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Acute intracranial bleeding and recurrence after bur hole craniostomy for chronic subdural hematoma

Chang Hwan Pang1, Soo Eon Lee1, Chang Hyeun Kim1

  • 1Department of Neurosurgery, Seoul National University Hospital;

Journal of Neurosurgery
|February 14, 2015
PubMed

Insights

Bur hole craniostomy effectively treats chronic subdural hematoma (cSDH). Patients with hematological disease or prior shunt surgery need careful monitoring for bleeding, while diabetes increases recurrence risk.

Area of Science:

  • Neurosurgery
  • Neurology
  • Medical Research

Background:

  • Chronic subdural hematoma (cSDH) management strategies lack consistency.
  • Postoperative complications like bleeding and recurrence impact cSDH surgery outcomes.

Purpose of the Study:

  • Evaluate risk factors for acute intracranial bleeding and cSDH recurrence.
  • Identify effective perioperative strategies for cSDH patients.

Main Methods:

  • Retrospective analysis of 303 patients undergoing bur hole craniostomy for cSDH (2008-2012).

Main Results:

  • Acute bleeding occurred in 4.57% of patients; recurrence in 12.21%.
  • Hematological disease and prior shunt surgery linked to acute bleeding.
  • Diabetes mellitus associated with increased recurrence risk; large drainage volume linked to bleeding.

Conclusions:

  • Bur hole craniostomy is effective for initial and recurrent cSDH.
  • Monitor patients with hematological disease or prior shunt surgery for bleeding risk.
  • Inform diabetic patients about increased recurrence likelihood.
Abstract

Keywords:
SDH = subdural hematomaVP = ventriculoperitonealacute intracranial bleedingbur hole craniostomycSDH = chronic SDHchronic subdural hematomarecurrencetraumatic brain injury

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