{"title":"Deceptive Mimics of Trigeminal Schwannoma: Be Careful with Primary Radiosurgery.","authors":"Sripartha Krishna Yerramilli, Manjul Tripathi, Chirag K Ahuja, Sandeep Mohindra, Rajeev Chauhan","doi":"10.5137/1019-5149.JTN.45077-23.2","DOIUrl":"10.5137/1019-5149.JTN.45077-23.2","url":null,"abstract":"<p><p>Trigeminal schwannomas are rare lesions centered on the trigeminal ganglion at Meckel?s cave. The complexity and morbidity of surgery for these lesions have allowed stereotactic radiosurgery (SRS) to emerge as a safe and viable option for treatment. Various other lesions at this location must alert one to consider an alternative diagnosis before upfront SRS without histopathological correlation. We present three patients with trigeminal neuropathy with imaging suggesting trigeminal schwannoma. Primary clinicians recommended primary radiosurgery to these patients based on radiological diagnosis. Upon further evaluation and clinical suspicion, we established alternate diagnoses of non-Hodgkin's lymphoma, lepromatous trigeminal nerve involvement, and Aspergillosis involving the Meckel's cave in three cases. Each patient received appropriate treatment instead of SRS. SRS is one of the treatment options for trigeminal schwannomas. No neurosurgical ailment should be treated on its face value with primary SRS, but it must be carefully evaluated on a clinicoradiological profile. Upfront, primary SRS may be counterproductive or detrimental for inflammatory or infectious pathologies, attracting complications.</p>","PeriodicalId":94381,"journal":{"name":"Turkish neurosurgery","volume":"35 2","pages":"349-354"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143702593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Two-Step Therapeutic Strategy in the Management of Critical Neonatal Hydrocephalus.","authors":"Qian Ouyang, Junqiang Wang, Yijian Yang, Kaiyue Wang, Yexin Yuan, Maolin He, Zhijun Zhong, Gelei Xiao","doi":"10.5137/1019-5149.JTN.47201-24.1","DOIUrl":"10.5137/1019-5149.JTN.47201-24.1","url":null,"abstract":"<p><strong>Aim: </strong>To identify novel therapeutic strategies to improve the outcomes of neonatal hydrocephalus.</p><p><strong>Material and methods: </strong>The treatment strategies for cases of neonatal hydrocephalus in our hospital between February 1, 2015, and February 1, 2024 reviewed and analyzed, with the aim of identifying valuable factors to assist in treating future patients with critical neonatal hydrocephalus. We further conducted literature searches and summarized the relevant treatment strategies.</p><p><strong>Results: </strong>A total of 64 neonates were included. The causes of hydrocephalus by case number were as follows: 59.1% due to cerebral hemorrhage, 24.0% due to intracranial infection, and 16.9% due to other causes. Additionally, 32.8% of patients had ultra-low birth weight (ULBW), 14.1% had very low birth weight (VLBW), and 53.1% had low birth weight (LBW). Preterm babies comprised 84.3% of all patients, whereas term babies comprised only 15.7%. Additionally, all treatments for patients involved surgery, with 3.06% undergoing endoscopic third ventriculostomy (ETV), 29.59% undergoing ventriculoperitoneal shunt (VPS), 32.65% undergoing extra-ventricular drainage (EVD), 1.53% undergoing ventriculoatrial shunt (VAS), and 20.41% undergoing Ommaya reservoir. Based on the collected information, we propose a novel two-step surgical treatment process for intensive neonatal hydrocephalus. In the first step, the patient?s physical status (weight and corrected gestational age) is improved and intracranial infection or bleeding are controlled. In the second step, a permanent shunt is placed once the patient meets the surgical criteria.</p><p><strong>Conclusion: </strong>Based on our experience, we proposed a two-step treatment strategy for the surgical management of critical neonatal hydrocephalus. Moreover, we clarified the detailed criteria for each step of the treatment plan to promote a higher success rate in saving children?s lives. The prognosis of critical neonatal hydrocephalus can be favorable if appropriately treated.