Abstract
Objective. The aim of this work was to study the cerebral protective effect of craniotomy hematoma removal under propofol anesthesia based on the artificial intelligence algorithm analysis of the changes in imaging characteristics of chronic subdural hematoma (CSDH) patients. Methods. A total of 60 CSDH patients who were treated in hospital were recruited and were randomly rolled into an experimental group and a control group, with 30 people in each group. Patients in the experimental group were treated with propofol anesthesia + craniotomy hematoma removal, while those in the control group were treated with conventional anesthesia + craniotomy hematoma removal. Head CT examinations were performed on the next day, one week, one month, three months, and six months after the operation. A two-dimensional empirical mode decomposition (BEMD) algorithm was used for edge detection and denoising of brain CT images of CSDH patients. Then, the amount of hematoma was calculated, and the Markwalder grading was performed to evaluate the neurological function. The number of recurrence and reoperation cases within six months of follow-up was collected. Results. 1. The quality of CT images was remarkably improved after processing with artificial intelligence algorithms. 2. The amount of hematoma in the experimental group was remarkably lower than that in the control group at January, March, and June after surgery (12.89 ± 2.12 VS 20.32 ± 16.41; 7.55 ± 4.13 VS 15.88 ± 14.22; 3.39 ± 3.79 VS 6.55 ± 3.69, P < 0.05 ). 3. The experimental group was remarkably better than the control group in Markwalder grading three months and six months after the operation ( P < 0.05 ). Conclusion. Artificial intelligence algorithm had good effect on the brain CT image processing of CSDH patients, and craniotomy hematoma removal under propofol anesthesia had an ideal brain protection effect.
Highlights
Chronic subdural hematoma (CSDH) is a common neurosurgical disease
Patients in the experimental group were treated with propofol anesthesia + craniotomy hematoma removal, while those in the control group were treated with conventional anesthesia + craniotomy hematoma removal
The best time for disease treatment is missed, leading to severe sequelae such as hemiplegia, neurological impairment, and aphasia [14]. e number of CSDH patients admitted to our hospital in the recent years has been increasing year by year, which is consistent with the above-mentioned studies
Summary
Chronic subdural hematoma (CSDH) is a common neurosurgical disease. Most of the patients are elderly people. With the increasing trend of population aging, the incidence of CSDH has been rising. In the early stage of CSDH, due to the small hematoma and relatively hidden symptoms, it is despised by patients and their families, leading to delayed treatment. With the increasing amount of hematoma, the clinical manifestations include vomiting, dizziness, and other intracranial hypertension symptoms, with prominent headache. Some patients are with progressive dementia, memory loss, mental retardation, and other neurological impairment symptoms. A few may have typical symptoms such as paralysis of limbs, speech disorders, and epilepsy, and even coma in severe cases [1]
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