Factors Influencing Recurrent Chronic Subdural Hematoma after Surgery
Journal of Korean Neurosurgical Society
;
: 11-15, 2007.
Artigo
em Inglês
| WPRIM
| ID: wpr-214509
ABSTRACT
OBJECTIVE:
The authors attempted to confirm the risk factors for recurrent chronic subdural hematoma(CSDH) after simple burr-hole drainage.METHODS:
A total of 302 patients with CSDH who were treated at our hospital between January 1998 and May 2005 were studied. Various parameters considered for analysis of factors associated with CSDH recurrence; demographic and clinical findings (age, sex, history of seizures, diabetes, vascular diseases), initial and perioperative CT findings (hematoma density, location of catheter tip, post operative intracranial air, intracranial hematoma extension, hematoma width, hematoma site).RESULTS:
Twenty-four patients (7.9%) experienced recurrence, whereas 278 patients (92.1%) did not. Five major risk factors should be considered 1) layered type by hematoma density, 2) type I, II by location of catheter tip, 3) presence of postoperative intracranial air, 4) cranial base type of intracranial hematoma extension, 5) greater hematoma width.CONCLUSION:
In this study, we report that the incidence of postoperative CSDH recurrence can be reduced by the examination of the hematoma chracteristics on initial and perioperative CT findings and by preventing subdural air accumulation during operation. In addition, the location of the catheter tip can be used as a helpful factor in reducing the recurrence.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Recidiva
/
Convulsões
/
Drenagem
/
Incidência
/
Fatores de Risco
/
Base do Crânio
/
Hematoma Subdural Crônico
/
Catéteres
/
Hematoma
Tipo de estudo:
Estudo de etiologia
/
Estudo de incidência
/
Estudo prognóstico
/
Fatores de risco
Limite:
Humanos
Idioma:
Inglês
Revista:
Journal of Korean Neurosurgical Society
Ano de publicação:
2007
Tipo de documento:
Artigo
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