Traumatic Parafalcine Subdural Hematoma: A Clinically Benign Finding
| Autor: | Michael Ditillo, Frances Hite Philp, Matthew R. Noorbakhsh, Benjamin N. Cragun, Erin R. Suydam, Allan S. Philp, Alan D. Murdock |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Demographics Radiography Neuroimaging macromolecular substances Neurosurgical Procedures law.invention 03 medical and health sciences 0302 clinical medicine Hematoma Blunt Trauma Centers law Head Injuries Closed medicine Neurologic deterioration Humans Glasgow Coma Scale Registries Aged Retrospective Studies Aged 80 and over business.industry Trauma center Bleed Length of Stay Middle Aged medicine.disease Intensive care unit Intracranial Hemorrhage Traumatic body regions Intensive Care Units Hematoma Subdural 030220 oncology & carcinogenesis Disease Progression 030211 gastroenterology & hepatology Surgery Female Radiology business |
| Zdroj: | The Journal of surgical research. 249 |
| ISSN: | 1095-8673 |
| Popis: | Guidelines for management of intracranial hemorrhage do not account for bleed location. We hypothesize that parafalcine subdural hematoma (SDH), as compared to convexity SDH, is a distinct clinical entity and these patients do not benefit from critical care monitoring or repeat imaging.We identified patients presenting to a single level I trauma center with isolated head injuries from February 2016 to August 2017. We identified 88 patients with isolated blunt traumatic parafalcine SDH and 228 with convexity SDH.Demographics, comorbidities, and use of antiplatelet and anticoagulant agents were similar between the groups. As compared to patients with convexity SDH, patients with parafalcine SDH had a significantly lower incidence of radiographic progression, and had no cases of neurologic deterioration, neurosurgical intervention, or mortality (all P 0.005). Compared to patients admitted to the intensive care unit, patients with parafalcine SDH admitted to the floor had a shorter length of stay (2.0 ± 1.6 versus 3.8 ± 2.9 d, P 0.005) with no difference in outcomes.Patients presenting with a parafalcine SDH are a distinct and relatively benign clinical entity as compared to convexity SDH and do not benefit from repeat imaging or intensive care unit admission. |
| Databáze: | OpenAIRE |
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