Chronic epidural hematoma: a systematic review and meta-analysis

Egyptian Journal of Neurosurgery

Review

Thierry Alihonou¹  Laté Dzidoula Lawson¹  Omar Boladji Adébayo Badirou¹  Nukunté David Lionel Togbenon¹  Emeka Alfred Clement¹  Romeo Bujiriri Murhega¹  Arsène Daniel Nyalundja¹  Yao Christian Hugues Dokponou¹  Fresnel Lutèce Ontsi Obame¹  Nicaise Kpègnon Agada¹  Mèhomè Wilfried Dossou¹  Nourou Dine Adeniran Bankole² 

[1] Research Department of Sub-Saharan Africa Futures Neurosurgeons Association (SAFNA), Cotonou, Republic of Benin;Research Department of Sub-Saharan Africa Futures Neurosurgeons Association (SAFNA), Cotonou, Republic of Benin;Department of Interventional Neuroradiology, Clinical Investigation Center (CIC) 1415, INSERM, Teaching Hospital of Tours, Tours, France;

关键词: Epidural;    Spinal;    Hematoma;    Chronic;    Cranial;   

DOI  :  10.1186/s41984-023-00210-3

 received in 2023-04-05, accepted in 2023-04-28,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundEpidural hematoma constitutes a common condition in neuro-traumatology. If its acute form is well known, the chronic one remains less described.ObjectiveThis study aimed to evaluate the epidemiology, clinical presentations, management, and outcomes of chronic epidural hematoma.MethodologySystematic searches of PubMed, Google Scholar, and ScienceDirect were performed from a database searching for all studies reporting chronic epidural hematoma. Pooled statistics were calculated using measures of central tendency and spread. The rank correlation test and the regression test, using the standard error of the observed outcomes as predictor, are used to check for funnel plot asymmetry.ResultsA total of 3009 studies were identified, of which 95 were included with 359 patients. Chronic epidural hematoma (CEDH) was more common at the intracranial level than spinal level (91.9% vs 8.1%). The average age of onset was 37.2 ± 4.83 years. The common cause found was trauma (n = 279; 77.72%) with 271 (97.1%) cases for the head and 8 (2.9%) cases for the spine. The mean delay between the trauma and the first symptoms was 13.32 ± 1.73 days in intracranial level and 16.38 ± 2.49 days in spinal level. CT scan constituted the main diagnosis tool. The lesion was predominantly located in the temporal region at the intracranial level and lumbar region at the spinal level. Craniotomy and laminectomy constituted the most reported treatment option, respectively, at the intracranial and spinal level. The outcome was commonly uneventful. Correlation and regression tests for publication bias assessment show no significant funnel plot asymmetry with high p value (p = 0.8458 and p = 0.9596, respectively).ConclusionCEDH was commonly related to trauma. Its treatment was mostly surgical at both sites.

【 授权许可】

CC BY   
© The Author(s) 2023

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