Subdural Tension on the Brain in Patients with Chronic Subdural Hematoma Is Related to Hemiparesis but Not to Headache or Recurrence

作者: Yusuke Tomita , Shoko Merrit Yamada , Shokei Yamada , Akira Matsuno

DOI: 10.1016/J.WNEU.2018.07.192

关键词: MedicineIn patientMidline shiftSurgeryHematomaChronic subdural hematomaHemiparesisStatistical analysisMotor cortexWeakness

摘要: Background Hemiparesis is a major symptom of chronic subdural hematoma (CSDH). Its severity does not always correlate with size. The authors analyzed thickness, pressure, and tension to clarify the mechanism hemiparesis in CSDH patients. Methods A burr-hole surgery was performed on 124 CSDHs 102 Hematoma thickness midline shift were measured by computed tomography, pressure surgery. According Laplace law, calculated as follows: (half thickness × pressure)/2. Student t test Pearson correlation coefficient (r) applied statistical analysis findings. Results Motor weakness identified 76.5% our cases. Tension strongly related (r = −0.747, P Conclusions most influencing factor This study also elucidates for quick recovery from after that motor cortex decreased immediately drainage.

参考文章(38)
C. M. Fisher, Reversal of normal pressure hydrocephalus symptoms by subdural collections. Canadian Journal of Neurological Sciences. ,vol. 29, pp. 171- 174 ,(2002) , 10.1017/S0317167100120967
C A Gleadhill, V K Kak, Chronic subdural haematoma (a review of 66 cases). Ulster Medical Journal. ,vol. 40, pp. 163- 168 ,(1971)
Rainer Fogelholm, Olli Heiskanen, Olli Waltimo, Chronic subdural hematoma in adults. Influence of patient's age on symptoms, signs, and thickness of hematoma. Journal of Neurosurgery. ,vol. 42, pp. 43- 46 ,(1975) , 10.3171/JNS.1975.42.1.0043
Maurizio Paciaroni, Visual experiences of Blaise Pascal. Frontiers of neurology and neuroscience. ,vol. 27, pp. 160- 167 ,(2010) , 10.1159/000311199
Weiming Liu, Nicolaas A. Bakker, Rob J. M. Groen, Chronic subdural hematoma : a systematic review and meta-analysis of surgical procedures Journal of Neurosurgery. ,vol. 121, pp. 665- 673 ,(2014) , 10.3171/2014.5.JNS132715
Kristine D Slam, Sarah Calkins, Frederick D Cason, LaPlace's law revisited: Cecal perforation as an unusual presentation of pancreatic carcinoma World Journal of Surgical Oncology. ,vol. 5, pp. 14- 14 ,(2007) , 10.1186/1477-7819-5-14
Ralf-Ingo Ernestus, Piotr Beldzinski, Heinrich Lanfermann, Norfrid Klug, Chronic subdural hematoma : Surgical treatment and outcome in 104 patients Surgical Neurology. ,vol. 48, pp. 220- 225 ,(1997) , 10.1016/S0090-3019(97)80031-6
Kouichi Torihashi, Nobutake Sadamasa, Kazumichi Yoshida, Osamu Narumi, Masaki Chin, Sen Yamagata, Independent predictors for recurrence of chronic subdural hematoma: a review of 343 consecutive surgical cases. Neurosurgery. ,vol. 63, pp. 1125- 1129 ,(2008) , 10.1227/01.NEU.0000335782.60059.17
Hung-Seob Chung, Jung-Keun Suh, Taek-Hyun Kwon, Youn-Kwan Park, Dong-Jun Lim, Tai-Hyoung Cho, Yong-Gu Chung, Chronic subdural hematoma: evaluation of the clinical significance of postoperative drainage volume. Journal of Neurosurgery. ,vol. 93, pp. 796- 799 ,(2000) , 10.3171/JNS.2000.93.5.0796
Rafał Chrzan, Jerzy Czernik, Wojciech Apoznański, Maciej Bagłaj, Dariusz Patkowski, Assessing bladder capacity in children: is it feasible at all? Neurourology and Urodynamics. ,vol. 25, pp. 211- 214 ,(2006) , 10.1002/NAU.20123