ArticleFrontiers in neurology2022
Seizure after surgical treatment of chronic subdural hematoma-Associated factors and effect on outcome.
Article in Frontiers in neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Frailty Predicts Neurological Outcome in Chronic Subdural Hematoma: A Single-Center Prospective Cohort Study.Geriatrics (Basel, Switzerland) · 2026Article
- Is There Still a Role for Twist Drill Craniostomy in Contemporary Management of Chronic Subdural Hematoma?Brain sciences · 2026Article
- ABO Blood Types Are Not Associated with Recurrence After the Surgical Treatment of Chronic Subdural Hematoma-A Retrospective Cohort Study.Journal of clinical medicine · 2026Article
- Classification of recurrence status after surgical treatment of chronic subdural hemorrhage - A machine learning approach.PloS one · 2026Article
- Pre-existing statin use and recurrence in relation to hematoma architecture of chronic subdural hematomas - A propensity score-matched analysis.Brain & spine · 2026Article
- Risk factors of postprocedure seizures following standalone middle meningeal artery embolization of chronic subdural hematomas: a bi-institutional retrospective analysis.Neurosurgical review · 2025Article
- Effects of Angiotensin-Converting Enzyme Inhibition on the Recurrence and Internal Structure of Chronic Subdural Hematomas.Journal of clinical medicine · 2024Article
- The clinical differences between traumatic and NOS chronic subdural hematoma.Frontiers in neurology · 2024Article
- Middle meningeal artery embolisation: The review of a new treatment for chronic subdural hematomas.Surgical neurology international · 2023Review
- Seizure after chronic subdural hematoma evacuation: associated factors and effect on clinical outcome.Frontiers in neurology · 2023Article
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10 authors.
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Abstract
Introduction: Chronic subdural hematoma (cSDH) is becoming more prevalent due to population aging and the increasing use of antithrombotic drugs. Postoperative seizure in cSDH have a negative effect on outcome, and there currently no consensus regarding prophylactic anti-epileptic drug (AED) treatment. The objective of this study was to evaluate predisposing and triggering factors associated with postoperative epileptic seizure in patients with cSDH. Methods: All patients, who were surgically treated for cSDH in a single tertiary care center between 2015 and 2019, were considered for inclusion. Relevant patient- and hematoma-specific characteristics were retrospectively extracted from hospital records. Paroxysmal events categorized by the treating physician as suspected postoperative seizures were noted. The clinical outcome was extracted from the last available follow-up visit and classified according to the Glasgow outcome scale (GOS). Results: Of the included 349 patients, 54 (15.5%) developed suspected postoperative epileptic complications in the form of early seizure (≤ 7 days) in 11 patients (3.2%) and late seizure (>7 days) in 43 patients (12.3%). In the logistic regression analysis, solely depressed brain volume (supratentorial volume (ml) not filled with re-expanded brain) was independently associated with postoperative seizure (odds ratio [ Conclusion: Larger postoperative depressed brain volume was the only factor independently associated with suspected postoperative seizure, and it could help identify a subgroup of patients with higher susceptibility to epileptic events. Based on our data, no formal recommendation can be made regarding the prophylactic use of anti-epileptic drugs. Nevertheless, the relative safety of new generation AEDs and the detrimental effect of postoperative seizure on outcome may justify its use in a selected patient population.
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