</p>","PeriodicalId":94381,"journal":{"name":"Turkish neurosurgery","volume":"35 3","pages":"439-448"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144153040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Neuroendoscopic Surgical Treatment of Hypertensive Brainstem Hemorrhage.","authors":"Zhi-Lin Yin, Long Zhou, Qiang Cai","doi":"10.5137/1019-5149.JTN.47812-24.2","DOIUrl":"10.5137/1019-5149.JTN.47812-24.2","url":null,"abstract":"<p><strong>Aim: </strong>To investigate the clinical effect of neuroendoscopic surgery on 15 patients with hypertensive brainstem hemorrhage (HBSH).</p><p><strong>Material and methods: </strong>A retrospective analysis was conducted on the clinical data collected from 15 patients with HBSH and treated with neuroendoscopy between January 2021 and March 2023. Prior to surgery, head computed tomography (CT) data were imported into 3D-slicer software to reconstruct the hematoma in three dimensions, allowing for the calculation of hematoma volume. During surgery, neuroendoscopy was used to clear the hematoma, after which the hematoma clearance rate, along with 30-day and 90-day mortality rates, was calculated. Three months after surgery, the Glasgow Outcome Scale (GOS) was used to evaluate patient prognosis, calculate the good recovery rate, and assessed surgical efficacy.</p><p><strong>Results: </strong>Re-examination of head CT images within 24 hours post-surgery revealed a hematoma clearance rate of > 90% in 11 cases and over 80?90% in four cases, with a mean hematoma clearance rate of 90.52±3.85%. There were no complications associated with postoperative rebleeding, intracranial infection, or the leakage of cerebrospinal fluid. Mortality rates on days 30 and 90 post-surgery were 26.7% (4/15) and 40% (6/15), respectively. After a 3-month follow-up period, GOS prognostic scoring revealed that one case had recovered well and could live a normal life, two cases had mild disability, and two cases had severe disability. Four patients survived in a vegetative state while six patients died; the good prognostic rate was 20% (3/15).</p><p><strong>Conclusion: </strong>Neuroendoscopic technology is safe and effective for the treatment of HBSH. This method has a high hematoma clearance rate and a good clinical treatment effect with few postoperative complications.</p>","PeriodicalId":94381,"journal":{"name":"Turkish neurosurgery","volume":" ","pages":"553-560"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144512944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Prediction and Analysis of Risk Factors for Lower Extremity Deep Vein Thrombosis After Craniotomy in Patients with Primary Brain Tumors: A Machine Learning Approach.","authors":"Lingzhi Wu, Yunfeng Zhao, Guangli Yao, Xiaojing Li, Xiaomin Zhao","doi":"10.5137/1019-5149.JTN.47938-24.3","DOIUrl":"10.5137/1019-5149.JTN.47938-24.3","url":null,"abstract":"<p><strong>Aim: </strong>To explore the risk factors associated with the occurrence of lower extremity deep vein thrombosis (DVT) after craniotomy in patients with primary brain tumors, and to develop a predictive model using machine learning.</p><p><strong>Material and methods: </strong>A prospective cohort study was conducted on 140 patients with primary brain tumors who underwent neurosurgical treatment at our hospital between March 2021 and September 2022. A logistic regression analysis was performed to identify independent risk factors associated with postoperative DVT. Additionally, multiple machine learning models were developed and evaluated to determine their predictive performance.</p><p><strong>Results: </strong>The incidence of lower extremity DVT after craniotomy was 27.9%. Logistic regression identified age [OR=1.07, 95% CI (1.03-1.11)], GCS score [OR=0.88, 95% CI (0.78-0.98)], D-dimer level [OR=1.08, 95% CI (1.02-1.15)], and mechanical ventilation (≥48 hours) [OR=3.83, 95% CI (1.21-12.15)] as independent risk factors (P < 0.05). The Gradient Boosting Machine (GBM) had the highest prediction accuracy among the assessed machine learning models, achieving an area under the curve (AUC) of 0.850, with a sensitivity of 56.44% and a specificity of 90.09%.</p><p><strong>Conclusion: </strong>Age, D-dimer, and mechanical ventilation (≥48 hours) are independent risk factors for the development of lower extremity DVT after craniotomy in patients with primary brain tumors. The GCS score serves as a potential protective risk factor. The GBM model, with its high AUC and specificity, offers a promising tool for early identification of high-risk patients, potentially informing clinical decision-making and targeted interventions.