ArticleDiagnostics (Basel, Switzerland)2022
Controversies in the Surgical Treatment of Chronic Subdural Hematoma: A Systematic Scoping Review.
Article in Diagnostics (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 4 of them syntheses that pooled it.
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Who cites it
26 citing papers in PubMed, 4 syntheses or guidelines pooled it, 50 citations in OpenAlex.
- Irrigation practices in surgical evacuation of chronic subdural hematoma: systematic review and meta-analysis of technique, fluid type, and temperature.Neurosurgical review · 2025Pooled it
- Pooled it
- Optimal duration of postoperative drainage following burr hole surgery for chronic subdural hematoma: A systematic review and network meta-analysis.Langenbeck's archives of surgery · 2025Pooled it
- Optimal drain position after evacuation of chronic subdural hematomas: a systematic review and network meta-analysis.Frontiers in neurologyPooled it
- Middle Meningeal Artery Embolization With n-Butyl Cyanoacrylate in Patients With Chronic Subdural Hematoma: A Randomized Clinical Trial.JAMA neurology · 2026Trial
- Middle meningeal artery arteriovenous shunting after surgical evacuation of chronic subdural hematoma: a retrospective angiographic cohort study.Neurosurgical review · 2026Article
- Excessive subgaleal suction from a variable vacuum drainage system used for managing chronic subdural hematomas: a cautionary note. Illustrative case.Journal of neurosurgery. Case lessons · 2026Article
- Article
- Incidence and predictors of contralateral surgery after initial unilateral evacuation of bilateral chronic subdural hematomas: A population-based cohort study.Brain & spine · 2026Article
- BRIDGE: Burr hole vs. craniotomy - radiomic indicators determining the chronification grid in acute subdural hematoma evaluation.Brain & spine · 2026Article
- Postoperative pneumocephalus as a predictor of chronic subdural hematoma recurrence: a retrospective cohort analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Timing of surgery for chronic subdural hematoma in patients with mild to moderate symptoms: a retrospective cohort study.Acta neurochirurgica · 2025Article
- Impact of Frailty on Surgical Outcomes in Nonacute Subdural Hematomas: A Nationwide Analysis of 251,597 Patients over 20 Years.Journal of clinical medicine · 2025Article
- Navigating challenges in hydrocephalus following intraventricular hemorrhage: a comprehensive review of current evidence.Frontiers in neurology · 2025Review
- Middle meningeal artery embolization for chronic subdural hematoma in a young patient with antiphospholipid syndrome: A case report.SAGE open medical case reports · 2025Article
- Chronic subdural hematoma with mild to moderate symptoms: The effect of initial treatment approach on clinical outcome.Brain & spine · 2025Article
- Comparative clinical outcomes of irrigation techniques in burr-hole craniostomy for chronic subdural hemorrhage: a multicenter cohort study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Review
- Additional treatment after primary conservative treatment in patients with chronic subdural hematoma-A retrospective study.Brain and behavior · 2024Article
- Article
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Chronic subdural hematoma (cSDH) is one of the most common neurosurgical entities, especially in the elderly population. Diagnosis is usually established via a head computed tomography, while an increasing number of studies are investigating biomarkers to predict the natural history of cSDH, including progression and recurrence. Surgical evacuation remains the mainstay of treatment in the overwhelming majority of cases. Nevertheless, many controversies are associated with the nuances of surgical treatment. We performed a systematic review of the literature between 2010 and 2022, aiming to identify and address the issues in cSDH surgical management where consensus is lacking. The results show ambiguous data in regard to indication, the timing and type of surgery, the duration of drainage, concomitant membranectomy and the need for embolization of the middle meningeal artery. Other aspects of surgical treatment-such as the use of drainage and its location and number of burr holes-seem to have been adequately clarified: the drainage of hematoma is strongly recommended and the outcome is considered as independent of drainage location or the number of burr holes.
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Registered trials
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