Evidence map›Paper›PMID 41426770›Full record

ArticleCureus2025

Contralateral Acute Subdural Hematoma Immediately After Irrigation of a Chronic Subdural Hematoma: A Case Report.

Ryo Matsuzaki, Yutaka Fuchinoue, Yuki Sakaeyama, Shuhei Kubota, Nobuo Sugo

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Ryo MatsuzakiNeurosurgery, Toho University, Tokyo, JPN.
Yutaka FuchinoueNeurosurgery, Toho University, Tokyo, JPN.
Yuki SakaeyamaNeurosurgery, Toho University, Tokyo, JPN.
Shuhei KubotaNeurosurgery, Toho University, Tokyo, JPN.
Nobuo SugoNeurosurgery, Toho University, Tokyo, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Few reports describe contralateral subdural hematoma (SDH) after chronic SDH (CSDH) surgery. In this article, we present a rare case of postoperative complication. The patient was a 76-year-old woman with a history of cerebral infarction due to atrial fibrillation and who was taking an anticoagulant. She presented with a disturbance of consciousness on the Glasgow Coma Scale (GCS) E2V5M6. Computerized tomography (CT) revealed a left CSDH; drainage was performed immediately. After surgery, the CT scan revealed an acute SDH (ASDH) on the contralateral side. Three hours later, the hematoma increased, and she became comatose with a GCS of 1V1M1, and surgery was performed. The speculated cause of the contralateral hemorrhage was the damage to the bridging veins and superficial cerebral vessels due to a sudden change in intracranial pressure, combined with brain fragility and a prolonged prothrombin time (PT) and international normalized ratio (INR) resulting from warfarin therapy. Caution during the postoperative period and follow-up is required for early identification of these cases.

Indexed as

acute subdural hematomaanticoagulantchronic subdural hematomamiddle cerebral artery infarctionremote acute subdural hematoma

Identifiers

PMID41426770
PMCPMC12713152

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

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.