</p>","PeriodicalId":94381,"journal":{"name":"Turkish neurosurgery","volume":" ","pages":"636-643"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144513036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comparison of Preoperative and Postoperative Clinical and Electrophysiological Results of Patients with Carpal Tunnel Syndrome Presenting a Positive Scratch Collapse Test.","authors":"Evrim Duman, Ahmet Acar, Ayse Betul Acar, Ezgi Can, Omer Torun, Huseyin Bilgehan Cevik","doi":"10.5137/1019-5149.JTN.48642-25.4","DOIUrl":"10.5137/1019-5149.JTN.48642-25.4","url":null,"abstract":"<p><strong>Aim: </strong>To examine the correlation between clinical outcomes and electrophysiological findings following open carpal tunnel release (CTR) surgery in patients with a positive scratch collapse (SC) test, and to the postoperative course of the SC test.</p><p><strong>Material and methods: </strong>The study included 29 patients who had a positive SC test and a confirmed diagnosis based on nerve conduction study (NCS) findings. The findings of Boston Carpal Tunnel Questionnaire (BCTQ), visual analog scale (VAS), NCS, and SC test were assessed preoperatively and postoperatively at the 2nd and 8th weeks. The correlations between NCS findings and BCTQ and VAS scores were analyzed.</p><p><strong>Results: </strong>Significant postoperative improvements were observed in BCTQ and VAS scores at the 2nd and 8th weeks. In the 8th week, NCS findings also showed significant improvement; however, no correlation was found between NCS findings and functional scores. The SC test became negative in 89.6% (n=26) of patients postoperatively.</p><p><strong>Conclusion: </strong>In the early period following open CTR surgery, there is no correlation between improvements in NCS findings and functional scores. However, in 90% of patients with a positive preoperative SC test, the test became negative early after the open CTR surgery. Therefore, the SC test can be used to evaluate postoperative treatment results because it is easily applicable, repeatable, and cost-effective compared with NCS.</p>","PeriodicalId":94381,"journal":{"name":"Turkish neurosurgery","volume":" ","pages":"734-741"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144994728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Bibliometric Analysis of the Contributions of Turkish Female Authors to ?Turkish Neurosurgery?","authors":"Ismail Ertan Sevin, Safiye Hatipoglu, Busranur Genyuz, Eralp Sevin, Mohtaram Gasimova, Selin Bozdag, Hasan Kamil Sucu","doi":"10.5137/1019-5149.JTN.49213-25.1","DOIUrl":"10.5137/1019-5149.JTN.49213-25.1","url":null,"abstract":"<p><strong>Aim: </strong>To assess the contributions of Turkish female authors to the field of neurosurgery through ?Turkish Neurosurgery?, the only neurosurgery journal in Türkiye indexed by The Science Citation Index Expanded (SCIE).</p><p><strong>Material and methods: </strong>A bibliometric analysis was conducted on articles published in ?Turkish Neurosurgery? from 2019 to 2023. Data were gathered on authorship, gender distribution, article types, topics, and institutional affiliations. Statistical analyses included chi-square tests, the Cochran?Armitage test, and logistic regression to evaluate the association between female senior and first authorship.</p><p><strong>Results: </strong>Of the 751 articles reviewed, 505 featured contributions from at least one Turkish author, comprising 2,601 Turkish contributors (24.8% female, 74.4% male). Turkish female authors appeared in 292 of these publications (57.8%), serving as first authors in 103 (20.4%) and senior authors in 92 (18.2%). The proportion of Turkish female first authorship increased significantly over the study period, peaking at 31.2% in 2022 (p=0.049). Logistic regression analysis revealed that the presence of a Turkish female senior author significantly increased the likelihood of female first authorship (OR = 3.96, p < 0.001). Only 16.2% of Turkishauthored articles included female neurosurgeons. Of all Turkish female authors, 23.6% of first authors and 19.6% of senior authors were neurosurgeons. Most publications by Turkish female authors (59.7%) were original research articles, primarily focusing on neuro-oncology, spine, and functional neurosurgery.