J Korean Neurotraumatol Soc.  2011 Oct;7(2):83-87. 10.13004/jknts.2011.7.2.83.

Age-Specific Characteristics in Chronic Subdural Hematoma Patients

• Lee SH
• Ha SK
• Kim JH
• Kim JH
• Kwon TH
• Park YK

• KMID: 2019919
• DOI: http://doi.org/10.13004/jknts.2011.7.2.83

Abstract

OBJECTIVE
It is well known that chronic subdural hematoma (CSDH) is relatively common in geriatric patients. However, frequently, CSDH can also develop in younger patients. We hypothesized that some clinical features may be different according to the age groups.
METHODS
Total one-hundred thirty seven surgically treated CSDH patients from January 2006 to April 2011 were included. We divided patients into three sub-group by age (young, average and old). We investigated several risk factors, preoperative and postoperative CT findings of each groups.
RESULTS
Hypertension, head trauma, arachnoid cyst and spontaneous intracranial hypotension were significantly associated with young age group compared to other groups. The recurrence rate of CSDH was higher in old age group with preoperative high density hematoma and postoperative pneumocephalus.
CONCLUSION
In this study, intracranial underlying diseases were relatively common in young age group. Old age group showed higher incidence of recurrence, preoperative mixed density and postoperative pneumocephalus on CT.

Keyword

Chronic subdural hematoma; Age Groups; Risk factors; Recurrence; Pneumocephalus

MeSH Terms

Arachnoid
Craniocerebral Trauma
Hematoma
Hematoma, Subdural, Chronic
Humans
Hypertension
Incidence
Intracranial Hypotension
Pneumocephalus
Recurrence
Risk Factors

Figure

• 

  FIGURE 1 Age distribution in chronic subdural hematoma patients.

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