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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...

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Autores principales: 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
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
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
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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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