</p><p><strong>Conclusion: </strong>This study highlights encouraging progress in the representation of Turkish female authors, particularly neurosurgeons, who exhibit strong academic engagement relative to their workforce proportion in neurosurgical academic publishing. Mentorship plays a crucial role in increasing female first authorship. To strengthen this effect, academic institutions could implement structured mentorship programs, fund collaborative research, and establish platforms to connect senior and junior female researchers.</p>","PeriodicalId":94381,"journal":{"name":"Turkish neurosurgery","volume":" ","pages":"677-683"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144994880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Three-Dimensional Dissection of the Bed Nucleus of the Stria Terminalis and Its White Matter Connections: A Surgical and Neuropsychiatric Perspective.","authors":"Ozan Barut, Yunus Emre Durmus, Orhun Mete Cevik, Sevki Serhat Baydin, Cengiz Cokluk, Necmettin Tanriover","doi":"10.5137/1019-5149.JTN.49121-25.1","DOIUrl":"10.5137/1019-5149.JTN.49121-25.1","url":null,"abstract":"<p><strong>Aim: </strong>To provide an in-depth anatomical description of the bed nucleus of the stria terminalis (BST) and its structural affiliations, with an emphasis on its surgical and neuromodulatory relevance.</p><p><strong>Material and methods: </strong>We conducted stepwise fiber dissections on 14 formalin-fixed human brains prepared using the Klingler method. Under high magnification, dissections were performed lateral to medial and medial to lateral directions, enabling detailed visualization of the BST?s relationship with adjacent fiber tracts and nuclei such as the anterior commissure, fornix, stria terminalis, nucleus accumbens, and septal area.</p><p><strong>Results: </strong>The BST was consistently located anterosuperior to the anterior commissure and medially bordered by the septal nuclei, forming a compact yet integrative structure. Dense projections were identified between the BST and limbic-hypothalamic targets via the stria terminalis, fornical fibers, and the diagonal band of Broca. These connections emphasize the BST?s pivotal position in coordinating limbic output with neurovegetative centers.</p><p><strong>Conclusion: </strong>This study refines the topographic and connectional map of the BST, offering structural insight into its role as a limbic hub. Such clarity may assist in tailoring neuromodulatory interventions?such as deep brain stimulation?by improving anatomical precision in disorders involving fear, compulsion, and affect regulation.</p>","PeriodicalId":94381,"journal":{"name":"Turkish neurosurgery","volume":" ","pages":"791-800"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144994912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mustafa Umut Etli, Semra Isik, Ali Zinnar Kaya, Can Berkin Yaras, Cumhur Kaan Yaltirik, Hüseyin Sarikaya, Luay Serifoglu, Furkan Avci, Behrad Aras Nasehi, Ali Fatih Ramazanoglu
{"title":"Efficacy and Safety of Guideless Catheter Placement Technique in Revision External Ventricular Drainage and Ventricular Shunt Surgery.","authors":"Mustafa Umut Etli, Semra Isik, Ali Zinnar Kaya, Can Berkin Yaras, Cumhur Kaan Yaltirik, Hüseyin Sarikaya, Luay Serifoglu, Furkan Avci, Behrad Aras Nasehi, Ali Fatih Ramazanoglu","doi":"10.5137/1019-5149.JTN.46944-24.2","DOIUrl":"10.5137/1019-5149.JTN.46944-24.2","url":null,"abstract":"<p><strong>Aim: </strong>To evaluate the efficacy and safety of the guideless catheter placement technique in revision surgeries for external ventricular drainage (EVD) and ventricular shunt systems to improve treatment outcomes for hydrocephalus.</p><p><strong>Material and methods: </strong>We retrospectively analyzed 111 patients who underwent revision surgeries for EVD or ventricular shunt systems at the Istanbul Umraniye Training and Research Hospital from January 2020 to January 2023. Patients' demographic (age, sex), and clinical (cause of hydrocephalus, type of surgery, and postoperative complication rates, specifically for bleeding and catheter malposition) data were extracted from the patient files.</p><p><strong>Results: </strong>The use of the guideless catheter placement technique significantly reduced postoperative complications, with notably lower rates of bleeding (n=2, 1.8%) and catheter malposition (n=5, 4.5%).