دورية أكاديمية
Seizure after chronic subdural hematoma evacuation: associated factors and effect on clinical outcome
| العنوان: | Seizure after chronic subdural hematoma evacuation: associated factors and effect on clinical outcome |
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| المؤلفون: | Liang Wu, Xufei Guo, Yunwei Ou, Xiaofan Yu, Bingcheng Zhu, Yunfei Li, Weiming Liu |
| المصدر: | Frontiers in Neurology, Vol 14 (2023) |
| بيانات النشر: | Frontiers Media S.A., 2023. |
| سنة النشر: | 2023 |
| المجموعة: | LCC:Neurology. Diseases of the nervous system |
| مصطلحات موضوعية: | chronic subdural hematoma, postoperative seizure, burr-hole craniotomy, recurrence, clinical outcome, Neurology. Diseases of the nervous system, RC346-429 |
| الوصف: | ObjectiveChronic subdural hematoma (CSDH) is a common disease in neurosurgery, which usually occurs in the elderly. Seizure is one of the postoperative complications in CSDH patients and can affect patient outcomes. There is currently no consensus on whether antiepileptic drugs should be prescribed prophylactically. The aim of this study was to evaluate independent risk factors for postoperative seizures and unfavorable outcomes in CSDH patients.MethodsWe reviewed 1,244 CSDH patients who had undergone burr-hole craniotomy in this study. Patient clinical data, CT scan results, recurrence and outcome data were collected. We divided the patients into two groups based on whether they had a postoperative seizure. Percentages and χ2 tests were applied for categorical variables. Standard deviations and two-sided unpaired t-tests were applied for continuous variables. Stepwise logistic regression analyses were performed to identify the independent factors of postoperative seizures and unfavorable outcomes.ResultsThe incidence of seizures after CSDH surgery was 4.2% in this study. There was no significant difference in recurrence rate between seizure and non-seizure patients (p = 0.948), and the outcome of seizure patients was significantly poor (p |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 1664-2295 93364628 |
| Relation: | https://www.frontiersin.org/articles/10.3389/fneur.2023.1190878/full; https://doaj.org/toc/1664-2295 |
| DOI: | 10.3389/fneur.2023.1190878 |
| URL الوصول: | https://doaj.org/article/337b9336462842a28ff2008dfa022196 |
| رقم الأكسشن: | edsdoj.337b9336462842a28ff2008dfa022196 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 16642295 93364628 |
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| DOI: | 10.3389/fneur.2023.1190878 |