Chronic Subdural Hematomas: A Review of 94 Cases
Abstract
Purpose: To investigate risk factors, preoperative findings, treatment, complications and prognosis of patients with chronic subdural hematoma treated in our university. Material and Methods: Consecutive patients operated with a diagnosis of chronic subdural hematoma between January 2003 and December 2012 were reviewed retrospectively. Etiology and medical status of the patients at the time of admission were noted. Exact localization of the chronic subdural hematoma was detected by computed tomography scans and follow-up was maintained with magnetic resonance imaging. The outcome of the patients was evaluated one month after injury, by assesing activities of daily living. Results: Ninety-four consecutive patients met the eligibility criteria for the study. The mean age was 65 (range 45 to 85) years. In 74 (78.7%) patients, head injury was the supposed origin. In 20 (21.3%) patients, no trauma was evident. Most common symptom reported at the time of admission was headache (100%), and the most common neurological finding was confusion (87.2%). The majority of the patients had a mild neurological deficit with a Glascow Coma Scale score over eight. In general, 90.4% of cases were sufficiently treated by a single operation, while 9.6% needed a second procedure. During the follow-up, 91.5% of the patients returned to daily living activities on the first month kontrol. Conclusion: Surgical treatment of chronic subdural haematoma can give a high rate of complete recovery to normal life.
Keywords
Burr-hole craniostomy; complications; head injury; chronic subdural hematoma
Kaynakça
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