EVALUATION OF BILATERAL CHRONIC SUBDURAL HEMATOMAS IN PATIENTS UNDER 50 YEARS OF AGE

Öz

Objective: Chronic subdural hematoma (CSDH) is typically seen in elderly people with unilateral hemorrhages. The aim of this study was to examine the clinical outcomes of patients under the age of 50 who were treated at our clinic for bilateral CSDHs. Material and Method: This retrospective study included 20 patients under the age of 50 who had been diagnosed with bilateral CSDHs and treated with burr-hole drainage between 2000 and 2022 at Istanbul Faculty of Medicine, Department of Neurosurgery, Istanbul University. The patients’ demographic information, clinical data, and radiological images were obtained retrospectively from the hospital system. The data were subjected to descriptive statisticalanalysis using the IBM SPSS statistics 28.0.0 program. Result: There were 14 (70%) males and six (30%) females in our study, with a mean age of 20.5 years. The most common complaints among the patients were headaches in nine patients (45%), newly developed paresis in five patients (25%), and seizures in four patients (20%). It was discovered that 17 patients (85%) had no history of head trauma. CSDH was evacuated by bilateral burrholes in 14 patients (70%). Three (21.4%) of 14 patients with bilateral burr-holes, and three (50%) of the remaining six patients were reoperated due to recurrent bleeding in the follow-up period. Conclusion: In our study, trauma history and use of antiaggregants and anticoagulants were low. More comprehensive studies on the etiology of bilateral CSDH in patients under 50 years of age are required.

Anahtar Kelimeler

• Burr-hole
• chronic subdural hematomas
• intracranial hematoma

50 YAŞ ALTINDAKİ KRONİK SUBDURAL HEMATOMU TANILI HASTALARIN İNCELENMESİ

Öz

Amaç: Kronik subdural hematom (KSDH) genelde yaşlı popülasyonda ve unilateral olarak izlenir. Bu çalışmada 50 yaşın altında tanı almış KSDH hastalarının klinik özelliklerinin incelenmesi planlandı. Gereç ve Yöntem: Bu çalışmaya İstanbul Üniversitesi, İstanbul Tıp Fakültesi, Beyin ve Sinir Cerrahisi anabilim dalında 50 yaşın altında bilateral KSDH tanısı almış ve "burr-hole" drenajı ile tedavi edilmiş olan 20 hasta dahil edildi. Hastaların demografik, klinik, radyolojik bilgilerine hastane sisteminden retrospektif olarak ulaşıldı. Tüm veriler IBM SPPS 28.0.0 programı kullanılarak istatiksel olarak değerlendirildi. Bulgular: Çalışmaya, 14 (%70) erkek ve altı (%30) kadın hasta dahil edildi. Ortalama yaşın 20,5 olduğu görüldü. En sık hastaneye başvurma semptomları incelendiğinde dokuz (%45) hastada baş ağrısı, beş (%25) hastada yeni gelişen parezi ve dört (%20) hastada nöbet geçirme olduğu görüldü. On yedi (%85) hastada kafa travması öyküsünün olmadığı saptandı. KSDH 14 hastada bilateral "burr-hole" ile boşaltıldı. Bu 14 hastanın takiplerinde üçünün (%21,4) ve geri kalan altı hastanın üçünün (%50) rekürren kanama nedeniyle tekrar opere edildiği saptandı. Sonuç: Çalışmamızda, genç bilateral KSDH tanılı hastalarda travma öyküsünün, antiagregan ve antikoagülan kullanımının az olduğu görüldü. Elli yaş altında karşılaşılan bilateral KSDH etiyolojisini aydınlatmak için daha geniş çaplı çalışmalara ihtiyaç bulunmaktadır.

Anahtar Kelimeler

• Burr-hole
• kronik subdural hematom
• intrakranyal hematom

Kaynakça

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