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Risk factors for subdural haematoma in patients with spontaneous intracranial hypotension.

Xia P, Hu XY, Wang J, Hu BB, Xu QL, Zhou ZJ, Lou M - PLoS ONE (2015)

Bottom Line: The clinical and radiographic characteristics of these 93 patients were analyzed, and then univariate analysis and further multiple logistic regression analysis were performed to identify the potential risk factors for the development of SDHs.However, multivariate analysis only included the latter three factors.Our study reveals important radiological manifestations for predicting the development of SDHs in patients with SIH.

View Article: PubMed Central - PubMed

Affiliation: Department of Neurology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, 3 East Qingchun Road, Hangzhou, 310016, China; Sir Run Run Shaw Institute of Clinical Medicine of Zhejiang University, 3 East Qingchun Road, Hangzhou, 310016, China.

ABSTRACT
Subdural haematoma (SDH) is a potentially life-threatening complication in patients with spontaneous intracranial hypotension (SIH). In serious cases, SIH patients who present with SDHs develop neurological deficits, a decreased level of consciousness, or cerebral herniation, and may even require an urgent neurosurgical drainage. Despite numerous publications on SDHs, few report its potential risk factors in patients with SIH. In this study, we retrospectively investigated 93 consecutive SIH patients and divided them into an SDH group (n = 25) and a non-SDH (NSDH) group (n = 68). The clinical and radiographic characteristics of these 93 patients were analyzed, and then univariate analysis and further multiple logistic regression analysis were performed to identify the potential risk factors for the development of SDHs. The univariate analysis showed that advanced age, male gender, longer clinical course, dural enhancement, and the venous distension sign were associated with the development of SDHs. However, multivariate analysis only included the latter three factors. Our study reveals important radiological manifestations for predicting the development of SDHs in patients with SIH.

No MeSH data available.


Related in: MedlinePlus

CT myelography for evaluating dural leakage.CT myelography shows contrast tracking along bilateral nerve roots (A, arrows) and collections of contrast within the paraspinal soft tissue (B, arrows). Images taken at segments C4-5 (A) and T5-6 (B).
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pone.0123616.g004: CT myelography for evaluating dural leakage.CT myelography shows contrast tracking along bilateral nerve roots (A, arrows) and collections of contrast within the paraspinal soft tissue (B, arrows). Images taken at segments C4-5 (A) and T5-6 (B).

Mentions: CT myelography for detecting the sites of dural leakage was performed on a second-generation dual-source CT with tube voltages set at 100 kVp and 140 kVp (with tin filter). Leakage varied from a small amount of contrast tracking along a single nerve root to extensive bilateral collections of contrast within the paraspinal soft tissues (Fig 4) [7].


Risk factors for subdural haematoma in patients with spontaneous intracranial hypotension.

Xia P, Hu XY, Wang J, Hu BB, Xu QL, Zhou ZJ, Lou M - PLoS ONE (2015)

CT myelography for evaluating dural leakage.CT myelography shows contrast tracking along bilateral nerve roots (A, arrows) and collections of contrast within the paraspinal soft tissue (B, arrows). Images taken at segments C4-5 (A) and T5-6 (B).
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4390346&req=5

pone.0123616.g004: CT myelography for evaluating dural leakage.CT myelography shows contrast tracking along bilateral nerve roots (A, arrows) and collections of contrast within the paraspinal soft tissue (B, arrows). Images taken at segments C4-5 (A) and T5-6 (B).
Mentions: CT myelography for detecting the sites of dural leakage was performed on a second-generation dual-source CT with tube voltages set at 100 kVp and 140 kVp (with tin filter). Leakage varied from a small amount of contrast tracking along a single nerve root to extensive bilateral collections of contrast within the paraspinal soft tissues (Fig 4) [7].

Bottom Line: The clinical and radiographic characteristics of these 93 patients were analyzed, and then univariate analysis and further multiple logistic regression analysis were performed to identify the potential risk factors for the development of SDHs.However, multivariate analysis only included the latter three factors.Our study reveals important radiological manifestations for predicting the development of SDHs in patients with SIH.

View Article: PubMed Central - PubMed

Affiliation: Department of Neurology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, 3 East Qingchun Road, Hangzhou, 310016, China; Sir Run Run Shaw Institute of Clinical Medicine of Zhejiang University, 3 East Qingchun Road, Hangzhou, 310016, China.

ABSTRACT
Subdural haematoma (SDH) is a potentially life-threatening complication in patients with spontaneous intracranial hypotension (SIH). In serious cases, SIH patients who present with SDHs develop neurological deficits, a decreased level of consciousness, or cerebral herniation, and may even require an urgent neurosurgical drainage. Despite numerous publications on SDHs, few report its potential risk factors in patients with SIH. In this study, we retrospectively investigated 93 consecutive SIH patients and divided them into an SDH group (n = 25) and a non-SDH (NSDH) group (n = 68). The clinical and radiographic characteristics of these 93 patients were analyzed, and then univariate analysis and further multiple logistic regression analysis were performed to identify the potential risk factors for the development of SDHs. The univariate analysis showed that advanced age, male gender, longer clinical course, dural enhancement, and the venous distension sign were associated with the development of SDHs. However, multivariate analysis only included the latter three factors. Our study reveals important radiological manifestations for predicting the development of SDHs in patients with SIH.

No MeSH data available.


Related in: MedlinePlus