</p><p><strong>Conclusion: </strong>The guideless catheter placement technique is a viable, cost-effective, and efficient approach for revision surgeries in EVD and shunt systems, which can potentially improve the safety and accuracy of catheter placement, reduce complication rates, and ensure favorable patient outcomes associated with revision surgeries for hydrocephalus.</p>","PeriodicalId":94381,"journal":{"name":"Turkish neurosurgery","volume":" ","pages":"164-170"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142804178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cranial Dura Breach by Extradural Skull Base Hydatid Cyst Leading to Intraventricular Spread: A Novel Case of Intraventricular Spread.","authors":"Rakesh Redhu, Ashwin Kallianpur","doi":"10.5137/1019-5149.JTN.46443-24.2","DOIUrl":"10.5137/1019-5149.JTN.46443-24.2","url":null,"abstract":"<p><p>Intraventricular hydatid cysts are extremely rare. Till date, these cysts have been believed to originate from the ventricle itself. Of the various intraventricular cysts, primary solitary cysts are the most common ones. These cysts are purely intraventricular or partly parenchymal with an intraventricular spread. These cysts have so far never been reported to spread contiguously from the extradural location, breach the dura, and thereafter, migrate intraventricularly. Here, we present a unique case of intraventricular spread of an extracerebral hydatid cyst after a dural breach. The ability of hydatid cysts to breach the dura has not been described previously. The pathogenesis of the hydatid cyst has been discussed here along with its surgical and medical management.</p>","PeriodicalId":94381,"journal":{"name":"Turkish neurosurgery","volume":"35 2","pages":"345-348"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143702591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Xiaolin DU, Cheng Wang, Rukai Jiao, Xiaopeng Deng, Junquan Chen, Chengming Zhou, Kun Zhou
{"title":"Thromboelastography in Patients with Chronic Subdural Hematoma: A Prospective Pilot Study.","authors":"Xiaolin DU, Cheng Wang, Rukai Jiao, Xiaopeng Deng, Junquan Chen, Chengming Zhou, Kun Zhou","doi":"10.5137/1019-5149.JTN.47482-24.2","DOIUrl":"10.5137/1019-5149.JTN.47482-24.2","url":null,"abstract":"<p><strong>Aim: </strong>To evaluate association between chronic subdural hematoma (CSDH) and thromboelastography (TEG).</p><p><strong>Material and methods: </strong>A prospective pilot study was conducted on 52 patients with CSDH. The primary outcomes were CSDH severity, recurrence rate, and outcome. The secondary outcome was the association between TEG parameters and the risk factors of CSDH.</p><p><strong>Results: </strong>The association between the preoperative TEG parameters and the primary outcomes was compared. Results revealed no statistically significant association between the primary outcomes and admission modified Rankin scale score and follow-up GOS score. The R values significantly differed between patients with recurrence and those without (p=0.045). Further subgroup analysis of TEG parameters revealed that patients with R values ≥ 5 had a significantly high incidence of recurrence (1.231, 95% confidence interval [CI]: 0.973-1.557], p=0.025). However, further logistic regression analysis did not reveal significant results (1.198, 95% CI: 0.855-1.680, p=0.293). Moreover, the association between the preoperative TEG parameters and the secondary outcomes was compared. Results revealed a statistically significant association between the secondary outcomes and hematoma thickness and LY30 values (p=0.039), midline shift and Angle (p=0.043), and multiplicity of the hematoma cavity and MA (p=0.022). Further, the secondary outcomes were also significantly associated with postoperative TEG parameters such as multiplicity of the hematoma cavity and LY 30 value (p=0.011) and residual hematoma at follow-up (MA, p=0.001).</p><p><strong>Conclusion: </strong>Due to the small sample size, the efficacy of TEG parameters in predicting CSDH recurrence is unclear. However, TEG parameters are associated with the imaging characteristics of CSDH, and they can also be used to predict the absorption of hematoma. Nevertheless, large-scale prospective cohort studies should be performed to further validate the findings of this study.</p>","PeriodicalId":94381,"journal":{"name":"Turkish neurosurgery","volume":" ","pages":"644-651"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144513032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}