Evaluation of Chronic Subdural Hematoma Volume Calculated via Cavalieri’s Principle

Authors : Zeynep KARAKAYA, Ayhan SARİTAS, Pınar YESİM AKYOL, Fatih ESAD TOPAL, Umut PAYZA, Serkan BİLGİN

Pages : 260-268

Doi:10.18521/ktd.469173

View : 24 | Download : 31

Publication Date : 2019-06-28

Article Type : Research Paper

Abstract :Background: Chronic subdural hematoma (CSDH) is a frequently encountered entity in neurosurgery. The objective of this study was to describe the use of unbiased Cavalieri principle to assess CSDH volume to total brain volume fraction ( Percentage) and compare it with the clinical features of the patients. Methods: A total of 33 patients were included in the study. Computed tomography (CT) was acquired from the hospital-imag ing database. The ratio of hematoma volume, brain volume, and hematoma volume to brain volume were measured via CT by two clinicians. Measurements were compared with clinical findings. Results: The sample consisted of 22 males and 11 females and mean age 67,27±12,63 years. The measured hematoma volume was 89,78 ± 54,13 cm 3 , the brain volume was 1329,91 ± 2098,35 cm 3 and the percentage volume was 8,14 ± 4,92 cm 3 . The brain volume values of the cases with impaired consciousness were found to be statistically significant (p <0.05). Conclusion: It should be kept in mind that the bleeding volume of patients with vomiting may be higher.
Keywords : Chronic Subdural Hematoma, Cavalieris Principle