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Objective Chronic subdural hematoma (CSDH) is a common disease which is increasing due to aging population and the use of anticoagulation and antiplatelet medication. Aim of this study is to analyze the internal structure of CSDH and investigate potential risk factors for recurrence. Methods This retrospective study evaluated data of 189 patients which were treated surgically between 2014–2018 at our department. Recorded were demographic-, clinical-, surgical treatment-, (CT)-imaging-, neurological status- and follow up data. The outcome was assessed clinically and with follow-up CT imaging 4–12 weeks after surgery. CT images were used to measure the thickness of hematomas, hyperdense areas, chronic parts, and membranes. Results Patients after evacuation of CSDH were significantly more common males (66,1%, n = 125, p > 0,001) had a significantly higher BMI (p |