary hospital. Eight (20%) of them had SDH and nine (23%), non-haemorrhagic subdural collections. The presence of SDH was associated with higher frequencies of male gender, recurrence of severe headache and neurological deficits. Outcomes were satisfactory after supportive care or epidural blood patches except for one SDH patient, who developed transtentorial herniation resulting in Duret Haemorrhage and infarctions of bilateral posterior cerebral artery territories. In conclusion, subdural fluid collections were common in patients with SIH. SDH was associated with headache worsening or neurological deficits. Patients with SDH generally recovered well; however, serious sequela might occur.

SebastiÃo Silva GusmÃo - One of the best experts on this subject based on the ideXlab platform.

  • Hipertensão intracraniana em vítimas fatais de acidente de trânsito Increased intracranial pressure in victims of fatal road traffic accident
    Academia Brasileira de Neurologia (ABNEURO), 1999
    Co-Authors: JosÉ Eymard Homem Pittella, SebastiÃo Silva GusmÃo
    Abstract:

    Foi realizada análise morfológica, macro e microscópica, das lesões encefálicas de 120 vítimas fatais de acidente de trânsito. A hérnia para-hipocampal, a hemorragia de Duret e o infarto médio-basal occipital, indicadores fidedignos de que o paciente apresentou hipertensão intracraniana (HIC), ocorreram em 43 pacientes (35,8%). A HIC no trauma cranioencefálico é causada pela tumefação cerebral congestiva e pelos hematomas intracranianos. Na presente casuística foram observados 3 hematomas extradurais (7,0%), 9 hematomas subdurais agudos (20,9%), 6 hematomas intracerebrais (14%), 6 explosões lobares (14%) e 9 tumefações cerebrais congestivas (20,9%).A morphological study, macro and microscopical, was made of brain lesions in 120 victims of fatal road traffic accidents. Parahipoccampal hernia, Duret Haemorrhage and infarction in the medio-basal occipital lobe, clear evidence of raised intracranial pressure, occurred in 43 (35.8%) patients. The increased intracranial pressure from the head injury is caused by brain swelling and by intracranial haematomas. In this series 3 cases of extradural haematomas (7.0%), 9 of subdural haematomas (20.9%), 6 of intracerebral haematomas (14%), 6 of burst lobe (14%) and 9 of brain swelling (20.9%) were observed