2018 AANS Annual Scientific Meeting-725. Observation of Cortical Spreading Depolarizations after Chronic Subdural Hematoma Evacuation

725. Observation of Cortical Spreading Depolarizations after Chronic Subdural Hematoma Evacuation

Video Transcription

Video Summary

In a video, Laila Mohamed presents data from a trial on cortical spreading depolarizations (CSD) in chronic subdural hematoma patients after evacuation. The study involved collaboration from multiple medical professionals. Chronic subdural hematomas can cause transient neurological deficits, and the study aimed to better understand the incidence of these deficits. The research found that while 50% of patients required an EEG due to post-operative neurological deterioration, only 14% of these deficits were explained by seizures. CSDs, previously associated with migraines and brain injuries, were observed in 13% of patients after chronic subdural hematoma evacuation. The study suggests that CSDs may contribute to some cases of neurological deterioration and may require further investigation and preventative measures. The discussant, Dr. Greg Hariluk, emphasized the importance of recognizing and treating CSDs in neurosurgical patients.

Asset Caption

Laila Malani Mohammad, MD, Discussant - Gregory W.J. Hawryluk, MD, PhD, FAANS

Keywords

cortical spreading depolarizations

chronic subdural hematoma

neurological deficits

EEG

neurosurgical patients