2015
DOI: 10.1590/0100-69912015005003
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Abstract: Objective : To characterize patients with chronic subdural hematoma undergoing surgery and to identify prognostic indicators. Methods : We conducted a retrospective analysis of patients diagnosed with chronic subdural hematoma (CSDH) undergoing surgical treatment. We analyzed: age, period from trauma to diagnostic imaging, pre and postoperative Glasgow coma scale, type of surgery, associated comorbidities, use of postoperative drainage and outpatient treatment. Results : The sample consisted of 176 patients, 1… Show more

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Cited by 31 publications
(14 citation statements)
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(37 reference statements)
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“…Fluid resorption or re-bleed define the further course of disease. Few hematomas may also expand due to osmotic effects or varied calcification mechanisms 14. Brain damage is caused by direct pressure, increased intracranial pressure (ICP) or associated parenchymal damage.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Fluid resorption or re-bleed define the further course of disease. Few hematomas may also expand due to osmotic effects or varied calcification mechanisms 14. Brain damage is caused by direct pressure, increased intracranial pressure (ICP) or associated parenchymal damage.…”
Section: Discussionmentioning
confidence: 99%
“…The gradual rise in incidence of CSDH is expected to persist, therefore, it’s imperative to pin-point definitive and more refined operative regimes 5,15. Various surgical manoeuvres are available, nevertheless, optimal technique remains controversial 10-12,14,16-18. Less invasive procedures like twist-drill craniostomy (TDC) and burr-hole drainage(BHD) often gain priority;1,2,13,16-18 former being more safe and effective method for maximal thickness areas, or for bedside drainage of patients at high risk for surgery 15,16,19…”
Section: Discussionmentioning
confidence: 99%
“…It can vary from incidental fever and urinary incontinence to the central nervous system (CNS) manifestations such as headache, altered consciousness, aphasia, motor weakness, seizure, and vomiting. [ 8 ] A detailed history along with high index of clinical suspicion is required in elderly patients who present with subtle cognitive impairment. Such patients should be assessed by MMSE and NCCT head along with neurosurgical consultation.…”
Section: Discussionmentioning
confidence: 99%
“…However, a high recurrence rate is observed in patients undergoing twist drill and burr-hole craniostomy because of inadequate exposure of hematoma cavities during surgery. Craniotomy is more effective in evacuation of hematoma and has a lower reoperation rate than Burr-hole Craniostomy (BHC) and Twist Drill Craniostomy (TDC) ( 3 ). Nevertheless, cSDH patients are often elderly and have various medical comorbidities, which makes it hard to conduct craniotomy.…”
Section: Introductionmentioning
confidence: 99%