Korean J Neurotrauma.  2015 Oct;11(2):63-69. 10.13004/kjnt.2015.11.2.63.

Risk Factor Analysis for the Recurrence of Chronic Subdural Hematoma: A Review of 368 Consecutive Surgical Cases

• Kim J
• Moon J
• Kim T
• Ahn S
• Hwang G
• Bang J
• Kwon OK
• Oh CW

• KMID: 2378260
• DOI: http://doi.org/10.13004/kjnt.2015.11.2.63

Abstract

OBJECTIVE
Chronic subdural hematoma (CSDH) is a common form of extra axial hemorrhage in the elderly. A surgical procedures such as a burr hole trephination are used for the CSDH treatment. The recurrence rate of CSDH is reported to range from 2.3 to 33%. In the current study, we focused on the determination of risk factors associated with the recurrence of CSDH.
METHODS
We retrospectively reviewed 368 consecutive patients with CSDH treated by burr hole trephination. Univariate and multivariate analysis were performed to describe the relationships between clinical and radiological factors as well as the recurrence of CSDH.
RESULTS
Totally 31 (8.4%) patients experienced a recurrence of CSDH in our study. The male group (10.2%) had a higher recurrence rate than the female group (3.1%). Also patients with malignant neoplasm history showed a high recurrence rate (17.9%). The recurrence rate of single layer CSDH (13.1%) and isodensity CSDH (11.7%) was highly significant also.
CONCLUSION
Sex, history of malignant neoplasm and the hematoma type on computed tomography were factors related with the recurrence of CSDH in our study. These findings may be supportive in the identification of patients at risk for a recurrence of CSDH.

Keyword

Hematoma, subdural, chronic; Recurrence; Risk factors

MeSH Terms

Aged
Female
Hematoma
Hematoma, Subdural, Chronic*
Hemorrhage
Humans
Male
Multivariate Analysis
Recurrence*
Retrospective Studies
Risk Factors*
Trephining

Figure

• 

  FIGURE 1 Computed tomography characteristics of chronic subdural hematoma. A: Single layer. B: Double layer. C: Multiple layer. D: Low density. E: Iso density. F: Mixed density.

• 

  FIGURE 2 Malignant neoplasm type in chronic subdural hematoma (CSDH) patients.

• 

  FIGURE 3 Computed tomography features of chronic subdural hematoma patients.

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