A retrospective analysis of postoperative recurrence of septated chronic subdural haematoma: endoscopic surgery versus burr hole craniotomy

Neurological Research
Kaixuan YanHanrong Na

Abstract

To identify the factors associated with Septated chronic subdural haematoma (sCSDH) recurrence and to compare the advantages and disadvantages of burr hole craniotomy (BHC) and endoscopic surgery (ES) with respect to preventing sCSDH recurrence. A total of 76 consecutive patients with sCSDH underwent BHC or ES in our institution. Their clinical data were retrospectively analysed to identify the factors associated with sCSDH recurrence and to evaluate the effectiveness of BHC and ES with respect to preventing sCSDH recurrence. There were no significant differences in gender, age, Markwalder grade, side of haematoma, preoperative mid-line shifts, intervals, clinical features or medical histories between the two groups. Bilateral sCSDH was the only factor that significantly influenced the sCSDH recurrence rate (RR) (p = 0.001). Male gender, age ≥ 60 years, poor Markwalder grade, preoperative mid-line shifts ≤10 mm, postoperative mid-line shifts >10 mm, neovessels, intervals ≤20 days and medical histories tended to be associated with sCSDH recurrence. The RRs in the BHC and ES groups were 13.7 and 8.7%, respectively. ES eliminated more factors associated with recurrence than BHC; however, ES required more surgery time (p < 0.001) a...Continue Reading

References

Feb 1, 1978·Journal of Neurosurgery·H ItoS Yamamoto
Sep 1, 1978·Journal of Neurology, Neurosurgery, and Psychiatry·M M Cameron
Jun 1, 1988·Journal of Neurosurgery·C Probst
Aug 1, 1984·Journal of Neurosurgery·R G Robinson
May 1, 1981·Journal of Neurosurgery·T M Markwalder
Jun 1, 1980·Journal of Neurosurgery·G TysonJ Jane
Jun 1, 1995·Surgical Neurology·G S Rodziewicz, W C Chuang
Mar 1, 1996·Surgical Neurology·D HellwigE List-Hellwig
Sep 18, 1997·Surgical Neurology·R I ErnestusN Klug
Jul 9, 1998·Pediatric Neurosurgery·D P Gruber, K R Crone
May 29, 2000·Surgical Neurology·C ParlatoA Moraci
Feb 24, 2001·Neurologia Medico-chirurgica·S ImaizumiH Naganuma
Sep 6, 2001·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·T ShonoM Fukui
Sep 20, 2001·Neurologia Medico-chirurgica·M OishiM Saito
Feb 18, 2004·Minimally Invasive Neurosurgery : MIN·V MasopustM Häckel
Apr 13, 2005·Clinical Neurology and Neurosurgery·Miguel Gelabert-GonzálezRamón Martínez-Rumbo
Mar 14, 2007·Surgical Neurology·Giovanni RocchiRoberto Delfini
Aug 19, 2007·Journal of Neurosurgery·Mehmet TokmakMustafa Erdal
Mar 6, 2009·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Ralph Mobbs, Peter Khong
Dec 3, 2010·Neurologia Medico-chirurgica·Ruth PrietoMiguel Yus
Jan 5, 2011·Acta neurochirurgica·Marcos Escosa BaéPedro de Las Heras Echeverría
Nov 5, 2011·Journal of Korean Neurosurgical Society·Jae-Hong KimKwan-Young Song
Nov 7, 2012·Clinical Neurology and Neurosurgery·Oskar P AspegrenBertil Romner
Nov 20, 2012·World Neurosurgery·Leónidas M Quintana
Dec 7, 2013·Neurologia Medico-chirurgica·Giorgio Maria CalloviniVincenzo Gammone
Jan 31, 2014·Neurologia Medico-chirurgica·Selim KayaciBulent Ozdemir
Oct 21, 2015·World Neurosurgery·Henrique Seiji IvamotoAlvaro Nagib Atallah

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