Fibrinolytic-Facilitated Chronic Subdural Hematoma Drainage—A Systematic Review

2021 ◽  
Author(s):  
Yip Mang O ◽  
Shek Long Tsang ◽  
Gilberto Ka-Kit Leung
Keyword(s):  
Systematic Review ◽  
Subdural Hematoma ◽  
Chronic Subdural Hematoma

Herbal medicine treatment for patients with chronic subdural hematoma: A systematic review and meta-analysis

2021 ◽  
Vol 43 ◽  
pp. 101307
Author(s):  
Seungwon Kwon ◽  
Chul Jin ◽  
Minho Chung ◽  
JiEun Lee ◽  
Seung-Yeon Cho ◽  
...  
Keyword(s):  
Systematic Review ◽  
Herbal Medicine ◽  
Subdural Hematoma ◽  
Meta Analysis ◽  
Chronic Subdural Hematoma

Letter to the Editor Regarding: “Middle Meningeal Artery Embolization for Chronic Subdural Hematoma: Meta-Analysis and Systematic Review”

2019 ◽  
Vol 124 ◽  
pp. 480-481
Author(s):  
Daniele Starnoni ◽  
Lorenzo Giammattei ◽  
Mahmoud Messerer ◽  
Roy Thomas Daniel
Keyword(s):  
Systematic Review ◽  
Subdural Hematoma ◽  
Meta Analysis ◽  
Chronic Subdural Hematoma ◽  
Middle Meningeal Artery ◽  
Artery Embolization ◽  
Letter To The Editor ◽  
Meningeal Artery

Middle meningeal artery embolization for chronic subdural hematoma: a systematic review and meta-analysis

2021 ◽  
pp. neurintsurg-2021-017352
Author(s):  
Natasha Ironside ◽  
Candice Nguyen ◽  
Quan Do ◽  
Beatrice Ugiliweneza ◽  
Ching-Jen Chen ◽  
...  
Keyword(s):  
Systematic Review ◽  
Minimally Invasive ◽  
Subdural Hematoma ◽  
Meta Analysis ◽  
Chronic Subdural Hematoma ◽  
Middle Meningeal Artery ◽  
Definitive Treatment ◽  
Complication Rates ◽  
Conventional Management ◽  
Meningeal Artery

Middle meningeal artery (MMA) embolization has been proposed as a minimally invasive treatment for chronic subdural hematoma (cSDH). The aim of this systematic review and meta-analysis is to compare outcomes after MMA embolization versus conventional management for cSDH. We performed a systematic review of PubMed, Embase, Oxford Journal, Cochrane, and Google Scholar databases from April 1987 to October 2020 in accordance with PRISMA guidelines. Studies reporting outcomes after MMA embolization for ≥3 patients with cSDH were included. A meta-analysis comparing MMA embolization with conventional management was performed. The analysis comprised 20 studies with 1416 patients, including 718 and 698 patients in the MMA embolization and conventional management cohorts, respectively. The pooled recurrence, surgical rescue, and in-hospital complication rates in the MMA embolization cohort were 4.8% (95% CI 3.2% to 6.5%), 4.4% (2.8% to 5.9%), and 1.7% (0.8% to 2.6%), respectively. The pooled recurrence, surgical rescue, and in-hospital complication rates in the conventional management cohort were 21.5% (0.6% to 42.4%), 16.4% (5.9% to 27.0%), and 4.9% (2.8% to 7.1%), respectively. Compared with conservative management, MMA embolization was associated with lower rates of cSDH recurrence (OR=0.15 (95% CI 0.03 to 0.75), p=0.02) and surgical rescue (OR=0.21 (0.07 to 0.58), p=0.003). In-hospital complication rates were comparable between the two cohorts (OR=0.78 (0.34 to 1.76), p=0.55). MMA embolization is a promising minimally invasive therapy that may reduce the need for surgical intervention in appropriately selected patients with cSDH. Additional prospective studies are warranted to determine the long-term durability of MMA embolization, refine eligibility criteria, and establish this endovascular approach as a viable definitive treatment for cSDH.

