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Korean J Neurotrauma. 2013 Oct;9(2):81-86. Korean.
Published online October 31, 2013.  https://doi.org/10.13004/kjnt.2013.9.2.81
Copyright © 2013 Korean Neurotraumatology Society
Factors that Influence to Chronic Subdural Hematoma Recurrence
Sung Gon Kim, MD, Joo Chul Yang, MD, Tae Wan Kim, MD, and Kwan Ho Park, MD
Department of Neurosurgery, VHS Medical Center, Seoul, Korea.

Address for correspondence: Tae Wan Kim, MD. Department of Neurosurgery, VHS Medical Center, 53 Jinhwangdo-ro 61-gil, Gangdong-gu, Seoul 134-791, Korea. Tel: +82-2-2225-1363, Fax: +82-2-2225-4152, Email: euro3399@naver.com
Received July 15, 2013; Revised September 04, 2013; Accepted September 04, 2013.

Abstract

Objective

The purpose of this study was to evaluate the factors that influence to chronic subdural hematoma recurrence.

Methods

We retrospectively evaluated 55 patients who underwent an operation for a chronic subdural hematoma using burr hole trephination and hematoma drainage from January 2010 to December 2011. We analyzed their demographics, trauma history, medication history, initial symptoms, bilaterality, postoperative pneumocephalus, and hematoma recurrence.

Results

Medication history (anticoagulant and/or antiplatelet agents) was not influenced the hematoma recurrence rate statistically (p=0.622). Prolongation of International Normalized Ratio and decrease of platelet count increased recurrence rate, but not significantly. An absence of trauma history was a factor that significantly influenced hematoma recurrence (p=0.037).

Conclusion

Medication history did not significantly influence the recurrence rate, if the medication will stopped more than 3 days prior to hematoma evacuation. Chronic subdural hematomas that occurred without definite trauma history were more prevalent with recurrence.

Keywords: Chronic subdural hematoma; Trauma; Recurrence

Tables


TABLE 1
Summary of clinical findings of 55 patients
Click for larger image


TABLE 2
Influencing factors to hematoma recurrence
Click for larger image

Notes

The authors have no financial conflicts of interest.

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