Recurrence of Chronic Subdural Hematoma Due to Low-grade Infection

Overview

Journal Front Neurol

Specialty Neurology

Date 2022 Oct 10

PMID 36212639

Authors

Daniel Dubinski

Sae-Yeon Won

Svorad Trnovec

Kseniya Gounko

Peter Baumgarten

Philipp Warnke

Daniel Cantre

Bedjan Behmanesh

Joshua D Bernstock

Thomas M Freiman

Florian Gessler

Steffen Sola

Affiliations

Soon will be listed here.

Abstract

Despite the high incidence and multitudes of operative techniques, the risk factors for chronic subdural hematoma (CSDH) recurrence are still under debate and a universal consensus on the pathophysiology is lacking. We hypothesized that clinically inapparent, a low-grade infection could be responsible for CSDH recurrence. This investigation is a single-center prospective observational study including patients with recurrent CSDH. In total, 44 patients with CSDH recurrence received an intraoperative swab-based microbiological test. The intraoperative swab revealed an inapparent low-grade hematoma infection in 29% of the recurrent CSDH cases. The majority (69%) of the identified germs belonged to the genus. We therefore, propose a novel potential pathophysiology for CSDH recurrence.

Citing Articles

The Use of Adjuvant Dexamethasone in Chronic Subdural Hematoma After Surgery.

Cine H Cureus. 2023; 15(8):e44086.

PMID: 37638268 PMC: 10450569. DOI: 10.7759/cureus.44086.

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