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.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.5137/1019-5149.JTN.40343-22.5 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Ambient wing cistern: History, anatomy, imaging and approaches: An overview.
World Neurosurg X
January 2025
Department of Neurosurgery, University of Pittsburgh Medical Center, Pittsburgh, PA, 15213, USA.
Article Synopsis
- The ambient cistern (AC) and the ambient wing cistern (AWC) are complex anatomical structures in the brain, first defined by Dr. Bengt Liliequist in the 20th century, but have caused confusion in neuroanatomy over the years due to their intricate three-dimensional anatomy.
- A thorough literature review identified 60 relevant research articles after filtering out unrelated studies, revealing that while multiple related cisterns are described, they are often not presented as singular entities in medical literature.
- The study concludes that the AC and AWC are anatomically distinct yet interconnected structures, significant for diagnostic and surgical considerations related to brain masses near the tentorial hiatus, and can be approached via specific surgical methods.
[Surgery for Pineal Region Tumors: Concept and Technical Aspects of Occipital Transtentorial Approach].
No Shinkei Geka
May 2024
Department of Neurosurgery, Yokohama City University Graduate School of Medicine.
This article describes the concept and technical aspects of the occipital transtentorial approach(OTA)for tumor extraction in the pineal region, based on the author's experience and literature review. Awareness of the successful completion of each surgical step is essential. Preoperative preparation and imaging evaluations, with particular attention to the veins and venous sinuses, are especially important.
View Article and Find Full Text PDFRadiologic and Blood Markers Predicting Long-Term Neurologic Outcome Following Decompressive Craniectomy for Malignant Ischemic Stroke: A Preliminary Single-Center Study.
J Neurol Surg A Cent Eur Neurosurg
June 2024
Department of Neurosurgery, Università Politecnica delle Marche, Ancona, Italy.
Background: Malignant ischemic stroke (MIS) is defined by progressive cerebral edema leading to increased intracranial pressure (ICP), compression of neural structures, and, eventually, death. Decompressive craniectomy (DC) has been advocated as a lifesaving procedure in the management of patients with MIS. This study aims to identify pre- and postoperative predictive variables of neurologic outcomes in patients undergoing DC for MIS.
View Article and Find Full Text PDFAneurysm of the Artery of Wollschlaeger and Wollschlaeger.
Neuroradiol J
March 2024
Department of Neurological Surgery, University of Kansas Medical Center, Kansas City, KS, USA.
The Artery of Wollschlaeger and Wollschlaeger (AWW) is a non-eloquent, tentorial branch of the superior cerebellar artery (SCA). Coursing posteriorly from an intradural origin, the AWW passes through the ambient cistern and supplies the medial tentorium. Due to its small diameter, the AWW is often only identified in the context of secondary dilation from pathologies such as dural arteriovenous fistulas (DAVF).
View Article and Find Full Text PDFQuantitative cistern effacement and reduced gray to white matter ratio for prognostication in early brain computed tomography of patients with cardiac arrest.
Heliyon
January 2024
Department of Emergency Medicine, Dong-A University College of Medicine, Busan, South Korea.
Background: The impact of cerebral edema on brain cells and ventricles in cardiac arrest patients can manifest as effacement of cortical sulci, diminished ventricle size, altered gray matter to white matter ratio (GWR), and increased optic nerve sheath diameter (ONSD) in brain CT scans. However, a complete investigation of GWR in whole lobes, quantitative cistern size, and comprehensive comparison of various brain CT parameters has not been conducted. This study aimed to comprehensively compare various early brain CT parameters along with conventional significant variables in relation to poor neurological outcome and diffuse cortical necrosis.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!