OPTIMAL DIAGNOSIS AND MANAGEMENT OF CHRONIC SUBDURAL HAEMATOMAS
DOI:
https://doi.org/10.54890/.v5i5.691Abstract
The aims of this study were to review the surgical outcomes of patients with chronic subdural haematoma (CSDH) and assess the risks of antiplatelet in their surgical management. We retrospectively analyzed 112 consecutive patients with CSDH treated by one burr hole surgery at our institution. Among them, 16 patients had been on antiplatelet therapy. We analyzed the association between recurrence and patient characteristics, including history of antiplatelet or anticoagulant therapy; age (< 70 years or > 70 years); side; and previous medical history of head trauma, infarction, hypertension and other diseases.
Recurrence occurred in 10 patients (8.9%). Univariate analysis showed that only the presence of bilateral haematomas was associated with increased recurrence rate while antiplatelet or anticoagulant therapy did not significantly increase recurrence risk. However, multivariate analysis revealed that previous history of cerebral infarction was an independent risk factor for CSDH recurrence.
Our overall data support the safety of early surgery for patients on the preoperative antiplatelet therapy without drug cessation or platelet infusion. Patients with a previous history of infarction may need to be closely followed regardless of antiplatelet or anticoagulant therapy.
Keywords:
chronic subdural haematoma, surgery, outcome, recurrenceReferences
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