Risk Factors for Pneumocephalus Following the Surgical Management of Chronic Subdural Hematoma

Introduction: Chronic subdural hematoma is an important type of hemorrhage that can cause morbidity and mortality in older people. The burr hole technique is employed in surgical treatment; however, postoperative pneumocephalus is a common complication of this surgery. To assess factors affecting th...

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Bibliographic Details
Published in:Istanbul medical journal 2024-02, Vol.25 (1), p.36-41
Main Authors: Dogu, Huseyin, Aygun, Demet
Format: Article
Language:English
Subjects:
chronic subdural hematoma
Health aspects
hematoma
hemorrhage
Mortality
pneumocephalus
Risk factors
Subdural hematoma
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Summary:Introduction: Chronic subdural hematoma is an important type of hemorrhage that can cause morbidity and mortality in older people. The burr hole technique is employed in surgical treatment; however, postoperative pneumocephalus is a common complication of this surgery. To assess factors affecting the postoperative development of pneumocephalus in patients with chronic subdural hematoma. Methods: We analyzed 32 patients who underwent surgical treatment for chronic subdural hematoma using the burr hole technique at our clinic. Baseline and postoperative clinical and radiological data were evaluated. Variables that may affect the development of pneumocephalus, such as age, gender, neurological status, localization of subdural hematoma, thickness, unilaterality or bilaterality, and midline shift, were documented. These variables were analyzed and compared between patients with and without pneumocephalus. Results: The incidence of postoperative pneumocephalus was significantly higher in patients with bilateral hematoma than in those with unilateral hematoma (p=0.037; p
ISSN:2619-9793
1304-8503
2148-094X
DOI:10.4274/imj.galenos.2024.88655