Post-Operative Functional Outcomes in Chronic Subdural Hematoma: The Impact of Prior Stroke
Stroke History & Chronic Subdural Hematoma Surgery Outcomes
DOI:
https://doi.org/10.5281/zenodo.10018976Keywords:
Chronic Subdural Hematoma, Stroke, Functional Independence Measure, Post-operative Outcomes, Motor and Cognitive FunctionsAbstract
Aim: The study aims to evaluate the impact of prior stroke on functional outcomes following surgery for Chronic Subdural Hematoma (CSH).
Methods: Patients diagnosed with CSH between 2012-2023 were included, focusing on those with a history of stroke. All underwent "burr hole" surgery and were followed for 12-60 months. The Functional Independence Measure (FIM) was used to assess pre- and post-operative functional status.
Results: 84 patients were evaluated; 44 had a history of CVD. The study found a statistically significant decline in motor and cognitive function post-surgery in patients with a history of CVD. No significant decline was observed in patients without CVD.
Conclusion: Patients with a prior history of stroke who undergo surgery for CSH are at risk for enduring declines in motor and cognitive function. It's crucial to manage expectations and consider this risk when recommending surgery.
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