Kronik Subdural Hematom Hastalarında Klinik Özellikler: Travma ve Antikoagülan/Antiagregan İlaç Kullanımı, Clinical Features in Chronic Subdural Hematoma Patients: Trauma and Anticoagulant / Antiagregan Drug Used

Yıl 2018, Cilt: 51 Sayı: 3, 196 - 200, 26.12.2018

Özhan Uçkun , Denizhan Divanlıoğlu Ergün Dağlıoğlu , Fatih Alagöz Ali Dalgıç , Ahmet Deniz Belen

Öz

Amaç:
Yaşlı popülasyonda sık görülen ve artan insidansa sahip olan kronik subdural
hematom (KSDH) gelişiminin, antikoagülan ve / veya antiagregan tedavi ile travma
ve rekürrens arasındaki ilişki araştırıldı.

Gereç ve Yöntemler:
Kliniğimizde, 2015 Ocak- Ocak 2018 tarihleri arasında KSDH tanısı ile cerrahi
olarak tedavi edilen olguların dosyaları retrospektif olarak incelendi. Yaş,
cinsiyet, kafa travması, antikoagülan ve / veya antiagregan ajan tedavisi ve
eşlik eden hastalık, pıhtılaşma durumu, lateralizan nörolojik bulguları,
cerrahi yöntem ve rekürrens araştırıldı.

Bulgular:
Çalışmaya 104 olgu (79 erkek, 25 kadın) katıldı. Hastaların yaş ortalaması 67,7
± 15,6 (20-94 yaş) idi. 67’si (%64,4) 65 yaş üstündeydi. 29 (%27,9) hastada fokal
nörolojik defisit mevcuttu. Travma öyküsü 71 olguda (%68,3) mevcuttu,
hastaların 57’sinde (%54,8) kronik bir hastalık vardı. 81 olgu (%77,9) tek veya
çift burr-hole kraniyostomi ile tedavi etti.

Sonuç:
Bu çalışmada KSDH’da travma
sıklığının oldukça yüksek olduğu görülmüştür. Travma olan ve olmayan gruplarda
antikoagülan/antiagregan ilaç kullanımı ve komorbid hastalık varlığı
açısından fark gözlenmedi. Nüks
oranın literatür ile benzer olduğu ve cerrahi sonuçlarının başarılı olduğu
görülmüştür.

 

Anahtar kelimeler:
Burr-hole kraniyostomi, kronik subdural hematom, cerrahi, travma

 

ABSTRACT

OBECTIVE:
Chronic subdural
hematoma (CSDH) development is very common among elder population with an
increased incidence under anticoagulant and/or antiaggregant therapy. The
relationship of CSDH and recurrent CSDH development with or without head trauma
under anticoagulant/antiaggregant medication was investigated.

MATERIAL
AND METHODS: The
patients, diagnosed as CSDH in our clinic between January 2015 and January 2018
were investigated retrospectively. Age, sex, head trauma, anticoagulant and/or
antiaggregant medications, comorbid diseases, coagulation parameters, neurological
findings, surgical method and recurrence of CSDH were documented.

RESULTS:
104 cases (79
males, 25 females) were included in the study. The mean age of the patients was
67.7 ± 15.6 (20-94 years). 67 (64.4%) were over 65 years old. 29 (27.9%)
patients had focal neurological deficits. 71 cases (68.3%) were traumatic and
57 (54.8%) of the patients had a chronic disease. 81 cases (77.9%) were treated
with single or double burr-hole craniostomy.

CONCLUSIONS:
In this study,
trauma frequency was found to be quite high in CSDH. There was no difference between
trauma and non-trauma groups for the presence of anticoagulant and/or
antiaggregant medication and for the presence of comorbid disease. The recurrence
rate was similar to the literature and surgical results were found to be
successful.

Keywords: Burr-hole craniostomy, chronic subdural hematoma,
surgery, trauma

Anahtar Kelimeler

Burr-hole kraniyostomi, kronik subdural hematom, cerrahi, Burr-hole craniostomy, chronic subdural hematoma, surgery

Kaynakça

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