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 Es
| LILACS
| ID: lil-342239
Responsible library:
CL1.1
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:
1
Collection:
01-internacional
Database:
LILACS
Main subject:
Hematoma, Subdural, Chronic
Type of study:
Diagnostic_studies
/
Prognostic_studies
Limits:
Aged
/
Female
/
Humans
/
Male
Language:
Es
Journal:
Rev Med Chil
/
Rev. méd. Chile
/
Rev. méd. Chile (En línea)
/
Revista médica de Chile
Journal subject:
MEDICINA
Year:
2003
Document type:
Article
Affiliation country:
Chile
Country of publication:
Chile