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Chronic subdural hematoma (CSDH) is a common neurosurgical disease; the incidence of the chronic subdural hematoma (CSDH) in the general population is approximately 5 per 100, 000 / year, 23 but is higher for elderly patients, from 8 to58 per 100, 000 in those older than 65 years. 2, 3, 6 Recurrence rates after burr hole surgery vary between 8. 3% and 26. 5%. 7, 27 Chronic subdural hematoma in the elderly may not be such a benign disease. 18 As has been correctly written, “no systemic or focal cause for the bleeding was found, and possible mechanisms are discussed”. 19 The initial bleeding in subdural hematoma is commonly attributed to the rupture of bridging veins, although there are other causes ascertained including dense capillary networks of the internal dural layer, 10 parasagittal venular vessels, 13 pial veins, 20 subarachnoid arteries. 11 The primary cause of the bleeding veins bridge is attributed to trauma, especially those that cause an antero-posterior acceleration deceleration of the head. Anticoagulants are drugs used to prevent clot formation or to prevent a clot that has formed from enlarging. They inhibit clot formation by blocking the action of clotting factors or platelets. Anticoagulant drugs fall into three categories: inhibitors of clotting factor synthesis, inhibitors of thrombin and antiplatelet drugs. We hypothesized that treatment with antiplatelet or anticoagulant drugs may influence the recurrence of CSDH.
In this study, we reviewed a series of 447 surgical cases of CSDH and retrospectively evaluated probable causes of bleeding and factors associated with the recurrence of CSDH, using a logistic regression model.
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In this study, we reviewed a series of 447 surgical cases of CSDH and retrospectively evaluated probable causes of bleeding and factors associated with the recurrence of CSDH, using a logistic regression model.
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