کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4286270 1612001 2013 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Bilateral chronic subdural hematoma: What is the clinical significance?
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی عمل جراحی
پیش نمایش صفحه اول مقاله
Bilateral chronic subdural hematoma: What is the clinical significance?
چکیده انگلیسی

BackgroundBilateral chronic subdural hematoma (CSDH) is not uncommon, although information on this condition is limited.AimsWe aim to identify the differences in clinical characteristics between patients with bilateral or unilateral CSDH.MethodsNinety-eight patients with CSDH were enrolled in the two-year retrospective study. We investigated neurological outcome, morbidity, mortality, and recurrences after burr hole craniostomy for CSDH.ResultsBilateral convexity hematomas were identified in 25 of 98 CSDH (25.51%). The patients with bilateral lesions had a lower incidence of hemiparesis than those having unilateral lesions (p = 0.004). Analysis of the neuro-images revealed significant differences in the presence of a midline shift (p = 0.001) and thickness of the hematoma (p < 0.001). The mean Markwalder subdural hematoma grade at admission was 1.89 ± 0.66 and 1.64 ± 0.49 in the unilateral and bilateral hematoma groups, respectively (p = 0.010). After a minimum follow-up period of 6 months, the mean Glasgow Outcome Scale was not significantly different (p = 0.060). The recurrence rate of up to 28.00% observed for the bilateral disease was found to be higher than 9.59% observed for the unilateral disease (p = 0.042).ConclusionThe frequency of focal neurological deficits was found to be lesser in patients with bilateral CSDH, and it may confound the diagnosis and delay treatment. To prevent neurological deterioration resulting from the thicker hematomas, early surgical decompression for bilateral CSDH should be implemented. Additionally, clinicians must be aware of the higher recurrent rate of bilateral CSDH after burr hole craniostomy.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: International Journal of Surgery - Volume 11, Issue 7, August 2013, Pages 544–548
نویسندگان
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