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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| Format: | Article |
| Language: | English |
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Galenos Yayinevi
2024-02-01
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| Series: | İstanbul Medical Journal |
| Subjects: | |
| Online Access: |
http://istanbulmedicaljournal.org/archives/archive-detail/article-preview/risk-factors-for-pneumocephalus-following-the-surg/64524
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| _version_ | 1827340548445306880 |
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| author | Hüseyin Doğu Demet Aygün |
| author_facet | Hüseyin Doğu Demet Aygün |
| author_sort | Hüseyin Doğu |
| collection | DOAJ |
| description | 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<0.05). There was a significant difference between burr hole localizations among the patients based on the incidence of postoperative pneumocephalus (p=0.042; p<0.05). The incidence of pneumocephalus was high in patients undergoing surgery using the posterior approach. Conclusion: In the surgical treatment of chronic subdural hematoma, the burr hole technique is considered a safe option because it is effective, minimally invasive, and carries a low risk of complications. However, the occurrence of postoperative pneumocephalus and subsequent recurrent hemorrhage may necessitate reoperation. To prevent the development of pneumocephalus, the burr hole should be created as close to the anterior side as possible. |
| first_indexed | 2024-03-07T21:21:37Z |
| format | Article |
| id | doaj.art-131d3b9da5a64d03acbf2ac21439c926 |
| institution | Directory Open Access Journal |
| issn | 2619-9793 2148-094X |
| language | English |
| last_indexed | 2024-03-07T21:21:37Z |
| publishDate | 2024-02-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | İstanbul Medical Journal |
| spelling | doaj.art-131d3b9da5a64d03acbf2ac21439c9262024-02-27T10:28:07ZengGalenos Yayineviİstanbul Medical Journal2619-97932148-094X2024-02-01251364110.4274/imj.galenos.2024.8865513049054Risk Factors for Pneumocephalus Following the Surgical Management of Chronic Subdural HematomaHüseyin Doğu0Demet Aygün1 Atlas University Medicine Hospital, Clinic of Neurosurgery, İstanbul, Turkey Atlas University Medicine Hospital, Clinic of Neurology, İstanbul, Turkey 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<0.05). There was a significant difference between burr hole localizations among the patients based on the incidence of postoperative pneumocephalus (p=0.042; p<0.05). The incidence of pneumocephalus was high in patients undergoing surgery using the posterior approach. Conclusion: In the surgical treatment of chronic subdural hematoma, the burr hole technique is considered a safe option because it is effective, minimally invasive, and carries a low risk of complications. However, the occurrence of postoperative pneumocephalus and subsequent recurrent hemorrhage may necessitate reoperation. To prevent the development of pneumocephalus, the burr hole should be created as close to the anterior side as possible. http://istanbulmedicaljournal.org/archives/archive-detail/article-preview/risk-factors-for-pneumocephalus-following-the-surg/64524 chronic subdural hematomahematomahemorrhagepneumocephalus |
| spellingShingle | Hüseyin Doğu Demet Aygün Risk Factors for Pneumocephalus Following the Surgical Management of Chronic Subdural Hematoma İstanbul Medical Journal chronic subdural hematoma hematoma hemorrhage pneumocephalus |
| title | Risk Factors for Pneumocephalus Following the Surgical Management of Chronic Subdural Hematoma |
| title_full | Risk Factors for Pneumocephalus Following the Surgical Management of Chronic Subdural Hematoma |
| title_fullStr | Risk Factors for Pneumocephalus Following the Surgical Management of Chronic Subdural Hematoma |
| title_full_unstemmed | Risk Factors for Pneumocephalus Following the Surgical Management of Chronic Subdural Hematoma |
| title_short | Risk Factors for Pneumocephalus Following the Surgical Management of Chronic Subdural Hematoma |
| title_sort | risk factors for pneumocephalus following the surgical management of chronic subdural hematoma |
| topic | chronic subdural hematoma hematoma hemorrhage pneumocephalus |
| url |
http://istanbulmedicaljournal.org/archives/archive-detail/article-preview/risk-factors-for-pneumocephalus-following-the-surg/64524
|
| work_keys_str_mv | AT huseyindogu riskfactorsforpneumocephalusfollowingthesurgicalmanagementofchronicsubduralhematoma AT demetaygun riskfactorsforpneumocephalusfollowingthesurgicalmanagementofchronicsubduralhematoma |