Hematoma subdural crónico: Una enfermedad del adulto mayor

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 (Rev Méd Chile 2003; 131: 177-82)

Bibliographic Details

Main Authors:	Tagle M,Patricio, Mery M,Francisco, Torrealba M,Gonzalo, Del Villar PM,Sergio, Carmona V,Hans, Campos P,Manuel, Méndez S,Jorge, Chicharro C,Ada
Format:	Digital revista
Language:	Spanish / Castilian
Published:	Sociedad Médica de Santiago 2003
Online Access:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003000200007
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