No Value of Routine Brain Computed Tomography 6 Weeks after Evacuation of Chronic Subdural Hematoma

Abstract Background The aim of this study was to evaluate the value of planned control postoperative brain computed tomography (CT) scan performed 4 to 6 weeks after the evacuation of chronic subdural hematoma. Materials and Methods This retrospective study examined 202 pat...

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Main Authors: Christian Bonde Pedersen, Filippa Sundbye, Frantz Rom Poulsen
Format: Article
Language:English
Published: Thieme Medical Publishers, Inc. 2017-10-01
Series:The Surgery Journal
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0037-1607215
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author Christian Bonde Pedersen
Filippa Sundbye
Frantz Rom Poulsen
author_facet Christian Bonde Pedersen
Filippa Sundbye
Frantz Rom Poulsen
author_sort Christian Bonde Pedersen
collection DOAJ
description Abstract Background The aim of this study was to evaluate the value of planned control postoperative brain computed tomography (CT) scan performed 4 to 6 weeks after the evacuation of chronic subdural hematoma. Materials and Methods This retrospective study examined 202 patients who during a 2-year period from 2011 and 2012 underwent surgical treatment for chronic subdural hematoma (CSDH). Information on patient age, sex, alcohol consumption, anticoagulant/antiplatelet treatment, history of head trauma, Glasgow coma scale (GCS), neurological symptoms, laterality of CSDH, and surgical technique was retrieved from patient charts. Results Overall, 27 out of 202 patients had a recurrence of CSDH and re-evacuation of the hematoma was performed. In all patients recurrence of neurological symptoms preceded the planned postoperative control brain CT 4 to 6 weeks after primary surgery. Conclusion Routinely postoperative control brain CT scan 4 to 6 weeks after the evacuation of a CSDH has no clinical value.
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spelling doaj.art-c480d6d4e3ce4fe4bcf027a8df33b61d2022-12-21T22:21:27ZengThieme Medical Publishers, Inc.The Surgery Journal2378-51282378-51362017-10-010304e174e17610.1055/s-0037-1607215No Value of Routine Brain Computed Tomography 6 Weeks after Evacuation of Chronic Subdural HematomaChristian Bonde Pedersen0Filippa Sundbye1Frantz Rom Poulsen2Department of Neurosurgery, Odense University Hospital, Odense, DenmarkDepartment of Neurosurgery, Odense University Hospital, Odense, DenmarkDepartment of Neurosurgery, Odense University Hospital, Odense, DenmarkAbstract Background The aim of this study was to evaluate the value of planned control postoperative brain computed tomography (CT) scan performed 4 to 6 weeks after the evacuation of chronic subdural hematoma. Materials and Methods This retrospective study examined 202 patients who during a 2-year period from 2011 and 2012 underwent surgical treatment for chronic subdural hematoma (CSDH). Information on patient age, sex, alcohol consumption, anticoagulant/antiplatelet treatment, history of head trauma, Glasgow coma scale (GCS), neurological symptoms, laterality of CSDH, and surgical technique was retrieved from patient charts. Results Overall, 27 out of 202 patients had a recurrence of CSDH and re-evacuation of the hematoma was performed. In all patients recurrence of neurological symptoms preceded the planned postoperative control brain CT 4 to 6 weeks after primary surgery. Conclusion Routinely postoperative control brain CT scan 4 to 6 weeks after the evacuation of a CSDH has no clinical value.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0037-1607215chronic subdural hematomapostoperative ct scanevacuationrecurrence
spellingShingle Christian Bonde Pedersen
Filippa Sundbye
Frantz Rom Poulsen
No Value of Routine Brain Computed Tomography 6 Weeks after Evacuation of Chronic Subdural Hematoma
The Surgery Journal
chronic subdural hematoma
postoperative ct scan
evacuation
recurrence
title No Value of Routine Brain Computed Tomography 6 Weeks after Evacuation of Chronic Subdural Hematoma
title_full No Value of Routine Brain Computed Tomography 6 Weeks after Evacuation of Chronic Subdural Hematoma
title_fullStr No Value of Routine Brain Computed Tomography 6 Weeks after Evacuation of Chronic Subdural Hematoma
title_full_unstemmed No Value of Routine Brain Computed Tomography 6 Weeks after Evacuation of Chronic Subdural Hematoma
title_short No Value of Routine Brain Computed Tomography 6 Weeks after Evacuation of Chronic Subdural Hematoma
title_sort no value of routine brain computed tomography 6 weeks after evacuation of chronic subdural hematoma
topic chronic subdural hematoma
postoperative ct scan
evacuation
recurrence
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0037-1607215
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AT filippasundbye novalueofroutinebraincomputedtomography6weeksafterevacuationofchronicsubduralhematoma
AT frantzrompoulsen novalueofroutinebraincomputedtomography6weeksafterevacuationofchronicsubduralhematoma