[Chronic subdural hematoma: a disease of elderly people].

Autor:	Tagle P; Departamento de Neurocirugía y Departamento de Neurología, Facultad de Medicina, Pontificia Universidad Católica de Chile. ptagle@med.puc.cl, Mery F, Torrealba G, Del Villar S, Carmona H, Campos M, Méndez J, Chicharro A
Jazyk:	Spanish; Castilian
Zdroj:	Revista medica de Chile [Rev Med Chil] 2003 Feb; Vol. 131 (2), pp. 177-82.
Abstrakt:	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.
Databáze:	MEDLINE
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