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Study of Incidence and Factors: Risk and Preventive, of Chronic Subdural Hematoma/hygroma in Clipped Patients of Unruptured Intracranial Aneurysms – An Institutional Experience

INTRODUCTION: One of the underreported complications of clipping of unruptured aneurysm is chronic subdural hematoma/hygroma (CSDH). It can cause sudden deterioration and might need emergency evacuation. Recently, very few papers have studied its incidence and predisposing factors. We are reporting...

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Autores principales: Kawase, Tsukasa, Bishnoi, Ishu, Tanaka, Riki, Dash, Chinmaya, Kato, Yoko, Yamada, Yoshiru
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6159057/
https://www.ncbi.nlm.nih.gov/pubmed/30283532
http://dx.doi.org/10.4103/ajns.AJNS_355_16
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author Kawase, Tsukasa
Bishnoi, Ishu
Tanaka, Riki
Dash, Chinmaya
Kato, Yoko
Yamada, Yoshiru
author_facet Kawase, Tsukasa
Bishnoi, Ishu
Tanaka, Riki
Dash, Chinmaya
Kato, Yoko
Yamada, Yoshiru
author_sort Kawase, Tsukasa
collection PubMed
description INTRODUCTION: One of the underreported complications of clipping of unruptured aneurysm is chronic subdural hematoma/hygroma (CSDH). It can cause sudden deterioration and might need emergency evacuation. Recently, very few papers have studied its incidence and predisposing factors. We are reporting our institutional experience of it along with the study of its risk factors and possible pathogenesis. METHODOLOGY: Totally 91 postoperative patients of unruptured aneurysms were retrospectively analyzed. Totally 21 patients had CSDH who were operated. In rest seventy patients, there was no CSDH. RESULTS: Male sex, old age, anticoagulant use, presence of pneumocephalus and dead space were significantly associated with occurrence of CSDH, whereas arachnoidoplasty significantly protected against it. There was no significant relation of CSDH with Gorei-san use. CONCLUSIONS: We recommend arachnoidoplasty should be carried out in all patients of clipping of unruptured aneurysm. Male patients or/and patients with dead space with pneumocephalus must be given extra attention like avoiding any dead space in postoperative period, doing arachnoidoplasty and regular follow up till 1(st) year.
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spelling pubmed-61590572018-10-03 Study of Incidence and Factors: Risk and Preventive, of Chronic Subdural Hematoma/hygroma in Clipped Patients of Unruptured Intracranial Aneurysms – An Institutional Experience Kawase, Tsukasa Bishnoi, Ishu Tanaka, Riki Dash, Chinmaya Kato, Yoko Yamada, Yoshiru Asian J Neurosurg Original Article INTRODUCTION: One of the underreported complications of clipping of unruptured aneurysm is chronic subdural hematoma/hygroma (CSDH). It can cause sudden deterioration and might need emergency evacuation. Recently, very few papers have studied its incidence and predisposing factors. We are reporting our institutional experience of it along with the study of its risk factors and possible pathogenesis. METHODOLOGY: Totally 91 postoperative patients of unruptured aneurysms were retrospectively analyzed. Totally 21 patients had CSDH who were operated. In rest seventy patients, there was no CSDH. RESULTS: Male sex, old age, anticoagulant use, presence of pneumocephalus and dead space were significantly associated with occurrence of CSDH, whereas arachnoidoplasty significantly protected against it. There was no significant relation of CSDH with Gorei-san use. CONCLUSIONS: We recommend arachnoidoplasty should be carried out in all patients of clipping of unruptured aneurysm. Male patients or/and patients with dead space with pneumocephalus must be given extra attention like avoiding any dead space in postoperative period, doing arachnoidoplasty and regular follow up till 1(st) year. Medknow Publications & Media Pvt Ltd 2018 /pmc/articles/PMC6159057/ /pubmed/30283532 http://dx.doi.org/10.4103/ajns.AJNS_355_16 Text en Copyright: © 2018 Asian Journal of Neurosurgery http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Kawase, Tsukasa
Bishnoi, Ishu
Tanaka, Riki
Dash, Chinmaya
Kato, Yoko
Yamada, Yoshiru
Study of Incidence and Factors: Risk and Preventive, of Chronic Subdural Hematoma/hygroma in Clipped Patients of Unruptured Intracranial Aneurysms – An Institutional Experience
title Study of Incidence and Factors: Risk and Preventive, of Chronic Subdural Hematoma/hygroma in Clipped Patients of Unruptured Intracranial Aneurysms – An Institutional Experience
title_full Study of Incidence and Factors: Risk and Preventive, of Chronic Subdural Hematoma/hygroma in Clipped Patients of Unruptured Intracranial Aneurysms – An Institutional Experience
title_fullStr Study of Incidence and Factors: Risk and Preventive, of Chronic Subdural Hematoma/hygroma in Clipped Patients of Unruptured Intracranial Aneurysms – An Institutional Experience
title_full_unstemmed Study of Incidence and Factors: Risk and Preventive, of Chronic Subdural Hematoma/hygroma in Clipped Patients of Unruptured Intracranial Aneurysms – An Institutional Experience
title_short Study of Incidence and Factors: Risk and Preventive, of Chronic Subdural Hematoma/hygroma in Clipped Patients of Unruptured Intracranial Aneurysms – An Institutional Experience
title_sort study of incidence and factors: risk and preventive, of chronic subdural hematoma/hygroma in clipped patients of unruptured intracranial aneurysms – an institutional experience
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6159057/
https://www.ncbi.nlm.nih.gov/pubmed/30283532
http://dx.doi.org/10.4103/ajns.AJNS_355_16
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