Can Recurrence of Chronic Subdural Hematoma Be Predicted? A Retrospective Analysis of 292 Cases

被引：39

作者：

Tugcu, Bekir ^{[1
]}

Tanriverdi, Osman ^{[2
]}

Baydin, Serhat ^{[1
]}

Hergunsel, Batu ^{[1
]}

Gunaldi, Omur ^{[1
]}

Ofluoglu, Ender ^{[1
]}

Alatas, Ibrahim ^{[3
]}

Demirgil, Bulent ^{[1
]}

Emel, Erhan ^{[1
]}

机构：

[1] Bakirkoy Res & Training Hosp Neurol Neurosurg & P, Dept Neurosurg, Istanbul, Turkey

[2] Erzurum Res & Training Hosp, Dept Neurosurg, Erzurum, Turkey

[3] Kanuni Sultan Suleyman Res & Training Hosp, Dept Neurosurg, Istanbul, Turkey

来源：

JOURNAL OF NEUROLOGICAL SURGERY PART A-CENTRAL EUROPEAN NEUROSURGERY | 2014年 / 75卷 / 01期

关键词：

chronic; subdural hematoma; recurrence; risk factors; POSTOPERATIVE-PATIENT POSTURE; INDEPENDENT PREDICTORS; RISK;

D O I：

10.1055/s-0032-1330961

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

BackgroundChronic subdural hematomas are the most common type of intracranial hemorrhage among the elderly. There is a substantial recurrence rate after evacuation by burr-hole surgery. In this study, we aimed to determine the predictors of recurrence after single burr-hole evacuation of chronic subdural hematomas. MethodsWe retrospectively analyzed 292 consecutive patients with chronic subdural hematoma. Clinical parameters, anamnesis, and previous anticoagulant drug use have been evaluated with univariate and multivariate analyses to determine predictors associated with recurrence. ResultsAt least a second surgery was needed in 43 of 292 (14.7%) patients. We showed that recurrence rate was significantly higher in patients with bilateral subdural hematoma, after univariate and multivariate analyses (23.1% versus 11.4%). We did not find any significant relationship between recurrence rate and age, gender, hypertension, and/or diabetes mellitus in anamnesis, preceding head trauma, and time interval between trauma and the operation, previous anticoagulant, and/or antiaggregant therapy. ConclusionAfter analysis of all evaluated factors, only bilateral hematoma was found correlated with high recurrence rate (p=0.01), probably due to previous brain atrophy or existing coagulopathy.

引用

页码：37 / 41

页数：5

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