{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,6]],"date-time":"2025-11-06T12:34:29Z","timestamp":1762432469991,"version":"3.41.0"},"reference-count":33,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Neurol Surg A Cent Eur Neurosurg"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n               Background\u2003Chronic subdural hematomas (cSDHs) are most frequently treated by evacuation via a burr-hole craniostomy procedure. Subperiosteal drains have been introduced as alternatives to subdural ones, but only a few prospective studies have explored their efficacy. Thus, a prospective randomized trial was designed to assess their use.<\/jats:p><jats:p>\n               Methods\u2003The study enrolled patients with newly diagnosed surgically amenable cSDH. These patients were randomized into two groups. The first group underwent cSDH evacuation via a single burr hole craniostomy procedure, followed by placement of a subperiosteal drain; the second group underwent the identical procedure without drain placement. Patient demographics, drain volumes, duration of drainage, cSDH recurrence, and postoperative outcomes were recorded.<\/jats:p><jats:p>\n               Results\u2003Eighty-eight patients presenting with cSDH (12 with bilateral cSDHs) from a total of 100 surgical cases were enrolled. Nine patients (1 bilateral) were lost to follow-up. Of all remaining 90 procedures, 37 were carried out with drain placement and the remaining 53 without drain placement. There were five recurrent cases (13.5%) in the drain placement group and 17 (32.1%) in the group without drain placement. This resulted in a statistical significance (odds ratio [OR]: 0.33; p\u2009&lt;\u20090.05) favoring the use of a drain.<\/jats:p><jats:p>\n               Conclusion\u2003Subperiosteal drain placement can be used safely and effectively to treat cSDH in conjunction with a burr-hole craniostomy procedure, significantly reducing the rate of recurrence without any additional disadvantages.<\/jats:p>","DOI":"10.1055\/a-2418-3682","type":"journal-article","created":{"date-parts":[[2024,9,19]],"date-time":"2024-09-19T23:03:42Z","timestamp":1726787022000},"page":"390-396","source":"Crossref","is-referenced-by-count":1,"title":["Efficacy of Subperiosteal Drains in Chronic Subdural Hematoma: A Prospective Randomized Single-Center Study"],"prefix":"10.1055","volume":"86","author":[{"given":"Yavor","family":"Bozhkov","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Friedrich-Alexander-Universit\u00e4t (FAU), Erlangen-N\u00fcrnberg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julian","family":"Feulner","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Friedrich-Alexander-Universit\u00e4t (FAU), Erlangen-N\u00fcrnberg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Buchfelder","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Friedrich-Alexander-Universit\u00e4t (FAU), Erlangen-N\u00fcrnberg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Max","family":"Kleiss","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Friedrich-Alexander-Universit\u00e4t (FAU), Erlangen-N\u00fcrnberg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sebastian","family":"Brandner","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Friedrich-Alexander-Universit\u00e4t (FAU), Erlangen-N\u00fcrnberg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4888-543X","authenticated-orcid":false,"given":"Thomas M.","family":"Kinfe","sequence":"additional","affiliation":[{"name":"Division of Functional and Stereotactic Neurosurgery, Friedrich-Alexander-Universit\u00e4t (FAU), Erlangen-N\u00fcrnberg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,12,24]]},"reference":[{"issue":"02","key":"ref1","doi-asserted-by":"crossref","first-page":"27","DOI":"10.13004\/kjnt.2015.11.2.27","article-title":"History of chronic subdural hematoma","volume":"11","author":"K S Lee","year":"2015","journal-title":"Korean J Neurotrauma"},{"issue":"06","key":"ref2","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1002\/bjs.1800020608","article-title":"Chronic subdural haemorrhage of traumatic origin, and its relation to pachymeningitis haemorrhagica interna","volume":"2","author":"W Trotter","year":"1914","journal-title":"Br J Surg"},{"issue":"05","key":"ref3","doi-asserted-by":"crossref","first-page":"637","DOI":"10.3171\/jns.1981.54.5.0637","article-title":"Chronic subdural hematomas: a review","volume":"54","author":"T M Markwalder","year":"1981","journal-title":"J Neurosurg"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"402","DOI":"10.1016\/j.wneu.2018.05.037","article-title":"Pathophysiology and nonsurgical treatment of chronic subdural hematoma: from past to present to future","volume":"116","author":"D C Holl","year":"2018","journal-title":"World Neurosurg"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"100300","DOI":"10.1016\/j.bas.2021.100300","article-title":"Chronic