2004
DOI: 10.3171/jns.2004.100.1.0024
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Abstract: Brain trauma causes the onset of an inflammatory process within the dural border cell layer; high levels of inflammatory cytokines were significantly correlated with recurrence and layering CSDH. A prolonged postoperative antiinflammatory medicine given as prophylaxis may help prevent the recurrence of a CSDH.

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Cited by 227 publications
(138 citation statements)
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“…Factors associated with patient characteristics, such as old age, brain atrophy, poor performance status on admission, bleeding tendency, kidney diseases, liver dysfunction, chronic alcoholism, diabetes, epilepsy, dementia, hemodialysis, use of anticoagulants, antiplatelet and chemotherapeutic agents, intracranial hypotension (cerebrospinal fluid shunt surgery), have commonly been reported 1,16,20) . Factors associated with the pathogenesis of CSDH include large hematoma, bilateral CSDHs, septum formation or multiple membranes in the hematoma cavity, mixed-density and high-density hematoma on the CT scan 2,9,10,12,14,20) . Factors associated with surgery such as 1) insufficient drainage intraoperatively and postoperatively, 2) air collection in the hematoma cavity, 3) early surgery when the hematoma has a poorly developed capsule are thought *p-value reveals the relationship between low/iso-density group and high/mixed-density group, RG : recurrence group, NRG : non-recurrence group to increase the risk of recurrence 17) .…”
Section: Discussionmentioning
confidence: 99%
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“…Factors associated with patient characteristics, such as old age, brain atrophy, poor performance status on admission, bleeding tendency, kidney diseases, liver dysfunction, chronic alcoholism, diabetes, epilepsy, dementia, hemodialysis, use of anticoagulants, antiplatelet and chemotherapeutic agents, intracranial hypotension (cerebrospinal fluid shunt surgery), have commonly been reported 1,16,20) . Factors associated with the pathogenesis of CSDH include large hematoma, bilateral CSDHs, septum formation or multiple membranes in the hematoma cavity, mixed-density and high-density hematoma on the CT scan 2,9,10,12,14,20) . Factors associated with surgery such as 1) insufficient drainage intraoperatively and postoperatively, 2) air collection in the hematoma cavity, 3) early surgery when the hematoma has a poorly developed capsule are thought *p-value reveals the relationship between low/iso-density group and high/mixed-density group, RG : recurrence group, NRG : non-recurrence group to increase the risk of recurrence 17) .…”
Section: Discussionmentioning
confidence: 99%
“…The CSDH is a common disease in elderly patients, and its incidence is highest in persons older than 70 years of age 17) . Although minor previous head injury is sometimes unrecognized, a mild traumatic event has preceded the hemorrhage in 60 to 80% of reported cases 2,17) . Three principal techniques have been used for resolution of CSDH : burr hole with or without irrigation and/or a closed drainage system, twist drill trephination and craniotomy 8,14,19) .…”
Section: Introductionmentioning
confidence: 99%
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