Subdural Instillation of a Thrombolytic Agent for Treatment of Recurrent Subdural Hematoma
This study aims to report the case of a patient with recurrent subdural hemorrhage (SDH) who was administered tissue plasminogen activator through a subdural drain to enhance drainage and prevent recurrence. An 85-year-old man was treated for subacute over chronic SDH that kept on reaccumulating des...
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| Published in: | Clinical neuropharmacology Vol. 40; no. 6; pp. 279 - 280 |
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| Main Authors: | , , , , |
| Format: | Journal Article |
| Language: | English |
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United States
01-11-2017
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| Abstract | This study aims to report the case of a patient with recurrent subdural hemorrhage (SDH) who was administered tissue plasminogen activator through a subdural drain to enhance drainage and prevent recurrence.
An 85-year-old man was treated for subacute over chronic SDH that kept on reaccumulating despite serial twist drill drainage, burr hole drainage, and craniotomy. No coagulopathy was identified with adequate blood pressure control.
Treatment with tissue plasminogen activator resulted in successful drainage of the SDH, and the patient had no further recurrence at 9-month follow-up. |
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| AbstractList | This study aims to report the case of a patient with recurrent subdural hemorrhage (SDH) who was administered tissue plasminogen activator through a subdural drain to enhance drainage and prevent recurrence.
An 85-year-old man was treated for subacute over chronic SDH that kept on reaccumulating despite serial twist drill drainage, burr hole drainage, and craniotomy. No coagulopathy was identified with adequate blood pressure control.
Treatment with tissue plasminogen activator resulted in successful drainage of the SDH, and the patient had no further recurrence at 9-month follow-up. OBJECTIVEThis study aims to report the case of a patient with recurrent subdural hemorrhage (SDH) who was administered tissue plasminogen activator through a subdural drain to enhance drainage and prevent recurrence.METHODSAn 85-year-old man was treated for subacute over chronic SDH that kept on reaccumulating despite serial twist drill drainage, burr hole drainage, and craniotomy. No coagulopathy was identified with adequate blood pressure control.RESULTSTreatment with tissue plasminogen activator resulted in successful drainage of the SDH, and the patient had no further recurrence at 9-month follow-up. |
| Author | Sarwal, Aarti Couture, Daniel E Frenkel, Mark B Newey, Christopher R Wren, Mary Petrulis |
| Author_xml | – sequence: 1 givenname: Mark B surname: Frenkel fullname: Frenkel, Mark B organization: Departments of Neurosurgery, †Neurology, ‡Anesthesiology (Section on Critical Care Medicine), §Wake Forest School of Medicine, Winston-Salem, NC; and ∥Department of Neurology, School of Medicine, University of Missouri Health, Columbia, MO – sequence: 2 givenname: Aarti surname: Sarwal fullname: Sarwal, Aarti – sequence: 3 givenname: Mary Petrulis surname: Wren fullname: Wren, Mary Petrulis – sequence: 4 givenname: Christopher R surname: Newey fullname: Newey, Christopher R – sequence: 5 givenname: Daniel E surname: Couture fullname: Couture, Daniel E |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/28976409$$D View this record in MEDLINE/PubMed |
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| CitedBy_id | crossref_primary_10_1016_j_wneu_2019_10_007 crossref_primary_10_1016_j_wneu_2021_03_029 crossref_primary_10_7759_cureus_56119 crossref_primary_10_1016_j_wneu_2022_05_143 |
| Cites_doi | 10.3171/jns.2006.104.1.79 10.3171/2014.5.JNS132715 10.1016/j.wneu.2014.08.012 10.1016/j.wneu.2011.08.032 10.1097/CCM.0b013e3182186ed6 10.1016/j.clineuro.2015.05.037 |
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| References | (bib2-20230925) 2014; 121 (bib5-20230925) 2015; 136 (bib6-20230925) 2006; 104 (bib4-20230925) 2014; 82 (bib3-20230925) 2011; 39 (bib1-20230925) 2012; 78 |
| References_xml | – volume: 104 start-page: 79 year: 2006 ident: bib6-20230925 article-title: Tissue plasminogen activator in chronic subdural hematomas as a predictor of recurrence publication-title: J Neurosurg doi: 10.3171/jns.2006.104.1.79 – volume: 121 start-page: 665 year: 2014 ident: bib2-20230925 article-title: Chronic subdural hematoma: a systematic review and meta-analysis of surgical procedures publication-title: J Neurosurg doi: 10.3171/2014.5.JNS132715 – volume: 82 start-page: 1148 year: 2014 ident: bib4-20230925 article-title: Efficacy and safety of subdural drains after burr-hole evacuation of chronic subdural hematomas: systematic review and meta-analysis of randomized controlled trials publication-title: World Neurosurg doi: 10.1016/j.wneu.2014.08.012 – volume: 78 start-page: 145 year: 2012 ident: bib1-20230925 article-title: Recurrence-free chronic subdural hematomas: a retrospective analysis of the instillation of tissue plasminogen activator in addition to twist drill or burr hole drainage in the treatment of chronic subdural hematomas publication-title: World Neurosurg doi: 10.1016/j.wneu.2011.08.032 – volume: 39 start-page: 1619 year: 2011 ident: bib3-20230925 article-title: National trend in prevalence, cost, and discharge disposition after subdural hematoma from 1998–2007 publication-title: Crit Care Med doi: 10.1097/CCM.0b013e3182186ed6 – volume: 136 start-page: 61 year: 2015 ident: bib5-20230925 article-title: An improved electronic twist-drill craniostomy procedure with post-operative urokinase instillation in treating chronic subdural hematoma publication-title: Clin Neurol Neurosurg doi: 10.1016/j.clineuro.2015.05.037 |
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| SubjectTerms | Aged, 80 and over Fibrinolytic Agents - administration & dosage Hematoma, Subdural, Chronic - diagnostic imaging Hematoma, Subdural, Chronic - drug therapy Humans Male Recurrence Subdural Space - diagnostic imaging Subdural Space - drug effects Treatment Outcome |
| Title | Subdural Instillation of a Thrombolytic Agent for Treatment of Recurrent Subdural Hematoma |
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