subdural hematoma (cSDH): a review of the current state of the art","volume":"1","author":"A Nouri","year":"2021","journal-title":"Brain Spine"},{"issue":"08","key":"ref6","first-page":"CD011402","article-title":"External drains versus no drains after burr-hole evacuation for the treatment of chronic subdural haematoma in adults","volume":"2016","author":"D Peng","year":"2016","journal-title":"Cochrane Database Syst Rev"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"e426","DOI":"10.1016\/j.wneu.2020.02.166","article-title":"When the drain hits the brain","volume":"138","author":"M Kamenova","year":"2020","journal-title":"World Neurosurg"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1016\/j.wneu.2019.12.180","article-title":"Subperiosteal versus subdural drain after burr hole drainage for chronic subdural hematomas: a systematic review and meta-analysis","volume":"136","author":"H Ding","year":"2020","journal-title":"World Neurosurg"},{"issue":"04","key":"ref9","doi-asserted-by":"crossref","first-page":"501","DOI":"10.1017\/S0317167100004510","article-title":"Management of chronic subdural hematoma: a national survey and literature review","volume":"32","author":"A Cenic","year":"2005","journal-title":"Can J Neurol Sci"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"105899","DOI":"10.1016\/j.clineuro.2020.105899","article-title":"Practice variation in the conservative and surgical treatment of chronic subdural hematoma","volume":"195","author":"E RA Laldjising","year":"2020","journal-title":"Clin Neurol Neurosurg"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"1067","DOI":"10.1016\/S0140-6736(09)61115-6","article-title":"Use of drains versus no drains after burr-hole evacuation of chronic subdural haematoma: a randomised controlled trial","volume":"374","author":"T Santarius","year":"2009","journal-title":"Lancet"},{"issue":"03","key":"ref12","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1016\/j.jocn.2003.09.012","article-title":"Irrigation vs. closed drainage in the treatment of chronic subdural hematoma","volume":"12","author":"F S Erol","year":"2005","journal-title":"J Clin Neurosci"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"731","DOI":"10.1016\/j.wneu.2010.11.042","article-title":"A randomized controlled trial comparing the outcome of burr-hole irrigation with and without drainage in the treatment of chronic subdural hematoma: a preliminary report","volume":"75","author":"A Javadi","year":"2011","journal-title":"World Neurosurg"},{"issue":"05","key":"ref14","doi-asserted-by":"crossref","first-page":"E825","DOI":"10.1093\/neuros\/nyz095","article-title":"Subperiosteal vs subdural drain after burr-hole drainage of chronic subdural hematoma: a randomized clinical trial (cSDH-drain-trial)","volume":"85","author":"J Soleman","year":"2019","journal-title":"Neurosurgery"},{"issue":"11","key":"ref15","doi-asserted-by":"crossref","first-page":"2083","DOI":"10.1007\/s00701-012-1483-1","article-title":"A prospective randomised study to compare the utility and outcomes of subdural and subperiosteal drains for the treatment of chronic subdural haematoma","volume":"154","author":"C Kaliaperumal","year":"2012","journal-title":"Acta Neurochir (Wien)"},{"issue":"06","key":"ref16","doi-asserted-by":"crossref","first-page":"731","DOI":"10.1042\/CS20200895","article-title":"The complex role of adipokines in obesity, inflammation, and autoimmunity","volume":"135","author":"E B Taylor","year":"2021","journal-title":"Clin Sci (Lond)"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"1032329","DOI":"10.3389\/fendo.2022.1032329","article-title":"Cushing's syndrome is associated with altered adipokine profile","volume":"13","author":"D Dadej","year":"2022","journal-title":"Front Endocrinol (Lausanne)"},{"issue":"04","key":"ref18","doi-asserted-by":"crossref","first-page":"306","DOI":"10.1093\/ajh\/hpab184","article-title":"Adipokines and metabolic syndrome: pluripotent markers for a complex relationship?","volume":"35","author":"L Gomes-Pereira","year":"2022","journal-title":"Am J Hypertens"},{"issue":"03","key":"ref19","doi-asserted-by":"crossref","first-page":"449","DOI":"10.1097\/SLA.0000000000000255","article-title":"Chronic subdural hematoma management: a systematic review and meta-analysis of 34,829 patients","volume":"259","author":"S A Almenawer","year":"2014","journal-title":"Ann Surg"},{"issue":"04","key":"ref20","doi-asserted-by":"crossref","first-page":"732","DOI":"10.3171\/2016.8.JNS16134","article-title":"The management and outcome for patients with chronic subdural hematoma: a prospective, multicenter, observational cohort study in the United Kingdom","volume":"127","author":"P M Brennan","year":"2016","journal-title":"J Neurosurg"},{"key":"ref21","doi-asserted-by":"crossref","first-page":"107068","DOI":"10.1016\/j.clineuro.2021.107068","article-title":"Comparative