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Updated: Jul 3, 2025
06:18
A Bedside, Single Burr Hole Approach to Multimodality Monitoring in Severe Brain Injury
Published on: March 26, 2019
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Are there characteristic indicators for increased pressure in chronic subdural hematoma?
Satoshi Tsutsumi1, Natsuki Sugiyama1, Hideaki Ueno1
1Department of Neurological Surgery, Juntendo University Urayasu Hospital, Urayasu, Chiba, Japan.
Summary
Headaches may indicate high pressure in chronic subdural hematomas (CSDHs). Prompt surgical evacuation is recommended for non-elderly patients with bilateral CSDHs and headaches, suggesting elevated CSDH pressure.
Area of Science:
- Neurosurgery
- Neurology
Background:
- Chronic subdural hematoma (CSDH) is a common neurosurgical condition.
- Biomarkers for elevated CSDH pressure remain undocumented.
Purpose of the Study:
- To identify clinical indicators of increased intracranial pressure in patients with CSDH.
- To explore potential biomarkers associated with CSDH pressure.
Main Methods:
- CSDH pressure was measured during burr-hole irrigation in 50 patients.
- Clinical data including symptoms, patient demographics, and imaging were analyzed.
- Statistical correlation was performed between CSDH pressure and various factors.
Main Results:
- Mean CSDH pressure was 16.8 ± 7.6 cmH2O.
- Headache showed a positive correlation with high CSDH pressure (≥25 cmH2O).
- Age and hematoma thickness were negatively correlated with CSDH pressure.
Conclusions:
- Headache is a potential clinical indicator of elevated CSDH pressure.
- Prompt hematoma evacuation is advised for specific patient groups, including non-elderly individuals with bilateral CSDHs and headaches.
- Further research into CSDH pressure biomarkers is warranted.
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