Multiple Density Subdural Hematomas
Affiliation(s)
Department of Neurosurgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India.
Department of Neurosurgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India.
ABSTRACT
The chronic subdural hematoma is a well known entity in old age and the treatment is very challenging. Treatment protocol depends upon the radiological finding. The loculation and multilayering indicates the bleeding at multiple times and respectively found in 13.2% and 13.6%, which was more common in patients more than 75 years. Burr hole evacuation was the treatment of choice except in recurrent cases where craniotomy was performed.
The chronic subdural hematoma is a well known entity in old age and the treatment is very challenging. Treatment protocol depends upon the radiological finding. The loculation and multilayering indicates the bleeding at multiple times and respectively found in 13.2% and 13.6%, which was more common in patients more than 75 years. Burr hole evacuation was the treatment of choice except in recurrent cases where craniotomy was performed.
Cite this paper
D. Tiwari, V. Sharma and J. Raj, "Multiple Density Subdural Hematomas," Open Journal of Modern Neurosurgery, Vol. 4 No. 1, 2014, pp. 19-22. doi: 10.4236/ojmn.2014.41004.
D. Tiwari, V. Sharma and J. Raj, "Multiple Density Subdural Hematomas," Open Journal of Modern Neurosurgery, Vol. 4 No. 1, 2014, pp. 19-22. doi: 10.4236/ojmn.2014.41004.
References
[1] M. Gelabert-González, M. Iglesias-Pais, A. García-Allut and R. Martínez-Rumbo, “Chronic Subdural Hematoma: Surgical Treatment and Outcome in 1000 Cases,” Clinical Neurology Neurosurgery, Vol. 107, No. 3, 2005, pp. 223-229. http://dx.doi.org/10.1016/j.clineuro.2004.09.015 [2] K. S. Lee, J. J. Shim, S. M. Yoon, J. W. Doh, I. G. Yun and H. G. Bae, “Acute-on-Chronic Subdural Hematoma: Not Uncommon Events,” Journal of Korean Neurosurgery Society, Vol. 50, No. 6, 2011, pp. 512-516. http://dx.doi.org/10.3340/jkns.2011.50.6.512 [3] V. Adhiyaman, M. Asghar, K. N. Ganeshram and B. K. Bhowmick, “Chronic Subdural Hematoma in the Elderly,” Postgraduate Medical Journal, Vol. 78, No. 916, 2002, pp. 71-75.
http://dx.doi.org/10.1136/pmj.78.916.71 [4] A. Spallone, R. Giuffre, F. M. Gagliardi and R. Vagnozzi, “Chronic Subdural Hematoma in Extremely Aged Patients,” European Journal of Neuroscience, Vol. 29, No. 1, 1989, pp. 18-22.
http://dx.doi.org/10.1159/000116370 [5] K. Mori and M. Maeda, “Surgical Treatment of Chronic Subdural Hematoma in 500 Consecutive Cases: Clinical Characteristics, Surgical Outcome, Complications, and Recurrence Rate,” Neurologia Medico-Chirurgica (Tokyo), Vol. 41, No. 8, 2001, pp. 371-381. http://dx.doi.org/10.2176/nmc.41.371 [6] K. S. Lee, “Natural History of Chronic Subdural Hematoma,” Brain Injury, Vol. 18, No. 4, 2004, pp. 351-358. http://dx.doi.org/10.1080/02699050310001645801 [7] H.-R. Park, K.-S. Lee, J.-J. Shim, et al., “Multiple Densities of the Chronic Subdural Hematoma in CT Scans,” Journal of Korean Neurosurgery Society, Vol. 54, No. 1, 2013, pp. 38-41. [8] J. Y. Lee, H. Ebel, R. I. Ernestus and N. Klug, “Various Surgical Treatments of Chronic Subdural Hematoma and Outcome in 172 Patients: Is Membranectomy Necessary?” Surgical Neurology, Vol. 61, No. 6, 2004, pp. 523-527. [9] T. M. Markwalder, “Chronic Subdural Hematomas: A Review,” Journal of Neurosurgery, Vol. 54, No. 5, 1981, pp. 637-645. http://dx.doi.org/10.3171/jns.1981.54.5.0637
[1] M. Gelabert-González, M. Iglesias-Pais, A. García-Allut and R. Martínez-Rumbo, “Chronic Subdural Hematoma: Surgical Treatment and Outcome in 1000 Cases,” Clinical Neurology Neurosurgery, Vol. 107, No. 3, 2005, pp. 223-229. http://dx.doi.org/10.1016/j.clineuro.2004.09.015 [2] K. S. Lee, J. J. Shim, S. M. Yoon, J. W. Doh, I. G. Yun and H. G. Bae, “Acute-on-Chronic Subdural Hematoma: Not Uncommon Events,” Journal of Korean Neurosurgery Society, Vol. 50, No. 6, 2011, pp. 512-516. http://dx.doi.org/10.3340/jkns.2011.50.6.512 [3] V. Adhiyaman, M. Asghar, K. N. Ganeshram and B. K. Bhowmick, “Chronic Subdural Hematoma in the Elderly,” Postgraduate Medical Journal, Vol. 78, No. 916, 2002, pp. 71-75.
http://dx.doi.org/10.1136/pmj.78.916.71 [4] A. Spallone, R. Giuffre, F. M. Gagliardi and R. Vagnozzi, “Chronic Subdural Hematoma in Extremely Aged Patients,” European Journal of Neuroscience, Vol. 29, No. 1, 1989, pp. 18-22.
http://dx.doi.org/10.1159/000116370 [5] K. Mori and M. Maeda, “Surgical Treatment of Chronic Subdural Hematoma in 500 Consecutive Cases: Clinical Characteristics, Surgical Outcome, Complications, and Recurrence Rate,” Neurologia Medico-Chirurgica (Tokyo), Vol. 41, No. 8, 2001, pp. 371-381. http://dx.doi.org/10.2176/nmc.41.371 [6] K. S. Lee, “Natural History of Chronic Subdural Hematoma,” Brain Injury, Vol. 18, No. 4, 2004, pp. 351-358. http://dx.doi.org/10.1080/02699050310001645801 [7] H.-R. Park, K.-S. Lee, J.-J. Shim, et al., “Multiple Densities of the Chronic Subdural Hematoma in CT Scans,” Journal of Korean Neurosurgery Society, Vol. 54, No. 1, 2013, pp. 38-41. [8] J. Y. Lee, H. Ebel, R. I. Ernestus and N. Klug, “Various Surgical Treatments of Chronic Subdural Hematoma and Outcome in 172 Patients: Is Membranectomy Necessary?” Surgical Neurology, Vol. 61, No. 6, 2004, pp. 523-527. [9] T. M. Markwalder, “Chronic Subdural Hematomas: A Review,” Journal of Neurosurgery, Vol. 54, No. 5, 1981, pp. 637-645. http://dx.doi.org/10.3171/jns.1981.54.5.0637