دورية أكاديمية
Surgical Technique for Draining a Concomitant Supra-and Infratentorial Epidural Hematomas.
| العنوان: | Surgical Technique for Draining a Concomitant Supra-and Infratentorial Epidural Hematomas. |
|---|---|
| المؤلفون: | Tabanli A; University of Health Sciences Izmir Bozyaka Education and Research Hospital, Department of Neurosurgery, Izmir, Türkiye., Yilmaz H |
| المصدر: | Turkish neurosurgery [Turk Neurosurg] 2024; Vol. 34 (4), pp. 618-623. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Turkish Neurosurgi[c]al Society Country of Publication: Turkey NLM ID: 9423821 Publication Model: Print Cited Medium: Internet ISSN: 2651-5032 (Electronic) Linking ISSN: 10195149 NLM ISO Abbreviation: Turk Neurosurg Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Ankara, Turkey : Turkish Neurosurgi[c]al Society, |
| مواضيع طبية MeSH: | Hematoma, Epidural, Cranial*/surgery , Hematoma, Epidural, Cranial*/diagnostic imaging , Glasgow Coma Scale* , Craniotomy*/methods, Humans ; Male ; Female ; Middle Aged ; Adult ; Retrospective Studies ; Aged ; Treatment Outcome ; Neurosurgical Procedures/methods ; Tomography, X-Ray Computed ; Drainage/methods ; Young Adult ; Adolescent ; Cranial Sinuses/surgery ; Cranial Sinuses/diagnostic imaging |
| مستخلص: | Aim: To assess clinical and radiological characteristics of simultaneous acute supra- and infratentorial epidural hematomas. Material and Methods: We retrospectively reviewed the clinical and radiological data of 18 patients with a concomitant acute supra- and infratentorial epidural hematoma, who were treated and followed up at our hospital. Results: The Glasgow Coma Score was 3-8 in four patients, was 9-12 in seven, and was 13-15 in seven patients. While the concomitant supra- and infratentorial hematoma did not cross the midline in 15 of the patients, it did in three of them. The dural venous sinus rupture was repaired in five of the patients. Functional healing was observed in 14 of the 18 patients. Two of the patients died during the postoperative period. Conclusion: A simultaneous supra- and infratentorial epidural hematoma rarely occurs in neurosurgical practice. Mortality and morbidity rates are high if these are not addressed in time. The radiological images of patients should be evaluated carefully preoperatively. In patients with a concomitant infra- and supratentorial hematoma, transverse sinus damage, which is a surgical challenge, should be considered. Herein, we describe a surgical technique (supra- and infratentorial craniotomy leaving the bone bridge over the transverse sinus) for draining a concomitant supra- and infratentorial epidural hematoma; this technique is an effective surgical choice in select patients. |
| تواريخ الأحداث: | Date Created: 20240614 Date Completed: 20240707 Latest Revision: 20240707 |
| رمز التحديث: | 20240707 |
| DOI: | 10.5137/1019-5149.JTN.43250-22.4 |
| PMID: | 38874240 |
| قاعدة البيانات: | MEDLINE |
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