International collaborative research initiative on chronic subdural haematoma (iCORIC); planning the future of CSDH trials and management
EANS Academy. Edlmann E. 09/27/19; 276153; EP05055
Mrs. E Edlmann
Mrs. E Edlmann

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Introduction: Chronic subdural haematoma (CSDH) is a common neurosurgical pathology, but is approached with varying treatment algorithms. Research interest focused on this condition has been growing and the first international symposium on this topic took place at EANS Brussels, 2018.
Aim Our aim is to share outcomes from current CSDH studies and discuss areas lacking evidence, such that future collaborative studies can be designed.
Results: There is a growing interest on the pathophysiology and management of CSDH. We have already observed a broad variation in international and inter-hospital management of CSDH, due to lack of definitive evidence for many treatment options. On-going studies are focused on application of pharmacological agents (e.g. corticosteroids and tranexamic acid) and success of varying surgical techniques, such as the operative approach, irrigation and positioning of post-operative drains.
Conclusion: iCORIC (International COllaborative Research Initiative on Chronic subdural haematoma) has been established by members in the UK (British Neurosurgical Trainee Research Collaborative; BNTRC), the Netherlands (Dutch Subdural Hematoma Research group; DSHR), Denmark (the DAnish Cronic SUbdural Haematoma Study; DACSUHS), Sweden, Belgium, Switzerland, Colombia, India and Ethiopia. iCORIC is actively seeking interest from any other interested countries. The collaborative will meet annually at the EANS to share progress in current studies, set-up a collaborative databank of observational data in CSDH and plan future studies in CSDH. A consensus meeting to establish international guidance on CSDH management is planned for 2021, when many current trials will be completed.
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