Anatomical regions of residual hemorrhage in chronic subdural hematoma

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dc.authoridTacyildiz, Abdullah Emre/0000-0001-5806-243X;
dc.contributor.authorTacyildiz, Abdullah Emre
dc.contributor.authorUcer, Melih
dc.contributor.authorGezici, Kubra
dc.contributor.authorCanaz, Gokhan
dc.contributor.authorApaydin, Aydin Sinan
dc.date.accessioned2025-10-24T18:09:34Z
dc.date.available2025-10-24T18:09:34Z
dc.date.issued2025
dc.departmentMalatya Turgut Özal Üniversitesi
dc.description.abstractBackgroundChronic subdural hematoma (CSH) is a persistent challenge for neurosurgeons, with current relapse, mortality, and morbidity rates not meeting desired outcomes. This study aims to identify the anatomical regions of postoperative residual hemorrhage and discuss their potential implications for surgical practice.MethodsThis retrospective, observational study reviewed the demographic, clinical, functional, and radiographic outcomes of 74 patients who underwent surgery for CSH between January 1, 2017, and October 1, 2021, at a single-center. Data were collected from the hospital's electronic database, including patient history, physical examination records, and preoperative and postoperative imaging.ResultsPostoperative day 1 computed tomography scans revealed the most common region for residual hemorrhage was the inferior frontal gyrus in 17 cases (23.0%; valid percentage: 42.5%). Residual hemorrhage was detected in the superior parietal lobe in 9 cases (12.2%; valid percentage: 22.5%). High valid percentages of residual hemorrhage were also noted in the temporal (62.5%) and occipital (66.6%) regions.ConclusionsThe inferior frontal gyrus, temporal, and occipital regions are the most common sites for postoperative residual hemorrhage in CSH patients. Identifying these regions can guide surgical planning and intraoperative focus, potentially improving patient outcomes. This study provides valuable insights for refining presurgical strategies and targeting specific anatomical areas during surgery.
dc.identifier.doi10.1186/s41984-025-00346-4
dc.identifier.issn2520-8225
dc.identifier.issue1
dc.identifier.urihttps://doi.org/10.1186/s41984-025-00346-4
dc.identifier.urihttps://hdl.handle.net/20.500.12899/3705
dc.identifier.volume40
dc.identifier.wosWOS:001415338700005
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.language.isoen
dc.publisherSpringernature
dc.relation.ispartofEgyptian Journal Of Neurosurgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_20251023
dc.subjectChronic subdural hematoma; Residual hematoma
dc.titleAnatomical regions of residual hemorrhage in chronic subdural hematoma
dc.typeArticle

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