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Related Experiment Video

Updated: Jul 17, 2025

Pre-Chiasmatic, Single Injection of Autologous Blood to Induce Experimental Subarachnoid Hemorrhage in a Rat Model
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Recurrent Subdural Hematoma: An Institutional Experience.

Sai Sriram Swamiyappan1, Visvanathan Krishnaswamy1, Vivek Visweswaran2

  • 1Neurosurgery, Sri Ramachandra Institute of Higher Education and Research, Chennai, IND.

Cureus
|August 29, 2023
PubMed
Summary
This summary is machine-generated.

Chronic subdural hematoma (CSDH) recurrence is linked to male gender, heterogeneous subtypes, and greater midline shift. Identifying these risk factors aids in surgical decisions for better patient outcomes.

Keywords:
burr hole drainagect predictionopen craniotomyrecurrence ratesubdural hematoma

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Area of Science:

  • Neurosurgery
  • Radiology
  • Epidemiology

Background:

  • Chronic subdural hematoma (CSDH) is a common neurosurgical condition.
  • Burr hole irrigation and drainage often yield good results but recurrence is a concern.
  • Reported recurrence rates for CSDH can be as high as 31.6%.

Purpose of the Study:

  • To identify potential risk factors for CSDH recurrence.
  • To provide insights for predicting patients at higher risk of recurrence.
  • To aid in surgical decision-making for CSDH management.

Main Methods:

  • Prospective and retrospective study design from 2017-2021.
  • Analysis of patients who underwent surgery for CSDH, focusing on recurrence.
  • Inclusion of ethical approval from the Institutional Ethics Committee.

Main Results:

  • Male predominance observed (p=0.01).
  • Heterogeneous subtypes (OR: 8.88, p=0.01) and larger midline shift (p=0.02) significantly predicted recurrence.
  • Average age in recurrence group (71.5 years) was higher but not statistically significant.

Conclusions:

  • Patient factors like male gender and radiological findings such as heterogeneous subtypes and significant midline shift indicate a higher recurrence risk.
  • These factors can guide surgical planning and patient counseling.
  • Further research may explore specific interventions for high-risk groups.