Anatomical regions of residual hemorrhage in chronic subdural hematoma
Abstract Background Chronic subdural hematoma (CSH) is a persistent challenge for neurosurgeons, with current relapse, mortality, and morbidity rates not meeting desired outcomes. This study aims to identify the anatomical regions of postoperative residual hemorrhage and discuss their potential impl...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2025-02-01
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| Series: | Egyptian Journal of Neurosurgery |
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| Online Access: | https://doi.org/10.1186/s41984-025-00346-4 |
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| author | Abdullah Emre Taçyıldız Melih Üçer Kübra Gezici Gökhan Canaz Aydın Sinan Apaydın |
| author_facet | Abdullah Emre Taçyıldız Melih Üçer Kübra Gezici Gökhan Canaz Aydın Sinan Apaydın |
| author_sort | Abdullah Emre Taçyıldız |
| collection | DOAJ |
| description | Abstract Background Chronic subdural hematoma (CSH) is a persistent challenge for neurosurgeons, with current relapse, mortality, and morbidity rates not meeting desired outcomes. This study aims to identify the anatomical regions of postoperative residual hemorrhage and discuss their potential implications for surgical practice. Methods This retrospective, observational study reviewed the demographic, clinical, functional, and radiographic outcomes of 74 patients who underwent surgery for CSH between January 1, 2017, and October 1, 2021, at a single-center. Data were collected from the hospital's electronic database, including patient history, physical examination records, and preoperative and postoperative imaging. Results Postoperative day 1 computed tomography scans revealed the most common region for residual hemorrhage was the inferior frontal gyrus in 17 cases (23.0%; valid percentage: 42.5%). Residual hemorrhage was detected in the superior parietal lobe in 9 cases (12.2%; valid percentage: 22.5%). High valid percentages of residual hemorrhage were also noted in the temporal (62.5%) and occipital (66.6%) regions. Conclusions The inferior frontal gyrus, temporal, and occipital regions are the most common sites for postoperative residual hemorrhage in CSH patients. Identifying these regions can guide surgical planning and intraoperative focus, potentially improving patient outcomes. This study provides valuable insights for refining presurgical strategies and targeting specific anatomical areas during surgery. |
| format | Article |
| id | doaj-art-6b8273e82aa54c30ba78c2a7a0598833 |
| institution | Kabale University |
| issn | 2520-8225 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Egyptian Journal of Neurosurgery |
| spelling | doaj-art-6b8273e82aa54c30ba78c2a7a05988332025-02-09T12:25:08ZengSpringerOpenEgyptian Journal of Neurosurgery2520-82252025-02-014011810.1186/s41984-025-00346-4Anatomical regions of residual hemorrhage in chronic subdural hematomaAbdullah Emre Taçyıldız0Melih Üçer1Kübra Gezici2Gökhan Canaz3Aydın Sinan Apaydın4Faculty of Medicine, Department of Neurosurgery, Turgut Ozal UniversityFaculty of Medicine, Department of Neurosurgery, Biruni UniversityDepartment of Neurosurgery, Basakşehir Cam and Sakura City HospitalDepartment of Neurosurgery, Basakşehir Cam and Sakura City HospitalFaculty of Medicine, Department of Neurosurgery, Karabuk UniversityAbstract Background Chronic subdural hematoma (CSH) is a persistent challenge for neurosurgeons, with current relapse, mortality, and morbidity rates not meeting desired outcomes. This study aims to identify the anatomical regions of postoperative residual hemorrhage and discuss their potential implications for surgical practice. Methods This retrospective, observational study reviewed the demographic, clinical, functional, and radiographic outcomes of 74 patients who underwent surgery for CSH between January 1, 2017, and October 1, 2021, at a single-center. Data were collected from the hospital's electronic database, including patient history, physical examination records, and preoperative and postoperative imaging. Results Postoperative day 1 computed tomography scans revealed the most common region for residual hemorrhage was the inferior frontal gyrus in 17 cases (23.0%; valid percentage: 42.5%). Residual hemorrhage was detected in the superior parietal lobe in 9 cases (12.2%; valid percentage: 22.5%). High valid percentages of residual hemorrhage were also noted in the temporal (62.5%) and occipital (66.6%) regions. Conclusions The inferior frontal gyrus, temporal, and occipital regions are the most common sites for postoperative residual hemorrhage in CSH patients. Identifying these regions can guide surgical planning and intraoperative focus, potentially improving patient outcomes. This study provides valuable insights for refining presurgical strategies and targeting specific anatomical areas during surgery.https://doi.org/10.1186/s41984-025-00346-4Chronic subdural hematomaResidual hematoma |
| spellingShingle | Abdullah Emre Taçyıldız Melih Üçer Kübra Gezici Gökhan Canaz Aydın Sinan Apaydın Anatomical regions of residual hemorrhage in chronic subdural hematoma Egyptian Journal of Neurosurgery Chronic subdural hematoma Residual hematoma |
| title | Anatomical regions of residual hemorrhage in chronic subdural hematoma |
| title_full | Anatomical regions of residual hemorrhage in chronic subdural hematoma |
| title_fullStr | Anatomical regions of residual hemorrhage in chronic subdural hematoma |
| title_full_unstemmed | Anatomical regions of residual hemorrhage in chronic subdural hematoma |
| title_short | Anatomical regions of residual hemorrhage in chronic subdural hematoma |
| title_sort | anatomical regions of residual hemorrhage in chronic subdural hematoma |
| topic | Chronic subdural hematoma Residual hematoma |
| url | https://doi.org/10.1186/s41984-025-00346-4 |
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