Observational studyNeurosurgical review2018
Prognostic significance of hematoma thickness to midline shift ratio in patients with acute intracranial subdural hematoma: a retrospective study.
Observational study in Neurosurgical review, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 28 citations in OpenAlex.
- A dynamic nomogram for predicting primary intraoperative brain bulge in patients with traumatic acute subdural hematoma.BMC medical imaging · 2026Article
- Surgical decision-making in traumatic acute subdural hematoma: A scoping review of current evidence, knowledge gaps, and future directions.Surgical neurology international · 2026Review
- Computational Modeling of Bridging Vein Rupture and Acute Subdural Hematoma Growth.Annals of biomedical engineering · 2025Article
- Simulating Cerebral Edema and Ischemia After Traumatic Acute Subdural Hematoma Using Triphasic Swelling Biomechanics.Annals of biomedical engineering · 2024Article
- Outcome and survival of surgically treated acute subdural hematomas and postcraniotomy hematomas - A retrospective cohort study.Brain & spine · 2023Article
- Development and internal validation of a nomogram for predicting outcomes in children with traumatic subdural hematoma.Acute and critical care · 2022Article
- Surgical significance of prolonged fixed and dilated pupils in a case of non-traumatic, spontaneously regressing, acute subdural haemorrhage.BMJ case reports · 2022Article
- Mismatch between midline shift and hematoma thickness as a prognostic factor of mortality in patients sustaining acute subdural hematoma.Trauma surgery & acute care open · 2021Article
- A nomogram for estimating intracranial pressure using acute subdural hematoma thickness and midline shift.Scientific reports · 2020Article
- Reoperations after surgery for acute subdural hematoma: reasons, risk factors, and effects.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2020Article
- Identification of Prognostic Factors in Surgically Treated Patients with Acute Epidural Hematoma.Asian journal of neurosurgeryArticle
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Acute intracranial subdural hematoma (ASDH) is commonly associated with a grave prognosis citing a high incidence of morbidity and mortality. The parameters to decide on surgical evacuation of the hematoma are sometimes controversial. In this study, we theorized that the ratio between maximal hematoma thickness and midline shift would be varied by associated intrinsic brain pathology emanating from the trauma and would thus objectively evaluates the prognosis in ASDH. The records of patients diagnosed with ASDH who were submitted to surgical evacuation through a craniotomy were revised. Data collected included basic demographic data, preoperative general and neurological examinations, and radiological findings. The maximal thickness of the hematoma (H) on the preoperative CT brain was divided by the midline shift at the same level (MS) formulating the H/MS ratio. Postoperative data obtained included Glasgow Coma Scale (GCS), Glasgow Outcome Scale (GOS), and follow-up period. Sixty-seven eligible patients were included in the study, of which 53 (79.1%) patients were males. Mean age was 34 years. The H/MS ratio ranged from 0.69 to 1.8 with a mean of 0.93. Age above 50 years (P = 0.0218), admission GCS of less than 6 (0.0482), and H/MS ratio of 0.79 or less (P = 0.00435) were negative prognostic factors and correlated with a low postoperative GCS and GOS. H/MS ratio is a useful prognostic tool in patients diagnosed with ASDH and can be added to the armamentarium of data to improve the management decision in this cohort of patients.
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