ArticleJournal of Korean Neurosurgical Society2013
Natural course of initially non-operated cases of acute subdural hematoma : the risk factors of hematoma progression.
Article in Journal of Korean Neurosurgical Society, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
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Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The Risk of Deterioration in GCS13-15 Patients with Traumatic Brain Injury Identified by Computed Tomography Imaging: A Systematic Review and Meta-Analysis.Journal of neurotrauma · 2018Pooled it
- Tailored Tissue Plasminogen Factor Injection via Subdural Catheter for Subacute Subdural Hematoma in an Elderly Patient: A Case Report and Literature Review.Korean journal of neurotrauma · 2025Article
- Visual impairment associated with direct compression of the visual cortex due to subdural hematoma following foramen magnum decompression: illustrative case.Journal of neurosurgery. Case lessons · 2024Article
- Natural course of chronic subdural hematoma following surgical clipping of unruptured intracranial aneurysm by pterional approach.Journal of cerebrovascular and endovascular neurosurgery · 2023Article
- The pathophysiology of chronic subdural hematoma revisited: emphasis on aging processes as key factor.GeroScience · 2022Review
- Lateral Ventricular Volume Asymmetry and Optic Nerve Sheath Diameter Predict Intracranial Pressure in Traumatic Brain Injury Patients.Applied bionics and biomechanics · 2022Article
- Rapid Spontaneous Resolution of Large Acute Subdural Hematoma.Korean journal of neurotrauma · 2021Article
- Comparisons of Radiological and Clinical Characteristics between Traumatic and Non-traumatic Subdural Hematoma Patients.Korean journal of neurotrauma · 2021Article
- Endoscopically Treated Subacute Subdural Hematoma Presenting Postoperative Cerebral Hyperperfusion Syndrome: Chronological Changes of Cerebral Blood Flow on Arterial Spin Labeling and Subcortical Low Intensity on Fluid-attenuated Inversion Recovery Images.NMC case report journal · 2021Article
- Neurocritical Management of Traumatic Acute Subdural Hematomas.Korean journal of neurotrauma · 2020Review
- Factors Associated with Poor Outcomes in Patients with Mild or Moderate Acute Subdural Hematomas.Neurologia medico-chirurgica · 2020Article
- Delayed Operation of Acute Subdural Hematoma in Subacute Stage by Trephine Drainage using Urokinase.Korean journal of neurotrauma · 2019Article
- Rates of Repeated Operation for Isolated Subdural Hematoma Among Older Adults.JAMA network open · 2018Article
- Burr Hole Drainage with Urokinase Irrigation for the Treatment of Acute Subdural Hematoma: A Case Report.Korean journal of neurotrauma · 2018Article
- Expanding Subdural Hematomas in the Subacute Stage and Treatment via Catheter Drainage.Korean journal of neurotrauma · 2018Article
- Reformatted images improve the detection rate of acute traumatic subdural hematomas on brain CT compared with axial images alone.Emergency radiology · 2017Article
- The Effectiveness of Subdural Drains Using Urokinase after Burr Hole Evacuation of Subacute Subdural Hematoma in Elderly Patients: A Prelimilary Report.Korean journal of neurotrauma · 2016Article
- Effectiveness of Cortical Atrophy Scale and Indirect Indices of Brain Atrophy to Predict Chronic Subdural Hematoma in Older Patients.Korean journal of neurotrauma · 2016Article
- Impact of Time Interval between Trauma Onset and Burr Hole Surgery on Recurrence of Late Subacute or Chronic Subdural Hematoma.Journal of Korean Neurosurgical Society · 2016Article
- Clinical profile of subdural hematomas: dangerousness of subdural subacute hematoma.Neurosurgical review · 2016Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe objectives of the present study were to characterize the natural course of initially non-operated traumatic acute subdural hematoma (ASDH) and to identify the risk factors of hematoma progression.
methodsRetrospective analysis was performed using sequential computed tomography (CT) images maintained in a prospective observational database containing 177 ASDH cases treated from 2005 to 2011. Patients were allocated to four groups as followings; 136 (76.8%) patients to the spontaneous resolution group, 12 (6.8%) who underwent operation between 4 hours and 7 days to the rapid worsening group (RWG), 24 (13.6%) who experienced an increase of hematoma and that underwent operation between 7 and 28 days to the subacute worsening group (SWG), and 5 (2.8%) who developed delayed aggravation requiring surgery from one month after onset to the delayed worsening group (DWG). Groups were compared with respect to various factors.
resultsNo significant intergroup difference was found with respect to age, mechanism of injury, or initial Glasgow Coma Scale. The presence of combined cerebral contusion or subarachnoid hemorrhage was found to be a significant prognostic factor. Regarding CT findings, mixed density was common in the RWG and the SWG. Midline shifting, hematoma thickness, and numbers of CT slices containing hematoma were significant prognostic factors of the RWG and the SWG. Brain atrophy was more severe in the SWG and the DWG.
conclusionA large proportion of initially non-operated ASDHs worsen in the acute or subacute phase. Patients with risk factors should be monitored carefully for progression by repeat CT imaging.
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