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  • Title: [Chronic subdural hematoma: a disease of elderly people].
    Author: Tagle P, Mery F, Torrealba G, Del Villar S, Carmona H, Campos M, Méndez J, Chicharro A.
    Journal: Rev Med Chil; 2003 Feb; 131(2):177-82. PubMed ID: 12708256.
    Abstract:
    BACKGROUND: The lack of specificity and heterogeneity of the clinical picture of chronic subdural hematoma, hampers its diagnosis. AIM: To report the experience of a Neurosurgical Service in chronic subdural hematoma. PATIENTS AND METHODS: One hundred patients (77 male, mean age 77 +/- 13 years) with chronic subdural hematoma were analyzed. RESULTS: The main clinical presentations were mental status changes (50%) and progressive focal neurological deficit (46%). Five cases presented as a transient neurological deficit. All patients were treated with burr hole drainage. Thirteen had recurrence of the hematoma and they were reoperated. The surgical mortality was 3%. Eighty seven patients were followed for a mean of 66 months. Eighty one of these had a complete recovery, 6 had permanent neurological deficit and 2 of these were unable to care for themselves. Bad prognosis was associated with the absence of a previous trauma to explain the hematoma and symptoms of dementia as the clinical presentation. CONCLUSIONS: Most patients with chronic subdural hematoma treated with burr hole drainage have a good outcome.
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