J Korean Neurotraumatol Soc.  2009 Dec;5(2):79-82. 10.13004/jknts.2009.5.2.79.

The Technical Factors that Influence Recurrence of Chronic Subdural Hematoma: A Review of 140 Consecutive Surgical Cases

Affiliations
  • 1Department of Neurosurgery, Daegu Fatima Hospital, Daegu, Korea. caris98@hanmail.net

Abstract


OBJECTIVE
The purpose of this study is to evaluate several technical factors of treatment that seemed to influence the recurrence of chronic subdural hematoma (CSDH).
METHODS
140 patients with surgically treated CSDH between January 2004 and June 2009 were retrospectively reviewed. Patient's age and sex, the location of the burr-hole, the location and the length of the subdural catheter tip, and the amount of the postoperative subdural air accumulation were analyzed in relation with the recurrence rate.
RESULTS
This study revealed that the location of burr-hole trephination and the presence of postoperative subdural air accumulation had statistical significance in association with the recurrence whereas the location and the length of subdural catheter tip did not have statistical significance.
CONCLUSION
We believe the greatest possible care to reduce chance of subdural air accumulation is required for preventing the recurrence of CSDH.

Keyword

Chronic subdural hematoma; Technical factors; Subdural air accumulation

MeSH Terms

Catheters
Hematoma, Subdural, Chronic
Humans
Recurrence
Retrospective Studies
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