Table 1.
Details of published studies on outcomes of craniotomy with membranectomy for chronic subdural hematoma.
| First Author, Published Year | Institution | Length of Study (years) | Total Sample Size | Intervention Type (n) | Mean age in years (range) | Female (%) | Number of patients with reoperation (%) | Glasgow Coma Score (n) | Presenting symptoms (n) | Comments |
|---|---|---|---|---|---|---|---|---|---|---|
| Kayaci et al., 201437 | Recep Tayyip Erdogan University | 7 | 252 | CTIM (144) BCOMI (108) |
68.8 ± 1.5 67.6 ± 1.4 |
27/144 (19%) 30/108 (28%) |
N/A | >12(114) < 12 (30) > 12 (90) <12(18) |
Mild-moderate head trauma (102/144) Preexisting medical conditions (51/144) Mild-moderate head trauma (84/108) Preexisting medical conditions (39/108) |
Preexisting conditions include HTN, DM, and ischemic heart disease (n = 60, 54, and 42 in both groups respectively). Most common symptoms overall were cognitive deficits (64%), hemiparesis (46%), and motor dysphasia (24%). |
| Callovini et al., 201438 | Santo Spirito Hospital | 8 | 34 | CR (34) | 71 (17-89) | 13/34 (38%) | 2/34 (6%) | N/A | Headache (14) Altered consciousness (9) Hemisyndrome (15) Aphasia (6) Gait disturbance (9) Seizure (1) |
N/A |
| Lee et al., 200430 | University of Cologne, Germany | 4 | 172 | CR (134) BH (38) |
69 (27-92) | 54/134 (40%) 13/38 (34%) |
25/134 (19%) 6/38 (16%) |
N/A | Headache (67) Hemiparesis (61) Altered consciousness (50) |
BH group used two different BHs without membraneectomy (n=38) |
| Svien and Gelety, 196439 | Mayo Clinic | 5 | 69 | CR (19) | 50 (6-75) | 18/69 (26%) | 7/19 (37%) | N/A | Headache, Papilledema, bilateral cSDH | BH patients had no membranectomy |
| Tyson et al., 198040 | University of Virginia School of Medicine | 6 | 48 | CR (7) | †20–86 | N/A | N/A | N/A | N/A | Reoperation occurred 4–8 days postoperatively in four patients with BHs, which were reopened and 50–100 ml of fluid was evacuated. In two cases, a craniotomy was then performed. |
| Sambasivan, 199741 | Medical College Hospital | 30 | 2275 | CR (2215) BH (60) |
N/A | 407/2275 (18%) | 11/60 (18%) | N/A | Conscious w/pain (338) Behavioral disturbance (404) Seizures (275) Stroke (670) Coma (343 |
2215 patients underwent a subtemporalis marsupialization. |
| Mondorf et al., 200942 | Hannover Nordstadt Hospital, Klinikum Hannover | 5 | 193 | CR (151) BH (42) |
72.5 (26-97) | 80/193 (41% | 3/193 (2%) | N/A | Hemiparesis (112) Altered consciousness (70) Aphasia (46) |
14 deaths due to non-cSDH related pathology |
| Kim et al., 201143 | Seoul Medical Center, Seoul, Korea | 8 | 317 | CR (58) BH (259) |
59.4 63.7 ± 16.9 |
12/58 (21%) 68/259 (26%) |
12/58 (21%) 23/259 (9%) |
N/A | Headache(133) Disturbance of consciousness (89) Motor weakness (68) Gait disturbance (37) Disturbance of consciousness (46) Headache (34) Motor deficits (25) Dysphasia (13) |
N/A |
| Tanikawa et al., 200144 | Nagoya City University School of Medicine, Japan | 3 | 49 | CR (16) BH (33) |
70.3 ± 9.3 69.3 ± 14.9 |
N/A | 0/16 (0%) 4/33 (12%) |
N/A | Headache or hemiparesis | N/A |
| Rocchi et al., 200745 | University of Rome La Sapienza, Italy | 8 | 243 | CR (14) | 62.1 (41-76) | 7/14 (50%) | 9/14 (64%) | 10 (7) 11 (2) 12 (2) 13 (3) |
Hemiparesis (12) Aphasia (6) Hyposthenia (2) |
N/A |
| Gelabert-Gonzalez et al., 20 0546 | Unversity of Santiago de Compostela, Spain | 22 | 1000 | CR (1000) | 72.7 ± 11.4 (12-100) | 372/1000 (37%) | 61/1000 (1%) | N/A | Behavioural Distrubance (285) Headache (251) Hemisyndrome (248) Seizures (126) Aphasia (73) Coma (37) Incidental (1) |
N/A |
| Mohame d, 200947 | Gezera Hospital, Egypt | 12 | 39 | CR (39) | 61 (51-73) | 14/39 (36%) | 0/39 (0%) | > 13 (39) | Contralateral hemiparesis (35) Seizure (1) Headache and fluctuating consciousness (39) Diabetes (3) Hypertensive (2) |
N/A |
| Unterhof er et al., 201648 | Medical University of Innsbruck, Austria | 2 | 52 | CR (52) | 72 (48-89) | 13/52 (25%) | 14/52 (27%) | N/A | Headache (29) | 52 patients but 57 cSDHs |
| Regan et al., 20 1 549 | 3 | 123 | CR (58) BH (61) |
68 72 |
19/58 (33%) 25/61 (41%) |
14/58 (24%) 4/61 (7%) |
§13.6 §14.5 |
N/A | N/A | |
| Van Der Veken et al., 201450 | University Hospital UZ Brussel, Belgium | 6 | 131 | CR (126) | 73.4 | 40/126 (32%) | 11/126 (9%) | N/A | Motor deficit (36) Altered consciousness (33) Headache(23) Dysphasia (15) Gait disturbance (14) Seizure (5) |
N/A |
| White et al., 20 1 051 | Institute of Neurological Sciences, Southern General Hospital-Glasgow, United Kingdom | 3 | 268 | CR (116) BH (130) |
73 63 |
N/A | N/A | 50/116 show improvement 56/130 show improvement |
N/A | N/A |
| Ernestus et al., 199752 | Department of Neurosurgery, University of Cologne-Cologne, Germany | 3 | 104 | CR (10) BH (94) |
*69 (22-94) | 35/104 (34%) | 1/8 (13%) 17/92 (18%) |
N/A | Headache(39) Psychomotor disturbance (21) Seizure (6) Hemisyndrome (39) Aphasia (21) Anisocoria (10) |
BH = Burr Hole Craniostomy |
Abbreviations: BCOMI = burr hole with craniotomy and membrane incision; BH = burr hole; CR = craniotomy; CTIM = catheterization and tearing of inner membrane; NA = not available; HTN = hypertension; DM = diabetes mellitus.
*
Median was reported instead of mean
†
Range reported instead of mean
§
Average GCS reported