Chronic subdural hematoma (CSH) is predominantly a disease of the elderly. Aging societies in advanced countries are seeing the number of CSH cases increasing. We applied a three-day hospitalization protocol for CSH surgery to reduce healthcare costs and more efficiently manage hospital beds. We investigated the clinical factors that influenced prolonged hospitalization. From January 2015 to December 2020, we performed irrigation, evacuation, and drainage of CSH cases in 221 consecutive patients. The χ 2 test and logistic regression analysis were conducted to detect clinical factors influencing prolonged hospitalization. A p-value below 0.05 was considered statistically significant. Applying a three-day hospitalization protocol showed no adverse outcomes. Fifty-two (24%) of 221 patients experienced prolonged hospitalization. The χ 2 test showed that female gender, atrial fibrillation, alcohol abuse, preoperative consciousness level, verbal function disturbance, and perioperative activities of daily living were significantly related to prolonged hospitalization. Female gender, atrial fibrillation, and alcohol abuse were significant factors in the logistic regression analysis. A three-day hospitalization protocol for CSH is suitable for patient care; however, particular attention needs to be focused on the female gender, atrial fibrillation, and alcohol abuse, all three of which prolong hospitalization.

This is a report of two cases of peripheral neuropathy associated with ulcerative colitis (UC). Patient 1 developed asymmetric neuropathy two weeks after the onset of UC. Subsequent neurological improvement paralleled the improvement in the active UC as revealed by colonoscopy. Patient 2 exhibited sensory ataxic neuropathy with deposits of IgG and Λ chain in the sural nerve. Both patients showed axonal neuropathy, and corticosteroid therapy improved the neurological symptoms. These types of neuropathy have not previously been reported in association with UC.

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