Risk Factors for Recurrence of Chronic Subdural Hematoma: A Single Center Experience

Liu, Lun-Xin; Cao, Xu-dong; Ren, Yanming; Zhou, Liangxue; Yang, Chaohua

doi:10.1016/j.wneu.2019.08.089

Cited by 32 publications

(39 citation statements)

References 31 publications

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“…The risk factors for CSDH recurrence were mentioned previously in literatures [1,2,11,12,15]. They are included advanced age, recent hemorrhage, intracranial hypotension, concomitant brain atrophy, bilateral hematoma, associated comorbidities like coagulopathy, post-operative subdural pneumocephalus and type of hematoma [8,[10][11][12]. The mechanism of developing the subdural collection is being well understood.…”

Section: Discussionmentioning

confidence: 99%

“…There are multiple options to evacuate the hematoma [7]. The main problem that facing neurosurgeons when dealing with CSDH is recurrence [5,[8][9][10][11]. The recurrence rate is ranging from 5% to 30% [7,12,13].…”

Section: Introductionmentioning

confidence: 99%

“…The recurrence rate is ranging from 5% to 30% [7,12,13]. Prediction of recurrence was extensively investigated previously in many literature [3][4][5]7,8,10,14]. In our study, we aimed to investigate the predictive factors that may be responsible for CSDH recurrence in patients who underwent surgical evacuation at our center.…”

Section: Introductionmentioning

confidence: 99%

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Predictive Factors for Chronic Subdural Hematoma Recurrence

Ali¹,

Soffar

2020

The Medical Journal of Cairo University

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Predictive Factors for Chronic Subdural Hematoma Recurrence

Ali¹,

Soffar

2020

The Medical Journal of Cairo University

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“…4 In general, CSDH is classified into four groups according to computed tomography (CT) density: low density (<25 HU), isodensity (25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35), hyperdensity (>35 HU), and mixed density. 5 If patients undergo head trauma more than once or if septa exist in the subdural cavity, the CT density may become mixed. [6][7][8] In this research, we focused on CSDH with mixed CT density, which was considered an independent predictor for recurrence.…”

Section: Introductionmentioning

confidence: 99%

Neuroendoscopy-Assisted Evacuation of Chronic Subdural Hematoma with Mixed CT Density Through A Novel Small Bone Flap

Huang

Liu

Zhou³

et al. 2020

J Neurol Surg A Cent Eur Neurosurg

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Objective Chronic subdural hematoma (CSDH) is a common neurosurgical condition with an increasing incidence and favorable prognosis. Surgery is the standard treatment for CSDH, and bur hole evacuation is the most widely employed technique. However, if mixed computed tomography (CT) density is found, burr hole hematoma evacuation is prone to recurrence. Endoscopic examination of the hematoma cavity provides a novel strategy. Here, we present a modification of burr hole evacuation by using neuroendoscopy through a novel small trapezoid bone flap and assess the advantages and risks of the procedure. Methods Twenty-five patients diagnosed with CSDH of mixed CT density were included in this study. Radiographic, epidemiologic, and clinical data were collected and analyzed. In all procedures the burr hole was replaced by a small trapezoidal cross-sectional bone flap, ∼2 cm in diameter. Neuroendoscopy was employed after the subdural cavity was cleaned and drained. The CSDH cavity was inspected thoroughly. If a blood clot, septa, stretching of cortical vessels, or intraluminal trabecular structures with active bleeding were found, the surgeon aspirated the region with a syringe pipe and/or used bipolar electrocoagulation. Results All 25 patients who received 26 neuroendoscopy-assisted operations achieved favorable clinical outcomes. The recurrence rate was 4%. The average operation time was slightly increased compared with the traditional burr hole evacuation due to the use of the neuroendoscope and eventual subsequent treatment. Conclusion Neuroendoscopy provides excellent illumination and vision when a small bone flap is employed. The main advantages of this technique include the precise treatment of structures which are related with progression and recurrence of CSDH, and the minimally invasive nature of the procedure.

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“…Residual subdural fluid after surgery is common, but the clinical improvement is not affected by this. It is not recommended to treat persistent fluid evident on post-op CT. (10,11) CASE REPORT We present a case of 74-year old patient, female, known for diabetes, high blood pressure, obesity, chronic heart failure, receiving anticoagulant treatment, bronchial asthma who has presented in the Emergency Department of Sibiu after a traumatic brain injury with headache.…”

Section: Introductionmentioning

confidence: 99%

Subarachnoid Haemorrhage in an Elderly Patient with Comorbidities

Săceleanu

Babeu

Săceleanu³

2020

Acta Medica Transilvanica

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Subdural hemorrhage is usually caused by a traumatic injury. Other risk factors that may lead to subdural hemorrhage include: hypertension, anticoagulants, elderly, alcohol abuse, vascular abnormalities etc. Mortality range is between 50% and 90% depending on age, admission Glasgow Coma Scale (GCS) and anticoagulant treatment. We present a case of 74-year old patient, female, known for diabetes, high blood pressure, obesity, chronic heart failure, receiving anticoagulant treatment, bronchial asthma who develops a posttraumatic massive chronic subdural hematoma accompanied by comorbidities.

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Risk Factors for Recurrence of Chronic Subdural Hematoma: A Single Center Experience

Cited by 32 publications

References 31 publications

Predictive Factors for Chronic Subdural Hematoma Recurrence

Predictive Factors for Chronic Subdural Hematoma Recurrence

Neuroendoscopy-Assisted Evacuation of Chronic Subdural Hematoma with Mixed CT Density Through A Novel Small Bone Flap

Subarachnoid Haemorrhage in an Elderly Patient with Comorbidities

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