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 106
- Downloads 0
Telovelar Approach to IVth Ventricle Tumor: Experience and Review of Literature
Posterior fossa tumor surgery is challenging especially those located in the deeper regions of the middle and upper part of fourth ventricle. The traditional approach has been the vermis splitting or transcerebellar appr...
Carotid Intimomedia Complex Thickening in Patients with Stroke: A Case Control Study
Increase in the thickness of intima-media of the carotid artery has been associated with an increased risk of stroke. No such information exists for Nepalese population. The present study was undertaken to find out the s...
Current Concepts in Diagnosis and Treatment of Traumatic Brain Injury: Implications for Healthcare in Nepal
Taumatic brain injury (TBI) is a leading cause of disability and death in the industrialized and in the developing world. With an incidence of 200-400 cases per 100.000, head injuries are a major contributor to socio-eco...
Corpus Callosum Agenesis presenting in an Adult
No data
Clinical Predictors of outcome in Isolated Traumatic Acute Subdural Hematoma
Head injury is the major cause of death in young adult population worldwide with associated high morbidity. The objective of this study is to fi nd out the outcome and factors affecting the outcome in isolated traumatic...