Home Bratislava Medical Journal 2021 Bratislava Medical Journal Vol.122, No.12, p.866–870, 2021

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Published Monthly, in English
Founded: 1919
ISSN 0006-9248
(E)ISSN 1336-0345

Impact factor 1.564


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Bratislava Medical Journal Vol.122, No.12, p.866–870, 2021

Title: Bilateral evacuation of bilateral non-acute subdural hematomas – evaluation of postoperative outcomes and complications
Author: R. Opsenak, P. Snopko, M. Hanko, M. Benco, S. Sivak, B. Kolarovszk

Abstract: INTRODUCTION: Bilateral finding of non-acute subdural hematomas (NASH) is less common compared to unilateral occurrence. The aim of this study was to evaluate results of surgical treatment of bilaterally treated bilateral NASH.
METHODS: Retrospective analysis of patients, who underwent bilateral surgical evacuation of NASH (2014–2020). This study was conducted to determine the association between the incidence of postoperative complications and outcome, hematoma recurrence and selected risk factors (including volumetric parameters). Correlations between variables were assessed by using Spearmanˊs correlation. Chi-squared test, Studentˊs t-test (unpaired and paired) and one-way ANOVA were used for univariate analysis.
RESULTS: Our study included 29 patients with bilateral NASH who underwent bilateral surgical hematoma evacuation. The laminar hematoma type was associated with higher hematoma recurrence rate (p=0.032) and worse clinical outcome (p=0.043). Larger PHV was significantly associated with larger PV after surgery and worse neurological outcome. Larger PHV, PHCV and PV were significantly associated with higher incidence of NASH recurrence (p=0.0008, p=0.0007 and p=0.00006).
CONCLUSION: The laminar hematoma type and larger PHV were significant risk factors for the recurrence of bilateral NASH and worse neurological outcome. Larger PHCV and PV were significantly associated with hematoma recurrence (Tab. 7, Fig. 3, Ref. 24).

Keywords: hronic subdural hematoma, recurrence, outcome, surgical treatment, bilateral
Published online: 14-Dec-2021
Year: 2021, Volume: 122, Issue: 12 Page From: 866, Page To: 870

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