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Clinical and Radiological Characteristics for Recurrence of Chronic Subdural Hematoma: A Systematic Review and Meta-Analysis
Chronic subdural hematoma (cSDH) is one of the most studied clinical entities in the neurosurgical literature. Management of cSDH is complicated by its propensity to recurrence. Various factors for the development of recurrence of cSDH have been described in various clinical, epidemiological, and ob...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9505137/ https://www.ncbi.nlm.nih.gov/pubmed/36135992 http://dx.doi.org/10.3390/neurolint14030057 |
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author | Mishra, Rakesh Deora, Harsh Florez-Perdomo, William Andres Moscote-Salazar, Luis Rafael Garcia-Ballestas, Ezequiel Rahman, Md Moshiur Shrivastava, Adesh Raj, Sumit Chavda, Vishal Montemurro, Nicola Agrawal, Amit |
author_facet | Mishra, Rakesh Deora, Harsh Florez-Perdomo, William Andres Moscote-Salazar, Luis Rafael Garcia-Ballestas, Ezequiel Rahman, Md Moshiur Shrivastava, Adesh Raj, Sumit Chavda, Vishal Montemurro, Nicola Agrawal, Amit |
author_sort | Mishra, Rakesh |
collection | PubMed |
description | Chronic subdural hematoma (cSDH) is one of the most studied clinical entities in the neurosurgical literature. Management of cSDH is complicated by its propensity to recurrence. Various factors for the development of recurrence of cSDH have been described in various clinical, epidemiological, and observational studies, yet the evidence available is limited. A systematic review and meta-analysis as per PRISMA guidelines to identify clinical and radiological factors which can predict the development of recurrence in cSDH. A total of 14 studies were included for the systematic review and meta-analysis after a comprehensive search of the online databases. Eight studies were of high methodological quality. Age, use of anticoagulants, obesity, seizure, and liver disease were found to be statistically significant clinical risk factors for the development of recurrence in cSDH. Among the radiological parameters, the internal structure of the hematoma and the width of the hematoma was found to be significant risk factor predicting the development of recurrence. Age >75 years, use of anticoagulation therapy, liver disease, and obesity were significant risk factors for cSDH recurrence. Pneumocephalus, internal architecture of hematoma, bilateral cSDH, the width of hematoma, and the presence of bilateral cSDH are important radiological parameters of the development of recurrent cSDH |
format | Online Article Text |
id | pubmed-9505137 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-95051372022-09-24 Clinical and Radiological Characteristics for Recurrence of Chronic Subdural Hematoma: A Systematic Review and Meta-Analysis Mishra, Rakesh Deora, Harsh Florez-Perdomo, William Andres Moscote-Salazar, Luis Rafael Garcia-Ballestas, Ezequiel Rahman, Md Moshiur Shrivastava, Adesh Raj, Sumit Chavda, Vishal Montemurro, Nicola Agrawal, Amit Neurol Int Systematic Review Chronic subdural hematoma (cSDH) is one of the most studied clinical entities in the neurosurgical literature. Management of cSDH is complicated by its propensity to recurrence. Various factors for the development of recurrence of cSDH have been described in various clinical, epidemiological, and observational studies, yet the evidence available is limited. A systematic review and meta-analysis as per PRISMA guidelines to identify clinical and radiological factors which can predict the development of recurrence in cSDH. A total of 14 studies were included for the systematic review and meta-analysis after a comprehensive search of the online databases. Eight studies were of high methodological quality. Age, use of anticoagulants, obesity, seizure, and liver disease were found to be statistically significant clinical risk factors for the development of recurrence in cSDH. Among the radiological parameters, the internal structure of the hematoma and the width of the hematoma was found to be significant risk factor predicting the development of recurrence. Age >75 years, use of anticoagulation therapy, liver disease, and obesity were significant risk factors for cSDH recurrence. Pneumocephalus, internal architecture of hematoma, bilateral cSDH, the width of hematoma, and the presence of bilateral cSDH are important radiological parameters of the development of recurrent cSDH MDPI 2022-08-26 /pmc/articles/PMC9505137/ /pubmed/36135992 http://dx.doi.org/10.3390/neurolint14030057 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Systematic Review Mishra, Rakesh Deora, Harsh Florez-Perdomo, William Andres Moscote-Salazar, Luis Rafael Garcia-Ballestas, Ezequiel Rahman, Md Moshiur Shrivastava, Adesh Raj, Sumit Chavda, Vishal Montemurro, Nicola Agrawal, Amit Clinical and Radiological Characteristics for Recurrence of Chronic Subdural Hematoma: A Systematic Review and Meta-Analysis |
title | Clinical and Radiological Characteristics for Recurrence of Chronic Subdural Hematoma: A Systematic Review and Meta-Analysis |
title_full | Clinical and Radiological Characteristics for Recurrence of Chronic Subdural Hematoma: A Systematic Review and Meta-Analysis |
title_fullStr | Clinical and Radiological Characteristics for Recurrence of Chronic Subdural Hematoma: A Systematic Review and Meta-Analysis |
title_full_unstemmed | Clinical and Radiological Characteristics for Recurrence of Chronic Subdural Hematoma: A Systematic Review and Meta-Analysis |
title_short | Clinical and Radiological Characteristics for Recurrence of Chronic Subdural Hematoma: A Systematic Review and Meta-Analysis |
title_sort | clinical and radiological characteristics for recurrence of chronic subdural hematoma: a systematic review and meta-analysis |
topic | Systematic Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9505137/ https://www.ncbi.nlm.nih.gov/pubmed/36135992 http://dx.doi.org/10.3390/neurolint14030057 |
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