Analysis of risk factors predicting recurrence of chronic subdural hematoma
Journal Title: Nepal Journal of Neuroscience - Year 2018, Vol 15, Issue 2
Abstract
Recurrences after evacuation of chronic subdural hematoma are seen in 2-33% of cases with various surgical approaches. Various demographical, clinical, radiological, surgical and postoperative management strategies have been explored as the possible predictors of recurrence. We performed a retrospective analysis in 160 patients with chronic subdural hematoma with an aim to analyze the post-operative recurrences and factors associated with it. Various sociodemographic and clinico-radiological parameters were studied against the rate of recurrence after surgery using Chi square/Fischer Exact Test. Factors showing signifi cant association on univarate analysis were then analysed using binary logistic regression. The rate of recurrence of CSDH in our study was 5% and the mean duration of recurrence was 33 days. Chronic alcohol use (p=0.007) and intraoperative brain expansion ((p=0.001) were the two factors associated with recurrence of CSDH. On binary logistic regression chronic alcohol use (wald-6.467, p=0.011) and intraoperative brain expansion (wald= 6.674, p=0.010) were both associated signifi cantly with recurrence of CSDGH with an odds of 7.804 and 0.058 respectively
Authors and Affiliations
Dr. Nikunja Yogi, MBBS, MS, Mch
Keywords
Related Articles
- EP ID EP558962
- DOI -
- Views 111
- Downloads 0
Complete Excision of Huge Meningioma with Intraoperative Intermittent External Carotid Occlusion: A Case Report
No data
An Analysis of the Differing Management Approaches to Low and High Grade Gliomas
This is study was undertaken to investigate if opinions differ among neurosurgeons in the management of gliomas. A questionnaire was devised de novo and subsequently answered by the surgeons within one neurosurgical unit...
Random Blood Sugar on Admission and Outcome in Acute Ischemic Stroke
Stroke is a syndrome of rapid loss of focal or global cerebral function with symptoms usually lasting more than 24 hours or leading to death with no apparent cause other than that of vascular origin. This prospective obs...
Profi le of patients with Cerebral Venous Thrombosis at Tribhuvan University Teaching Hospital over One Year
Thrombosis of the dural sinus and/or cerebral veins (CVT) is an uncommon form of stroke, usually affecting young individuals. This study is done to fi nd the clinical profi le of patients with cerebral venous thrombosis...
Call Fleming Syndrome: Case Report
Reversible postpartum cerebral vasoconstriction syndrome - Call Fleming Syndrome is a rare cause of neurological deficit in puerperium. We report a recently managed case of Call Fleming Syndrome in a 33-year female with...