Skip to main content
Log in

Chronic subdural hematomas in adults: prognostic factors. Analysis of 70 cases

  • Original Articles
  • Published:
Neurosurgical Review Aims and scope Submit manuscript

Abstract

We did a prospective study of 70 adults with chronic subdural hematomas.

We looked at the correlation between some aetiological, clinical, and radiological factors and outcome.

The present analysis found a significant positive correlation of cephalea, isodense aspect of the hematoma at CT scan, and pulsatance of the encephalon at surgery to good clinical outcome.

Viceversa, alcoholism and intracranial hypotension associated with postoperative pneumocephalus are factors usually correlated with a negative clinical course.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Aronson SM, H Okasaki: A study of some factors modifying response of cerebral tissue to subdural haematoma. J Neurosurg 20 (1963) 20, 89, 93

    Google Scholar 

  2. Bakey L, FE Glasauer: Chronic subdural haematoma in head injury. Little, Brown and Company 216 (1988) 228

  3. Cameron MM: Chronic subdural haematoma: a review of 114 cases. J Neurol Neurosurg Psychiatr 41 (1978) 834–839

    Google Scholar 

  4. W Dreisen: Epidural and subdural haematoma as a complication of internal drainage of cerebrospinal fluid hydrocephalus. Acta Neurochir 30 (1974) 85–93

    Google Scholar 

  5. Fogelholm R, O Heiskamen, O Waltimo: Chronic subdural haematoma in adults. Influence of patient's age on symptoms signs and thickness of haematoma. J Neurosurg 42 (1975) 43–40

    Google Scholar 

  6. Gjerris F, K Schmidt: Chronic subdural haematoma. Surgery or mannitol treatment. J Neurosurg 40 (1974) 639–642

    Google Scholar 

  7. Hirsh LF: Intracranial air following subdural haematoma drainage with delayed recovery. Neurochirurgia 23 (1980) 55–58

    Google Scholar 

  8. Hubschmann OR: Twist-drill craniotomy in the treatment of chronic and subacute subdural haematomas in severely ill and elderly patients. Neurosurgery 6 (1980) 233–236

    Google Scholar 

  9. Ito H, M Maeda, T Vehara et al: Attenuation values of chronic subdural haematoma and subdural effusion in CT scans. Acta Neurochir 72 (1984) 211–217

    Google Scholar 

  10. Markwolder TM: Chronic subdural haematomas: a review. J Neurosurg 54 (1981) 637–645

    Google Scholar 

  11. Markwolder TM, KF Steinsiepe, M Rohner, W Reichenback, DC Mc Cullough, JL Fox: Negative intracranial pressure hydrocephalus in adults with shunts and its relationship to the production of subdural haematoma. J Neurosurg 40 (1974) 37, 375

    Google Scholar 

  12. Mousse AH, N Joshy: The impact of computed tomography on the treatment of chronic subdural haematoma. J Neurol Neurosurg Psychiatr 45 (1982) 1156–1158

    Google Scholar 

  13. Scotti G, K Terbrugge, D Melaneon, G Belanger: Evoluation of the age of subdural haematomas, by computerized tomography. J Neurosurg 47 (1977) 311–315

    Google Scholar 

  14. Tabaddor K, K Shulman: Definitive treatment of chronic subdural haematoma by twist-drill craniostomy and closed-system drainage. J Neurosurg 46 (1977) 220–226

    Google Scholar 

  15. Tomaszak, FY Tsai, JE Huprich, HD Segall, JS Teal: The contrast-enhanced CT scan in the diagnosis of isodense subdural haematoma. J Neurosurg 50 (1979) 64–69

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Merlicco, G., Pierangeli, E. & di Padova, P.L. Chronic subdural hematomas in adults: prognostic factors. Analysis of 70 cases. Neurosurg. Rev. 18, 247–251 (1995). https://doi.org/10.1007/BF00383875

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00383875

Keywords

Navigation