Hematoma subdural crónico: una enfermedad del adulto mayor / Chronic subdural hematoma: a disease of elderly people
Rev. méd. Chile
;
131(2): 177-182, 2003. tab, graf
Article
in Spanish
| LILACS
| ID: lil-342239
RESUMO
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 andmethods:
One hundred patients (77 male, mean age 77ñ13 years) with chronic subdural hematoma were analyzed.Results:
The main clinical presentations were mental status changes (50 percent) and progressive focal neurological deficit (46 percent). 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 percent. 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 goodoutcome:
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Hematoma, Subdural, Chronic
Type of study:
Diagnostic study
/
Prognostic study
Limits:
Aged
/
Female
/
Humans
/
Male
Language:
Spanish
Journal:
Rev. méd. Chile
Journal subject:
Medicine
Year:
2003
Type:
Article
Affiliation country:
Chile
Institution/Affiliation country:
Pontificia Universidad Católica de Chile/CL
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