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Dubinski, Daniel; Won, Sae-Yeon; Trnovec, Svorad; Gounko, Kseniya; Baumgarten, Peter; Warnke, Philipp; Cantré, Daniel; Behmanesh, Bedjan; Bernstock, Joshua D.; Freiman, Thomas M.; Gessler, Florian; Sola, Steffen
Frontiers in neurology, 09/2022, Letnik: 13Journal Article
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 staphylococcus genus. We therefore, propose a novel potential pathophysiology for CSDH recurrence.
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JCR | SNIP | JCR | SNIP | JCR | SNIP | JCR | SNIP |
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in: SICRIS
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