Open AccessJournal Article
Working toward rational and evidence-based treatment of chronic subdural hematoma.
TLDR
This review focuses on the pathophysiology of chronic subdural hematoma and briefly discusses the epidemiology, clinical presentation, and surgical treatments of CSDH, concluding that a one-for-all management strategy is not appropriate.Abstract:
Chronic subdural hematoma (CSDH) is one of the most common neurosurgical conditions that can usually be treated with relatively simple and effective surgical procedures. It affects primarily the elderly, a rising population worldwide. Together with improved awareness among the medical profession and greater access to modern imaging facilities, the incidence of CSDH is set to rise significantly. Maximization of the efficiency of management of CSDH is therefore a priority. To this end, a review of the findings of clinical and laboratory research underpinning the basis of the modern management of CSDH has been carried out. This review focuses on the pathophysiology and briefly discusses the epidemiology, clinical presentation, and surgical treatments of CSDH, concluding that a one-for-all management strategy is not appropriate. Creating rational bases for the selection of an ideal treatment strategy for an individual patient should be the target. This can be achieved through better understanding of the nature of the condition through systematic basic science research, ascertaining the merits of different surgical techniques in well-designed and rigorously executed clinical trials, using advances in imaging techniques to classify CSDH (a subject not addressed here), and training in and ongoing refinement of clinical acumen and surgical skills of individual surgeons.read more
Citations
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Journal ArticleDOI
Chronic subdural hematoma management: a systematic review and meta-analysis of 34,829 patients.
Saleh A. Almenawer,Forough Farrokhyar,Chris J. Hong,Waleed Alhazzani,Branavan Manoranjan,Blake Yarascavitch,Parnian Arjmand,Benedicto Baronia,Kesava Reddy,Naresh Murty,Sheila K. Singh +10 more
TL;DR: Percutaneous bedside twist-drill drainage is a relatively safe and effective first-line management option for chronic subdural hematoma patients with CSDH and may result in potential health cost savings and eliminate perioperative risks related to general anesthetic.
Journal ArticleDOI
Chronic subdural haematoma: modern management and emerging therapies
TL;DR: An overview of the contemporary management of chronic subdural haematoma is provided and considerations regarding future approaches that could further optimize patient care and outcomes are presented.
Journal ArticleDOI
Chronic Subdural Hematoma: Epidemiology and Natural History.
Wuyang Yang,Judy Huang +1 more
TL;DR: The epidemiology and natural history of chronic subdural hematoma, a common disease prevalent in the elderly population, and nonsurgical predictive factors are described in detail to provide a comprehensive understanding of the outcome of this disease.
Journal ArticleDOI
Chronic subdural hematoma.
TL;DR: Better understanding of the nature of the pathology, rational selection of an ideal treatment strategy for an individual patient, and identification of the merits and limitations of different surgical techniques could help in improving the prognosis of chronic subdural hematoma.
Journal ArticleDOI
Middle Meningeal Artery Embolization for Chronic Subdural Hematoma: Meta-Analysis and Systematic Review
Aditya Srivatsan,Alina Mohanty,Fábio A. Nascimento,Muhammad Ubaid Hafeez,Visish M. Srinivasan,Ajith J. Thomas,Stephen R. Chen,Jeremiah N. Johnson,Peter Kan +8 more
TL;DR: In this article, a meta-analysis and systematic review of the use of middle meningeal artery (MMA) embolization for chronic subdural hematoma is presented.
References
More filters
Journal ArticleDOI
Outcomes validity and reliability of the modified Rankin scale: implications for stroke clinical trials: a literature review and synthesis.
TL;DR: The reported data support the view that the modified Rankin scale is a valuable instrument for assessing the impact of new stroke treatments, and patient comorbidities and socioeconomic factors should be considered in properly applying and interpreting the mRS.
Journal ArticleDOI
The role of vascular endothelial growth factor in wound healing.
TL;DR: Experimental data supports the hypothesis that VEGF stimulates epithelialization and collagen deposition in a wound, but likely promotes collagen deposition and epithelization as well, and stimulates wound healing through angiogenesis.
Journal ArticleDOI
Use of drains versus no drains after burr-hole evacuation of chronic subdural haematoma: a randomised controlled trial
Thomas Santarius,Peter J. Kirkpatrick,Dharmendra Ganesan,Hui Ling Chia,Ibrahim Jalloh,Peter Smielewski,Hugh K. Richards,Hani J. Marcus,Richard A Parker,Stephen J. Price,Ramez W. Kirollos,John D. Pickard,Peter J. Hutchinson +12 more
TL;DR: Use of a drain after burr-hole drainage of chronic subdural haematoma is safe and associated with reduced recurrence and mortality at 6 months.
Journal ArticleDOI
Chronic subdural hematomas" a review
TL;DR: Present knowledge of the still controversial pathogenetic, ultrastructural, diagnostic, and treatment aspects of chronic subdural hematomas is reviewed.
Journal ArticleDOI
Surgical treatment of chronic subdural hematoma in 500 consecutive cases: clinical characteristics, surgical outcome, complications, and recurrence rate.
Kentaro Mori,Minoru Maeda +1 more
TL;DR: Old age, pre-existing cerebral infarction, and persistence of subdural air after surgery were significantly correlated with poor brain re-expansion (p < 0.001), which will further improve the surgical outcome for patients with CSDH.