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2015 ; 11
(2
): 70-4
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English Wikipedia
Clinical Features According to the Histological Types of the Outer Membrane of
Chronic Subdural Hematoma
#MMPMID27169068
Park MH
; Kim CH
; Cho TG
; Park JK
; Moon JG
; Lee HK
Korean J Neurotrauma
2015[Oct]; 11
(2
): 70-4
PMID27169068
show ga
OBJECTIVE: The aim of our study was to classify the outer membrane of chronic
subdural hematoma (CSDH) histologically and to determine the clinical and
radiological meaning of the classified membranes. METHODS: The outer membrane
specimen of 31 patients who underwent surgery for CSDH were acquired in this
study. The specimen was classified into four types and each were analyzed of the
symptoms on the admission day and during the period from trauma to surgery. The
radiological features such as subdural fluid density, Hounsfield number,
thickness of the hematoma, and midline shift were analyzed. RESULTS: There were
6% of type I, 29% of type II, 39% of type III, and 26% of type IV neomembranes.
The cases of CSDH accompanied by neurologic deficit were highest from type IV of
63%, followed by type II with 56%. On the radiological findings such as
Hounsfield unit, hematoma thickness and midline shift, only hematoma thickness
between type II and III were statistically significant (p=0.021). The hematoma
thickness and midline shift were greatest in type II. On computed tomography
scans, the isodense, hyperdense and laminar type that shows the high recurrence
rate formed 75% of type II and 67% of type IV while type III had the low
possibility of recurrence rate (33%). CONCLUSION: We have identified that the
outer membrane have the tendency to develop from type I to IV in time while type
II and type IV may have more risk of neurologic deficit and the high possibility
of recurrence.