Evidence map›Paper›PMID 39624590›Full record

ArticleExperimental and therapeutic medicine2025

Effectiveness of a single burr hole as a surgical technique for the management of chronic subdural hematoma: A clinical case series study.

George Fotakopoulos, Charalampos Gatos, Vasiliki Epameinondas Georgakopoulou, Demetrios A Spandidos, Nikolaos Trakas, Pagona Sklapani, Kostas N Fountas

Abstract readCase Reports
In one paragraph

Article in Experimental and therapeutic medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

George FotakopoulosDepartment of Neurosurgery, General University Hospital of Larisa, School of Medicine, University of Thessaly, 41221 Larisa, Greece.
Charalampos GatosDepartment of Neurosurgery, General University Hospital of Larisa, School of Medicine, University of Thessaly, 41221 Larisa, Greece.
Vasiliki Epameinondas GeorgakopoulouDepartment of Pathophysiology, National and Kapodistrian University of Athens, 11527 Athens, Greece.
Demetrios A SpandidosLaboratory of Clinical Virology, School of Medicine, University of Crete, 71003 Heraklion, Greece.
Nikolaos TrakasDepartment of Biochemistry, Sismanogleio Hospital, 15126 Athens, Greece.
Pagona SklapaniDepartment of Biochemistry, Sismanogleio Hospital, 15126 Athens, Greece.
Kostas N FountasDepartment of Neurosurgery, General University Hospital of Larisa, School of Medicine, University of Thessaly, 41221 Larisa, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic subdural haematoma (chSDH) commonly affects the elderly population, and a number of factors are related to its recurrence. As regards the procedure, the percentage of its involvement in the chSDH recurrence must be clarified. Thus, the present study aimed to investigate the factors related to chSDH recurrence and to determine the efficacy and contribution of the single burr hole technique in preventing hematoma recurrence. The present study represents a single-center, retrospective study of chSDH cases who underwent surgical evacuation via single burr hole technique. Statistical analyses were executed using the Statistical Package for the Social Sciences. The Shapiro-Wilk test was used for the evaluation of the normality of the distribution of variables. Fisher's exact test was used for the categorical variables, and continuous data were evaluated with the Mann-Whitney U test. In total, 166 patients were divided into two groups: Group A (154 patients, 92.8%) without hematoma recurrence, and Group B (12 patients, 7.2%) with hematoma recurrence. All patients were re-operated on, only when they had clinical and radiological deterioration. In the present study, the hematoma recurrence rate using single burr hole surgery for chSDH evacuation was 7.2%, and was relatively small compared with other procedures reported in the literature. Overall, the patients who underwent single burr hole surgery for chSDH evacuation had an increased risk of hematoma recurrence, when this was in combination with anticoagulant use, history of a brain stroke event, and mixed hematoma density observed in CT scans. Notably, in the case of recurrence, the potential interval for recurrence was 16 days following the initial surgical evacuation of the hematoma.

Indexed as

chronic subdural haematomarecurrencesingle burr holesurgical evacuation

Identifiers

PMID39624590
PMCPMC11609760

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.