Factors that Influence to Chronic Subdural Hematoma Recurrence

Kim, Sung Gon; Yang, Joo Chul; Kim, Tae Wan; Park, Kwan Ho

doi:10.13004/kjnt.2013.9.2.81

Cited by 2 publications

(4 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Age and sex are not statistically significant in almost articles. 2 , 4 , 7 , 8 , 9 , 10 , 11 , 16 , 17 , 18 , 20 , 23 , 25 , 29) In the present study, elderly male patients also had a higher recurrence rate, but there are not statistically significant.…”

Section: Discussioncontrasting

confidence: 69%

“…In most previous literatures, HTN was not significant for a recurrence factor. 4 , 8 , 9 , 11 , 16 , 25 , 29) But, DM was a significant risk factor of recurrence of CSDHs in several articles. Yamamoto et al, 29) recurrence rate of patients without DM had a higher recurrence rate than those with DM.…”

Section: Discussionmentioning

confidence: 99%

“…The predicting factors for postoperative recurrence of CSDH were researched in several previous articles. 1 , 2 , 4 , 7 , 8 , 9 , 10 , 11 , 16 , 21 , 23 , 25 , 29) But, each article's definition of recurrence is slightly different. And, the predicting factors of recurrence can be influenced by those differences.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

The Predicting Factors for Recurrence of Chronic Subdural Hematoma Treated with Burr Hole and Drainage

Song

Kim

Chun

et al. 2014

Korean J Neurotrauma

View full text Add to dashboard Cite

ObjectiveChronic subdural hematoma (CSDH) is common in elderly patients. So, with an increasing number of elderly people in the general population, there is a need to investigate risk factors which increase recurrence rate. In this study, factors affecting the postoperative recurrence are investigated based on the reoperative CSDH cases.MethodsTotal of ninety-seven patients was enrolled in this study who had have operation for CSDH. In all patients, one burr hole trephination and drainage was the method of choice for the initial treatment of CSDH. We retrospectively evaluated several factors which affect to recurrence of CSDH.ResultsRetrospective analysis was performed in 97 patients. Sixteen patients experienced reoperation within 3 months (16/97, 16.5%) for recurrence of CSDH. And, when hematoma was divided by internal architecture, heterogeneous density group seems to be have close relationship with recurrence more significantly than homogeneous density group (p=0.002). Hypertension, diabetes mellitus, early removal of drainage tube, bilaterality of hematoma also have significant relationship with recurrence.ConclusionRecurrence rate of CSDH treated with one burr hole drainage is related with some various factors. There was statistically significant difference between recurred group and non-recurred group. Not only demographic factors but also internal architecture on preoperative brain computed tomography is a significant predicting factor of recurrence in CSDH patients who underwent a surgery. In this study, heterogeneous type hematoma have significantly related with recurrence of CSDH. We should give attention to these predicting factors for more effective care.

show abstract

Section: Discussioncontrasting

confidence: 69%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The Predicting Factors for Recurrence of Chronic Subdural Hematoma Treated with Burr Hole and Drainage

Song

Kim

Chun

et al. 2014

Korean J Neurotrauma

View full text Add to dashboard Cite

show abstract

“… 14) Risk factors are not well understood yet, especially in elderly patients. 2 , 3) Kim et al 11) assumed that medical history did not significantly influence the recurrence rate. They correlated to progressive brain atrophy with enlargement of the subdural space.…”

Section: Discussionmentioning

confidence: 99%

Influence of Gender on Occurrence of Chronic Subdural Hematoma; Is It an Effect of Cranial Asymmetry?

Shim

Yoon

et al. 2014

Korean J Neurotrauma

View full text Add to dashboard Cite

ObjectiveChronic subdural hematoma (CSDH) is a condition mostly present in older people. Men are more commonly affected than women. Several theories about male predominance could not enough to explain the reason for male predominance on CSDH. The purpose of this study is to find out whether there were any differences in the anatomy of cranium, which may contribute the pathogenesis or risk factors of CSDH.MethodsThe study population was consisted of 87 patients with CSDH and 100 patients with transient ischemic attack (TIA) from 2006 to 2013. We classified into four groups; group A (CSDH male 47), group B (CSDH female 40), group C (TIA male 50), and group D (TIA female 50). We measured the size of the cranium in the computed tomography scans, retrospectively. We define the difference of cranium (Dc), which is difference between the right and left radiuses.ResultsThe Dc was significantly higher in patients with CSDH (group A and B)(p=0.03). The mean Dc was 3.49 mm in CSDH group (group A and B) and 2.14 mm in TIA group (group C and D). The mean Dc of CSDH group was significantly larger than that of TIA group (by t-test, p<0.01).ConclusionSize and asymmetry of the cranium may be a risk factor of CSDH. Gender differences in the anatomy of cranium may contribute pathogenesis of CSDH.

show abstract

Factors that Influence to Chronic Subdural Hematoma Recurrence

Cited by 2 publications

References 25 publications

The Predicting Factors for Recurrence of Chronic Subdural Hematoma Treated with Burr Hole and Drainage

The Predicting Factors for Recurrence of Chronic Subdural Hematoma Treated with Burr Hole and Drainage

Influence of Gender on Occurrence of Chronic Subdural Hematoma; Is It an Effect of Cranial Asymmetry?

Contact Info

Product

Resources

About