AI Article Synopsis
- Chronic subdural hematoma (CSDH) can often recur after surgery, and researchers aimed to find out what factors contribute to this recurrence.
- Through the review of 343 surgical cases, it was discovered that having bilateral CSDH (affecting both sides) significantly raises the risk of recurrence, while antiplatelet and anticoagulant medications did not have a notable impact on this risk.
- The study suggests that recognizing bilateral CSDH can help healthcare providers identify patients more likely to experience a recurrence, potentially improving patient management strategies.
Article Abstract
Objective: Chronic subdural hematoma (CSDH) is a common form of intracranial hemorrhage with a substantial recurrence rate. We focused on determining independent predictors associated with the recurrence of CSDH.
Methods: We retrospectively reviewed 343 consecutive surgical cases of CSDH. Univariate and multivariate analyses were performed to describe the relationships between recurrence of CSDH and factors such as sex, age, hypertension, diabetes mellitus, heart disease, cerebrovascular disease, atrial fibrillation, antiplatelet or anticoagulant therapy, and bilateral CSDH.
Results: Sixty-one patients experienced a recurrence of CSDH. Univariate and multivariate analyses found that bilateral CSDH was an independent risk factor for the recurrence of CSDH. Although antiplatelet and anticoagulant therapy had no significant effect on recurrence of CSDH, the time interval between the injury and the first operation for patients with antiplatelet and/or anticoagulant therapy was shorter than that for patients without it (29.9 versus 44.2 days).
Conclusion: Bilateral CSDH was an independent predictor for the recurrence of CSDH. Antiplatelet or anticoagulant drugs might facilitate the growth of CSDH. These results may help to identify patients at high risk for the recurrence of CSDH.
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| http://dx.doi.org/10.1227/01.NEU.0000335782.60059.17 | DOI Listing |
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