Identification of Radiological and Clinical Factors that Increase the Risk of Chronic Subdural Hematoma Recurrence.

Akyuz M. E., Kadioglu H. H.

Turkish neurosurgery, cilt.33, sa.6, ss.990-995, 2023 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 33 Sayı: 6
  • Basım Tarihi: 2023
  • Doi Numarası: 10.5137/1019-5149.jtn.40343-22.5
  • Dergi Adı: Turkish neurosurgery
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, MEDLINE
  • Sayfa Sayıları: ss.990-995
  • Atatürk Üniversitesi Adresli: Evet

Özet

AIM: To determine risk factors predicting chronic subdural hematoma (CSH) recurrence is a common type of intracranial hemorrhage in elderly patients. Despite improved medical diagnosis and treatment, the reoperation rate remains high.MATERIAL and METHODS: A retrospective review of 291 CSH patients admitted to our department was performed. Clinical and radiological factors predictive for CSH recurrence were identified by univariate analyses; variables whose p-value was <0.05 underwent multivariate logistic regression analyses.RESULTS: Univariate analyses revealed that preoperative midline shift (p=0.025), mix-density hematoma (p=0.023), internal architecture of hematoma (p=0.044), membranectomy (p=0.001), and ambient cistern compression (p=0.001) correlated with a significantly higher rate of recurrence. Multivariate analyses showed that separated architecture, membranectomy and ambient cistern compression were independent risk factors for CSH recurrence.CONCLUSION: Among many factors, membranectomy, separated architecture, and ambient cistern compression were the strongest predictors for recurrence.