作者: Yusuke Tomita , Shoko Merrit Yamada , Shokei Yamada , Akira Matsuno
DOI: 10.1016/J.WNEU.2018.07.192
关键词: Medicine 、 In patient 、 Midline shift 、 Surgery 、 Hematoma 、 Chronic subdural hematoma 、 Hemiparesis 、 Statistical analysis 、 Motor cortex 、 Weakness
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.