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http://dx.doi.org/10.3340/jkns.2008.43.1.11

Clinical Analysis of Risk Factors Related to Recurrent Chronic Subdural Hematoma  

Ko, Byung-Soo (Department of Neurosurgery Chonnam National University Hospital & Medical School)
Lee, Jung-Kil (Department of Neurosurgery Chonnam National University Hospital & Medical School)
Seo, Bo-Ra (Department of Neurosurgery Chonnam National University Hospital & Medical School)
Moon, Sung-Jun (Department of Neurosurgery Chonnam National University Hospital & Medical School)
Kim, Jae-Hyoo (Department of Neurosurgery Chonnam National University Hospital & Medical School)
Kim, Soo-Han (Department of Neurosurgery Chonnam National University Hospital & Medical School)
Publication Information
Journal of Korean Neurosurgical Society / v.43, no.1, 2008 , pp. 11-15 More about this Journal
Abstract
Objective : Burr hole drainage has been widely used to treat chronic subdural hematoma (CSDH). However, the incidence of recurrent CSDH varies from 3.7 to 30% after surgery. The authors attempted to elucidate the risk factors associated with the recurrence of CSDH in one burr hole drainage technique. Methods : A total of 255 consecutive cases who underwent one burr hole drainage for CSDH were included in this study. Twenty-four patients (9.4%) underwent a repeated operation because of the recurrence of CSDH. We analyzed retrospectively the demographic, clinical and radiologic factors associated with the recurrence of CSDH. Results : In this study, two risk factors were found to be independently associated with the recurrence of CSDH. The incidence of CSDH recurrence in the high- and mixed-density groups was significantly higher than those in the low- and iso-density groups (p<0.001). Bleeding tendency such as in leukemia, liver disease and chronic renal failure was also significantly associated with recurrence of CSDH (p=0.037). Conclusion : These results suggest that high- and mixed- density shown on computed tomographic scan was closely relates with a high incidence of recurrence. Therefore, the operation could be delayed in those cases unless severe symptoms or signs are present. Reoperation using the previous burr hole site is a preferred modality to treat the recurrent CSDH.
Keywords
Chronic subdural hematoma (CSDH); Recurrence; Computed tomography;
Citations & Related Records
Times Cited By KSCI : 4  (Citation Analysis)
Times Cited By Web Of Science : 8  (Related Records In Web of Science)
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