Preoperative MRI characteristics predict chronic subdural haematoma postoperative recurrence: a meta-analysis

Sherrod, Brandon A.; Baker, Cordell M; Gamboa, Nicholas T.; McNally, Scott; Grandhi, Ramesh

doi:10.1080/02688697.2021.1903391

Cited by 6 publications

(5 citation statements)

References 17 publications

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“…Imaging characteristics of SDH that can portend increased risk of recurrence include a greater midline shift and increased density and volume on CT; this fluid appears iso-or hypointense on T1 MRI. 13,27 Laboratory studies should include screening for coagulopathy with prothrombin time, activated partial thromboplastin time, and complete blood cell count, in addition to testing for the broader differential diagnosis including sepsis or metabolic encephalopathy. 28 TREATMENT A patient's presentation, risks for chronic SDH or recurrence, and acuity along the spectrum of SDH severity help to indicate an appropriate treatment plan.…”

Section: Diagnostic Testingmentioning

confidence: 99%

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Updates on the diagnosis and management of subdural hematoma

Scruton

2024

Jaapa

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Intracranial hemorrhage is a potentially life-threatening condition categorized into four main groups by the location of bleeding: epidural, subdural, subarachnoid, and intraparenchymal. Subdural hematoma (SDH) is increasingly common as the population of older adults increases. Clinicians must recognize the typical presentations and order diagnostic imaging studies to make a timely diagnosis and referral to neurosurgery for definitive treatment. Understanding the pathophysiology and risk factors for chronic or expanding SDH informs decision-making in managing anticoagulants. Emerging treatments offer potential alternatives to the traditional evacuation of SDH by craniotomy, which remains the standard of care for most symptomatic patients.

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Section: Diagnostic Testingmentioning

confidence: 99%

Section: Diagnostic Testingmentioning

confidence: 99%

Updates on the diagnosis and management of subdural hematoma

Scruton

2024

Jaapa

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“…After analysis using the T1 and T2 sequences of MRI, they reported that a significantly greater percentage of the hematomas that were iso- or hypointense on preoperative T1WI showed growth as compared to the other hematomas. In conclusion, Sherrod et al 52) conducted a meta-analysis and suggested that preoperative T1 hypo- or isointensity CSDH signals may predict an increased postoperative recurrence risk.…”

Section: Mri For Csdhmentioning

confidence: 99%

A Radiological Assessment of Chronic Subdural Hematomas

Kwon

Lee

Seo

et al. 2022

Korean J Neurotrauma

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Chronic subdural hematoma (CSDH), which generally occurs in elderly patients, is a frequently diagnosed condition in neurosurgical departments. Computed tomography (CT) and magnetic resonance imaging (MRI) are the most preferred diagnostic modalities for CSDH assessment. With early diagnosis and adequate management, CSDH may show favorable prognosis in majority of the patients; however, recurrence after surgery can occur in a significant number of patients. The recently increasing number of CSDH studies could reveal the prognostic factors affecting CSDH recurrence. Particularly, radiological characteristics regarding the internal architecture of CSDH are considered closely associated with recurrence in surgically treated CSDH patients. In this literature review, we evaluated the various diagnostic modalities of CSDH and its radiological characteristics on CT and MRI. Furthermore, we summarized the prognostic factors of recurrence for the hematoma type based on the radiological findings.

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“…[3] Therefore, for CSDH, computed tomography (CT) diagnosis and surgical intervention should be carried out in time to ensure the prognosis and recovery of patients. [4] According to statistics, the current incidence of CSDH is about 13.5/100,000, but it can reach 50 to 70 per 100,000 among the elderly over 65 years old. [5] At present, the pathogenesis of CSDH is not thoroughly elucidated, and it is clinically believed to be associated with brain atrophy, increased venous tone, and hypercoagulability.…”

Section: Introductionmentioning

confidence: 99%

Clinical efficacy of minimally invasive puncture and drainage versus trepanation and drainage for chronic subdural hematoma: Systematic review and meta-analysis

2023

Medicine

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Background: This study aimed to evaluate the clinical efficacy of minimally invasive puncture and drainage (MIPD) versus trepanation and drainage in the treatment of chronic subdural hematoma (CSDH). Methods: PubMed, EMBASE, Cochrane Library, China National Knowledge Infrastructure, and Wanfang database were searched for studies on the treatment of CSDH by MIPD and trepanation and drainage. By reading the title, abstract and full text, and screening according to the inclusion and exclusion criteria, the qualified articles were confirmed. Subsequently, the literature quality was evaluated based on the Cochrane Handbook for Systematic Reviews of Interventions, and the data of the research subjects and the primary outcome measures were extracted for meta-analysis with RevMan 5.1 software. Results: Ten articles were included, with a total of 1000 patients. According to the meta-analysis, the 2 groups showed no statistical difference in CSDH recurrence rate (P > .05). The operation time, intraoperative blood loss, and incidence of postoperative adverse reactions were lower and the cure rate was higher in the MIPD group compared with trepanation and drainage group (all P < .05). By drawing the funnel plot of the outcome measures with heterogeneity, it can be seen that the distribution on both sides of the funnel was basically symmetrical, suggesting a low deviation possibility of the analysis results and reliable reference significance of our findings. Conclusion: Compared with trepanation and drainage, MIPD has better clinical effects and higher safety in treating CSDH and can effectively reduce surgery-induced damage, which is worth popularizing in clinical practice.

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Preoperative MRI characteristics predict chronic subdural haematoma postoperative recurrence: a meta-analysis

Cited by 6 publications

References 17 publications

Updates on the diagnosis and management of subdural hematoma

Updates on the diagnosis and management of subdural hematoma

A Radiological Assessment of Chronic Subdural Hematomas

Clinical efficacy of minimally invasive puncture and drainage versus trepanation and drainage for chronic subdural hematoma: Systematic review and meta-analysis

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