Single burr hole evacuation for traumatic acute subdural hematoma of the posterior fossa in the emergency room
A 57-year-old man and a 55-year-old man presented with acute subdural hematoma of the posterior cranial fossa due to trauma. Both were comatose preoperatively. Emergent single burr hole evacuation in the posterior cranial fossa was performed in the emergency room immediately after computed tomograph...
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| Veröffentlicht in: | Journal of neurotrauma 2002-08, Vol.19 (8), p.993-998 |
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| container_title | Journal of neurotrauma |
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| creator | MOTOHASHI, Osamu KAMEYAMA, Motonobu SHIMOSEGAWA, Yasuko FUJIMORI, Kiyoshi SUGAI, Kazuyuki ONUMA, Takehide |
| description | A 57-year-old man and a 55-year-old man presented with acute subdural hematoma of the posterior cranial fossa due to trauma. Both were comatose preoperatively. Emergent single burr hole evacuation in the posterior cranial fossa was performed in the emergency room immediately after computed tomography. Neurological symptoms improved dramatically just after initiating the burr hole evacuation in both patients. A 57-year-old man became alert and could walk unassisted 1 month after surgery. The other could walk with assistance 4 months after surgery, although psychic disturbance resulting from cerebral contusion remained. Single burr hole evacuation in the emergency room is a useful treatment for acute subdural hematoma of the posterior cranial fossa because the procedure can be performed easily and rapidly, thus achieving reduction of intracranial pressure. Progressing neurological deterioration, reversibility of brainstem function by mannitol administration and the sign of brainstem compression and noncommunicating hydrocephalus are good indicators for this treatment. |
| doi_str_mv | 10.1089/089771502320317140 |
| format | Article |
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Both were comatose preoperatively. Emergent single burr hole evacuation in the posterior cranial fossa was performed in the emergency room immediately after computed tomography. Neurological symptoms improved dramatically just after initiating the burr hole evacuation in both patients. A 57-year-old man became alert and could walk unassisted 1 month after surgery. The other could walk with assistance 4 months after surgery, although psychic disturbance resulting from cerebral contusion remained. Single burr hole evacuation in the emergency room is a useful treatment for acute subdural hematoma of the posterior cranial fossa because the procedure can be performed easily and rapidly, thus achieving reduction of intracranial pressure. 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Both were comatose preoperatively. Emergent single burr hole evacuation in the posterior cranial fossa was performed in the emergency room immediately after computed tomography. Neurological symptoms improved dramatically just after initiating the burr hole evacuation in both patients. A 57-year-old man became alert and could walk unassisted 1 month after surgery. The other could walk with assistance 4 months after surgery, although psychic disturbance resulting from cerebral contusion remained. Single burr hole evacuation in the emergency room is a useful treatment for acute subdural hematoma of the posterior cranial fossa because the procedure can be performed easily and rapidly, thus achieving reduction of intracranial pressure. Progressing neurological deterioration, reversibility of brainstem function by mannitol administration and the sign of brainstem compression and noncommunicating hydrocephalus are good indicators for this treatment.</description><subject>Biological and medical sciences</subject><subject>Drainage - methods</subject><subject>Emergency Treatment</subject><subject>Hematoma, Subdural, Acute - diagnostic imaging</subject><subject>Hematoma, Subdural, Acute - surgery</subject><subject>Humans</subject><subject>Injuries of the nervous system and the skull. Diseases due to physical agents</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Tomography, X-Ray Computed</subject><subject>Traumas. 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Diseases due to physical agents</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Tomography, X-Ray Computed</topic><topic>Traumas. 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| subjects | Biological and medical sciences Drainage - methods Emergency Treatment Hematoma, Subdural, Acute - diagnostic imaging Hematoma, Subdural, Acute - surgery Humans Injuries of the nervous system and the skull. Diseases due to physical agents Male Medical sciences Middle Aged Tomography, X-Ray Computed Traumas. Diseases due to physical agents Trephining |
| title | Single burr hole evacuation for traumatic acute subdural hematoma of the posterior fossa in the emergency room |
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