Clinical Research
Postoperative brain tissue recovery in patients with bilateral chronic subdural hematomas
Haichun Li, Xiangyu Meng, Jianjun Yang, Dongming Si, Li Jian, Long Xu, Lei Wang, Weiming Liu
Published 2017-12-15
Cite as Chin J Neuromed, 2017, 16(12): 1275-1279. DOI: 10.3760/cma.j.issn.1671-8925.2017.12.017
Abstract
ObjectiveTo observe the brain tissue recovery in patients with bilateral chronic subdural hematomas after drilling and drainage treatments.
MethodsThe clinical data of 143 patients with bilateral chronic subdural hematoma performed drilling and drainage in our hospital from January 2011 to December 2016 were collected, including gender, age, the longest and widest diameters of the skull and the longest diameter of the initial hematoma, the widest diameter of the initial hematoma, the widest diameter of the postoperative hematoma, and other clinical information. The postoperative absorption of hematoma and recovery of brain tissues were analyzed.
ResultsIn these 143 BCSDH patients, 119 were male and 24 were male; the mean age of these patients was (67.7±1.1) years (21-92 years old), and the mean age of male patients was (67.2±1.2) years and the mean age of female patients was (70.2±2.5) years. The longest diameters of the skull was 134.8 mm-177.8 mm (averaged 155.5 mm±0.7 mm) and the widest diameters of the skull was 113.5 mm -147.0 mm (averaged 131.7 mm±0.5 mm). The longest diameters of the left and right initial hematomas were (113.4±2.5) mm and (117.6±2.1) mm, and the widest diameters of the left and right initial hematomas were (15.8±0.5) mm and (17.2±0.8) mm. There was no significant difference in the recovery rate of brain tissues between patients with different gender, age or lesion sides (P<0.05). The recovery rate of brain tissues was positively correlated with the longest and widest diameters of initial hematomas (r=0.143, P=0.018; r=0.181, P=0.002). A total of 58 patients (40.6%) presented a single-side distance <10 mm from the brain tissue to the inner edge of the skull within one week after surgery, and a total of 48 patients (33.6%) showed both sides brain recovery to <10 mm.
ConclusionsDrilling and drainage are the first line treatment for patients with bilateral chronic subdural hematoma and contribute to the re-location of brain tissues. The rate of brain tissue recovery is positively correlated with the size of primary hematoma.
Key words:
Bilateral chronic subdural hematoma; Drilling and drainage; Brain tissue recovery
Contributor Information
Haichun Li
Department of Neurosurgery, First Affiliated Hospital of Henan University of Traditional Chinese Medicine, Zhengzhou 450001, China
Xiangyu Meng
Department of Neurosurgery, Beijing Tiantan Hosital, Capital Medical University, Beijing 100050, China
Jianjun Yang
Department of Neurosurgery, First Affiliated Hospital of Henan University of Traditional Chinese Medicine, Zhengzhou 450001, China
Dongming Si
Department of Neurosurgery, First Affiliated Hospital of Henan University of Traditional Chinese Medicine, Zhengzhou 450001, China
Li Jian
Department of Neurosurgery, First Affiliated Hospital of Henan University of Traditional Chinese Medicine, Zhengzhou 450001, China
Long Xu
Department of Neurosurgery, Beijing Tiantan Hosital, Capital Medical University, Beijing 100050, China
Lei Wang
Department of Neurosurgery, Beijing Tiantan Hosital, Capital Medical University, Beijing 100050, China
Weiming Liu
Department of Neurosurgery, Beijing Tiantan Hosital, Capital Medical University, Beijing 100050, China
