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2[22.8-28.0] vs. 23.1[19.7-26.2] ×10 /μL, p = 0.009) platelet count was significantly higher in patients with PSCHS than in those without. The preoperative platelet count (odds ratio[95 % confidence interval], 1.14[1.03-1.27], p = 0.011), operation on the dominant hemisphere (6.84 [3.26-14.36], p  0.001), and negative fluid balance (2.41[1.04-5.59], p = 0.04 were significant independent predictors of PSCHS. The optimal cut-off value for preoperative platelet count was 22.7 ×10 /μL, and PSCHS developed more frequently in cases wit