Embolization of the Middle meningeal artery in chronic subdural hematoma — A systematic review

2019 ◽  
Vol 186 ◽  
pp. 105464 ◽  
Author(s):  
Jordan Court ◽  
Charles J Touchette ◽  
Christian Iorio-Morin ◽  
Harrison J. Westwick ◽  
François Belzile ◽  
...  
Keyword(s):  
Systematic Review ◽  
Subdural Hematoma ◽  
Chronic Subdural Hematoma ◽  
Middle Meningeal Artery ◽  
Meningeal Artery

scholarly journals Surgical Treatment of Chronic Subdural Hematoma: Systematic Review and Meta-Analysis of the Literature

2016 ◽  
Vol 35 (02) ◽  
pp. 118-127 ◽  
Author(s):  
Alisson Teles ◽  
Asdrubal Falavigna ◽  
Jorge Kraemer
Keyword(s):  
Systematic Review ◽  
Surgical Treatment ◽  
Subdural Hematoma ◽  
Meta Analysis ◽  
Chronic Subdural Hematoma

scholarly journals Core Outcomes and Common Data Elements in Chronic Subdural Hematoma: A Systematic Review of the Literature Focusing on Baseline and Peri-Operative Care Data Elements

2016 ◽  
Vol 33 (17) ◽  
pp. 1569-1575 ◽  
Author(s):  
Aswin Chari ◽  
Katie C. Hocking ◽  
Ellie Edlmann ◽  
Carole Turner ◽  
Thomas Santarius ◽  
...  
Keyword(s):  
Systematic Review ◽  
Subdural Hematoma ◽  
Chronic Subdural Hematoma ◽  
Review Of The Literature ◽  
Common Data Elements ◽  
Operative Care ◽  
Core Outcomes ◽  
Data Elements

Resumption of Antithrombotic Agents in Chronic Subdural Hematoma: A Systematic Review and Meta-analysis

2018 ◽  
Vol 109 ◽  
pp. e792-e799 ◽  
Author(s):  
Kevin Phan ◽  
David Abi-Hanna ◽  
Jack Kerferd ◽  
Victor M. Lu ◽  
Adam A. Dmytriw ◽  
...  
Keyword(s):  
Systematic Review ◽  
Subdural Hematoma ◽  
Meta Analysis ◽  
Chronic Subdural Hematoma ◽  
Antithrombotic Agents

scholarly journals To drill or not to drill, that is the question: nonsurgical treatment of chronic subdural hematoma in the elderly. A systematic review

2020 ◽  
Vol 49 (4) ◽  
pp. E7
Author(s):  
Alba Scerrati ◽  
Jacopo Visani ◽  
Luca Ricciardi ◽  
Flavia Dones ◽  
Oriela Rustemi ◽  
...  
Keyword(s):  
Systematic Review ◽  
Tranexamic Acid ◽  
Endovascular Treatment ◽  
Subdural Hematoma ◽  
English Language ◽  
Chronic Subdural Hematoma ◽  
The Elderly ◽  
Middle Meningeal Artery ◽  
Pharmacological Management ◽  
Meningeal Artery

OBJECTIVEChronic subdural hematoma (CSDH) is one of the most common neurosurgical pathologies, typically affecting the elderly. Its incidence is expected to grow along with the aging population. Surgical drainage represents the treatment of choice; however, postoperative complications and the rate of recurrence are not negligible. For this reason, nonsurgical alternatives (such as middle meningeal artery embolization, steroids, or tranexamic acid administration) are gaining popularity worldwide and need to be carefully evaluated, especially in the elderly population.METHODSThe authors performed a systematic review according to PRISMA criteria of the studies analyzing the nonsurgical strategies for CSDHs. They collected all papers in the English language published between 1990 and 2019 by searching different medical databases. The chosen keywords were “chronic subdural hematoma,” “conservative treatment/management,” “pharmacological treatment,” “non-surgical,” “tranexamic acid,” “dexamethasone,” “corticosteroid,” “glucocorticoid,” “middle meningeal artery,” “endovascular treatment,” and “embolization.”RESULTSThe authors ultimately collected 15 articles regarding the pharmacological management of CSDHs matching the criteria, and 14 papers included the endovascular treatment.CONCLUSIONSThe results showed that surgery still represents the mainstay in cases of symptomatic patients with large CSDHs; however, adjuvant and alternative therapies can be effective and safe in a carefully selected population. Their inclusion in new guidelines is advisable.

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