analysis of safety and efficacy in subperiosteal versus subdural drainage after burr-hole trephination for chronic subdural hematoma","volume":"212","author":"Y Hwang","year":"2022","journal-title":"Clin Neurol Neurosurg"},{"issue":"03","key":"ref22","doi-asserted-by":"crossref","first-page":"489","DOI":"10.1007\/s00701-019-04208-5","article-title":"Subperiosteal versus subdural drainage after burr hole evacuation of chronic subdural hematoma: systematic review and meta-analysis","volume":"162","author":"R Pranata","year":"2020","journal-title":"Acta Neurochir (Wien)"},{"issue":"04","key":"ref23","doi-asserted-by":"crossref","first-page":"486","DOI":"10.1093\/neuros\/nyy366","article-title":"Does drain position and duration influence outcomes in patients undergoing burr-hole evacuation of chronic subdural hematoma? Lessons from a UK multicenter prospective cohort study","volume":"85","author":"L J Glancz","year":"2019","journal-title":"Neurosurgery"},{"issue":"06","key":"ref24","doi-asserted-by":"crossref","first-page":"991","DOI":"10.1227\/00006123-198912000-00026","article-title":"Implantation of a reservoir for recurrent subdural hematoma drainage","volume":"25","author":"R Laumer","year":"1989","journal-title":"Neurosurgery"},{"issue":"06","key":"ref25","doi-asserted-by":"crossref","first-page":"870","DOI":"10.3171\/jns.1997.87.6.0870","article-title":"The relationship of preoperative magnetic resonance imaging findings and closed system drainage in the recurrence of chronic subdural hematoma","volume":"87","author":"K Tsutsumi","year":"1997","journal-title":"J Neurosurg"},{"issue":"06","key":"ref26","doi-asserted-by":"crossref","first-page":"842","DOI":"10.1227\/neu.0000000000002144","article-title":"Management of chronic subdural hematoma: a systematic review and component network meta-analysis of 455 studies with 103\u2009645 cases","volume":"91","author":"J Henry","year":"2022","journal-title":"Neurosurgery"},{"issue":"27","key":"ref27","doi-asserted-by":"crossref","first-page":"2616","DOI":"10.1056\/NEJMoa2020473","article-title":"Trial of dexamethasone for chronic subdural hematoma","volume":"383","author":"P J Hutchinson","year":"2020","journal-title":"N Engl J Med"},{"issue":"04","key":"ref28","first-page":"494","article-title":"Chronic subdural hematoma: a comparison of recurrence rates following burr-hole craniostomy with and without drains","volume":"24","author":"S A Kutty","year":"2014","journal-title":"Turk Neurosurg"},{"issue":"12","key":"ref29","doi-asserted-by":"crossref","first-page":"1186","DOI":"10.1056\/NEJMc1812507","article-title":"Follow-up computed tomography after evacuation of chronic subdural hematoma","volume":"380","author":"P Schucht","year":"2019","journal-title":"N Engl J Med"},{"issue":"03","key":"ref30","doi-asserted-by":"crossref","first-page":"665","DOI":"10.3171\/2014.5.JNS132715","article-title":"Chronic subdural hematoma: a systematic review and meta-analysis of surgical procedures","volume":"121","author":"W Liu","year":"2014","journal-title":"J Neurosurg"},{"issue":"14","key":"ref31","first-page":"4983","article-title":"Burr hole craniostomy vs. minicraniotomy of chronic subdural hematoma: a systematic review and meta-analysis","volume":"26","author":"Y W Huang","year":"2022","journal-title":"Eur Rev Med Pharmacol Sci"},{"key":"ref32","doi-asserted-by":"crossref","first-page":"94","DOI":"10.25259\/SNI_911_2021","article-title":"Middle meningeal artery embolization for chronic subdural hematomas. A systematic review of the literature focused on indications, technical aspects, and future possible perspectives","volume":"13","author":"A Di Cristofori","year":"2022","journal-title":"Surg Neurol Int"},{"issue":"02","key":"ref33","doi-asserted-by":"crossref","first-page":"268","DOI":"10.1093\/neuros\/nyaa379","article-title":"Middle meningeal artery embolization for chronic subdural hematoma: a multi-center experience of 154 consecutive embolizations","volume":"88","author":"P Kan","year":"2021","journal-title":"Neurosurgery"}],"container-title":["Journal of Neurological Surgery Part A: Central European Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2418-3682.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,3]],"date-time":"2025-06-03T22:57:27Z","timestamp":1748991447000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2418-3682"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,19]]},"references-count":33,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2025,6,3]]},"published-print":{"date-parts":[[2025,7]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2418-3682","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2193-6315","2193-6323"],"issn-type":[{"type":"print","value":"2193-6315"},{"type":"electronic","value":"2193-6323"}],"subject":[],"published-other":{"date-parts":[[2024,9,19]]},"published":{"date-parts":[[2024,9,19]]}}}