Abstract
Detailed features of chronic subdural haematoma (cSDH) associated with disturbance of consciousness and acute-on-chronic subdural haematoma (a/cSDH), in which acute subdural haematoma overlaps cSDH, remain poorly understood. The object of this study was to clarify both characteristics of cSDH associated with disturbance of consciousness and the significance of a/cSDH. Clinical factors and computed tomography (CT) findings were retrospectively investigated in 349 consecutive patients admitted between 2006 and 2013 and diagnosed with cSDH. Glasgow Coma Scale (GCS) was ≤ 8 in 21 patients (6.0%) and 9-14 in 29 patients excluding aphasia and/or dementia (8.3%). Multiple logistic regression analysis indicated that a/cSDH, female sex and haemodialysis were significantly related to severe disturbance of consciousness (GCS ≤ 8). Predictors for a/cSDH observed in 29 patients (8.3%) were trauma history within 7 days before admission, high prothrombin time-international rate, and use of anticoagulants and/or antiplatelets. Unfavourable outcomes were observed in 29 of 299 patients (9.7%) without consciousness disturbance, compared to 27 of 50 patients (54%) with consciousness disturbance. Predictors of unfavourable outcome were consciousnes...Continue Reading
References
Feb 1, 1983·Journal of Neurosurgery·M C Kao
Sep 20, 2001·Neurologia Medico-chirurgica·K Mori, M Maeda
Apr 17, 2002·Neurosurgical Review·Veit RohdeW Hassler
Jun 18, 2003·Journal of Neurology, Neurosurgery, and Psychiatry·R WeigelJ K Krauss
Apr 13, 2005·Clinical Neurology and Neurosurgery·Miguel Gelabert-GonzálezRamón Martínez-Rumbo
Sep 5, 2006·Clinical Neurology and Neurosurgery·Abbass AmirjamshidiArmin Rashidi
Mar 27, 2007·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Abbass AmirjamshidiArmin Rashidi
Aug 19, 2007·Clinical Journal of the American Society of Nephrology : CJASN·Puneet SoodEric P Cohen
Apr 9, 2008·Journal of Neuroimaging : Official Journal of the American Society of Neuroimaging·Mehdi AbouzariMehrdad Behzadi
Jan 29, 2010·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Albert PowerNeill Duncan
Jan 1, 2010·International Journal of Emergency Medicine·Brian T Kloss, Richard E Lagace
Aug 24, 2011·Korean journal of anesthesiology·Il Bong ParkJun Hak Lee
Feb 11, 2012·Journal of Korean Neurosurgical Society·Kyeong-Seok LeeHack-Gun Bae
May 28, 2013·Neurologia Medico-chirurgica·Akifumi IzumiharaTomoyuki Murakami
Jul 23, 2013·PloS One·Pasquale De BonisAnnunziato Mangiola
Aug 6, 2013·Clinical Neurology and Neurosurgery·Hirokazu TakamiTakafumi Ide
Oct 8, 2013·Annals of Surgery·Saleh A AlmenawerSheila Singh
Jan 22, 2014·Journal of Nephrology·Marcello Tonelli, Miguel Riella
May 20, 2014·Journal of Neurosurgery·Joshua T Billingsley, Brian L Hoh
Citations
May 28, 2016·Journal of Neurosurgery·Yasuaki AbeYoshiaki Shiokawa
Jun 28, 2017·Neurologia Medico-chirurgica·Masaaki UnoSatoshi Hirai
Dec 23, 2017·Journal of Neurosurgery·Lynze R FrankoCraig A Williamson
Nov 19, 2019·Translational Neuroscience·Zbigniew KotwicaIreneusz Dziuba
Apr 16, 2017·Neurology·Santhosh NathanJayna Holroyd-Leduc
May 22, 2017·Neurosurgical Review·Hiroaki MatsumotoYasuhisa Yoshida
Mar 9, 2020·Neurosurgical Review·Rafael Martinez-PerezAlfonso Lagares
Sep 14, 2019·World Neurosurgery·Hideki AtsumiMitsunori Matsumae