Postural stability in patients with chronic subdural hematoma

Sundström, Nina; Djerf, Linda; Olivecrona, Zandra; Koskinen, Lars‐Owe D.

doi:10.1007/s00701-016-2862-9

Cited by 4 publications

(2 citation statements)

References 29 publications

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“…Although many risk factors may contribute to the occurrence of CSDHs, the pathogenic mechanisms underlying CSDH have remained unclear. Head trauma is regarded as a primary cause of CSDH, and 30–75% of CSDH patients have a history of head trauma within 3 months prior to hospital admission ( 2 , 3 ). However, some patients exhibit CSDH without any known cause.…”

Section: Introductionmentioning

confidence: 99%

A Comparative Study of Chronic Subdural Hematoma in Patients With and Without Head Trauma: A Retrospective Cross Sectional Study

Liu

et al. 2020

Front. Neurol.

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Background: The clinical features of chronic subdural hematomas (CSDHs) in patients with and without a history of head trauma have remained unclear. Here, we investigated differences in clinical characteristics in CSDH patients with and without head trauma.Methods: We retrospectively collected clinical characteristics of CSDH patients who had undergone exhaustive drainage strategies via burr-hole craniostomies from August 2011 to May 2019. We divided patients into a trauma group (i.e., head trauma) and a no-trauma group. Chi-square tests or t-tests were used to analyze differences in clinical characteristics between the two groups. Multiple linear regression analysis was performed to analyze the relationships between the clinical characteristics and either reduction of the hematoma cavity or length of the hospital stay in CSDH patients with trauma.Results: We collected data from 1,307 CSDH patients, among whom 805 patients had a history of head trauma whereas 502 patients did not. The mean age of patients with head trauma was 64.0 ± 16.1 years, while that of patients without head trauma was significantly younger at 61.5 ± 17.9 years (p = 0.010). Furthermore, more patients in the no-trauma group had a history of hypertension compared to those in the trauma group (40.2 vs. 32.9%, p = 0.007). Dizziness occurred in 29.2% of patients with trauma and in 23.1% of patients without trauma (p = 0.016). A greater number of patients with trauma showed a reduction of hematoma cavity after surgery compared to that of patients without trauma (p = 0.002). The length of hospital stay in patients with trauma was 7.9 ± 4.5 days, which was longer than that of patients without trauma (7.3 ± 3.7 days, p = 0.016). In contrast, there were no significant different differences between the two groups in terms of the densities of hematomas on computed-tomography scans, complications, mortality rates, recurrence rates, or outcomes.Conclusion: Our findings indicate that there were some noteworthy differences in the clinical and pathogenic characteristics of CSDH patients with and without head trauma. However, our findings also indicate that if an optimal treatment method is employed, such as our exhaustive drainage strategy, similar treatment outcomes can be achieved between these groups.

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Section: Introductionmentioning

confidence: 99%

A Comparative Study of Chronic Subdural Hematoma in Patients With and Without Head Trauma: A Retrospective Cross Sectional Study

Liu

et al. 2020

Front. Neurol.

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show abstract

“…Many risk factors may contribute to the occurrence of CSDH, while the mechanism of CSDH is still unclear. Head trauma is regarded as a main cause of CSDH, and 30-75% of patients occurs a history of head trauma event within 3 months prior to hospital admission [2,3] . However, some patients with CSDH could not be found any obvious cause.…”

Section: Introductionmentioning

confidence: 99%

A Comparative Study of Chronic Subdural Hematoma in Patients With and Without Head Trauma

Liu

et al. 2020

Preprint

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Background: Clinical features in chronic subdural hematomas (CSDH) patients with and without history of head trauma are not clear. Here, we seek to investigate difference of clinical characteristics in CSDH patients with and without head trauma.Methods: Retrospectively collected clinical characteristics of CSDH patients, who were performed exhaustive drainage strategy in burr-hole craniostomy from August 2011 to May 2019. Divided patients into trauma and no trauma groups. Chi-square test or t-test was used to analyze differences of clinical characteristics between two groups. Multiple linear regression analysis was performed to analyze relationships between clinical characteristics and reduction of hematoma cavity and length of hospital stay in CSDH patients with trauma.Results: 1,307 CSDH patients were collected. 805 patients occurred history of head trauma, 502 patients without it. Mean age of patients with trauma was 64.0 ± 16.1 years, while 61.5 ± 17.9 years in patients without trauma (p=0.010). More patients occurred hypertension in without trauma group than trauma group (40.2% vs 32.9%, p=0.007). Dizziness occurred in 29.2% patients with trauma, 23.1% in patients without trauma (p=0.016). Reduction of hematoma cavity after surgery in patients without trauma was less than ones with trauma (p=0.002). Length of hospital stay in patients with trauma was 7.9 ± 4.5 days, which was longer than patients without trauma (7.3 ± 3.7 days, p=0.016). No significantly different densities of hematoma on CT, complications, mortality, recurrence rate and outcome were found between two groups.Conclusion: Pathogenesis and some clinical characteristics occur differences in CSDH patients with and without trauma, but if we choose an optimal treatment method, such as our exhaustive drainage, and we can achieve the same effect.

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Chronic subdural hematoma in patients aged 80 years and older: A two-centre study

Bonis

Olei

Mongardi

et al. 2018

Clinical Neurology and Neurosurgery

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Postural stability in patients with chronic subdural hematoma

Cited by 4 publications

References 29 publications

A Comparative Study of Chronic Subdural Hematoma in Patients With and Without Head Trauma: A Retrospective Cross Sectional Study

A Comparative Study of Chronic Subdural Hematoma in Patients With and Without Head Trauma: A Retrospective Cross Sectional Study

A Comparative Study of Chronic Subdural Hematoma in Patients With and Without Head Trauma

Chronic subdural hematoma in patients aged 80 years and older: A two-centre study

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