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Forschungsdatenbank PMU-SQQUID

Predictors for Recurrence of Chronic Subdural Hematoma.
Hammer, A; Tregubow, A; Kerry, G; Schrey, M; Hammer, C; Steiner, HH;
Turk Neurosurg. 2017; 27(5):756-762
Originalarbeiten (Zeitschrift)


Hammer Alexander
Kerry Ghassan
Schrey Michael
Steiner Hans-Herbert
Tregubow Alexander


This prospective study was designed to analyze the dependence of different factors on the recurrence rate of chronic subdural hematoma (cSDH) after surgical treatment.
Seventy-three consecutive patients, which were surgically treated at our department due to cSDH between 2009 and 2012, were included. The following parameters were analyzed: patient age and gender, occurrence of trauma, time between trauma and admission, neurological symptoms, presence of minor diseases, intake of anticoagulation medication. We classified the results of diagnostic imaging and determined the space-consuming effect via the cerebral midline shift. In addition, we scrutinized intraoperative findings and the dependence of the position of subdural drainage on the recurrence rate of cSDH.
In our patient group cSDH recurrence was significantly associated with aphasia (p=0.008). Moreover an increased cSDH recurrence rate was observed in the patient group that had a separated manifestation of the cSDH in the preoperative diagnostic imaging (p=0.048) and received no drainage implant (p=0.016). Homogeneous isodense cSDH was associated with no apparent recurrence (p=0.037).
Within the scope of this study, we detected aphasia and separated cSDH as predictors of cSDH recurrence. Homogeneous isodense cSDH seems to be a good prognostic sign regarding the risk of recurrence development. Furthermore, our data clearly emphasize the importance of surgically applied drainage implants to prevent a recurrence of cSDH.

Find related publications in this database (Keywords)

Chronic subdural hematoma
Diagnostic imaging
Subdural drainage