Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Independent Predictors for Recurrence of Chronic Subdural Hematoma

  • Jung, Yoon-Gyo (Department of Neurosurgery, Dongsan Medical Center, Keimyung University School of Medicine) ;
  • Jung, Na-Young (Department of Neurosurgery, Dongsan Medical Center, Keimyung University School of Medicine) ;
  • Kim, El (Department of Neurosurgery, Dongsan Medical Center, Keimyung University School of Medicine)
  • Received : 2014.09.30
  • Accepted : 2015.01.20
  • Published : 2015.04.28
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Abstract

Objective : Chronic subdural hematoma (CSDH) is one of the most frequent problems encountered in neurosurgery. Although burr-hole trephination is widely performed to treat CSDH, the incidence rate of recurrent CSDH is still 2-37%. The goal of this study is to determine the risk factors that affect recurrent CSDH. Methods : A total of 182 patients were included in this study who underwent burr-hole trephination. The clinical factors and radiographic features between the recurrence and the no recurrence groups were analyzed to find the parameters related to the postoperative recurrence of CSDH. Results : For the recurrence of CSDH that occurred in 25 patients (13.7%), among various risk factors, pre and postoperative midline displacements, which are more than 10 mm (p=0.000), and preoperative hemiparesis (p=0.026) had contributed to recurrent CSDH with statistical significance by univariate analysis. Unilateral CSDH were more frequently related to recurrent CSDH (16.3%), although it was not a statistical significant result (p=0.052). Furthermore, preoperative midline displacement only had statistical meaning for the recurrence of CSDH by multivariate analysis. Conclusion : This study indicates that the midline displacement on the preoperative computed tomography scan is the only independent predictor for the recurrence of CSDH.

Keywords

References

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