Identification of Radiological and Clinical Factors that Increase the Risk of Chronic Subdural Hematoma Recurrence
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.
- Journal
- TURKISH NEUROSURGERY
- Year
- 2023
- Volume
- 33
- Issue
- 6
- Pages
- 990-995
- ISSN
- 1019-5149
- DOI
- 10.5137/1019-5149.JTN.40343-22.5
- WoS UID
- WOS:001115397600002