1. Recurrence of chronic subdural hematoma due to low-grade infection.
- Author
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Dubinski, Daniel, Sae-Yeon Won, Trnovec, Svorad, Gounko, Kseniya, Baumgarten, Peter, Warnke, Philipp, Cantré, Daniel, Behmanesh, Bedjan, Bernstock, Joshua D., Freiman, Thomas M., Gessler, Florian, and Sola, Steffen
- Subjects
SUBDURAL hematoma ,INFECTION ,DISEASE relapse - 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 recurrentCSDHcases. The majority (69%) of the identified germs belonged to the staphylococcus genus. We therefore, propose a novel potential pathophysiology for CSDH recurrence. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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