J Korean Neurotraumatol Soc.  2007 Jun;3(1):8-12. 10.13004/jknts.2007.3.1.8.

Clinical Analysis of Chronic Subdural Hematoma Developed from Traumatic Subdural Hygroma in the Eldery

• Chung SW
• Park JW
• Park SH
• Park J
• Hwang SK
• Hamm IS

• KMID: 2162853
• DOI: http://doi.org/10.13004/jknts.2007.3.1.8

Abstract

OBJECTIVE
The authors evaluated the clinical characteristics and pathogenesis of traumatic subdural hygroma (TSDG) developing into chronic subdural hematoma (CSDH) and to establish the strategy for management of head trauma patients in the elderly.
METHODS
Between January 2003 and December 2005, 14 patients over the age of 65 years (mean age: 70.7 years old) who had TSDG developing into CSDH were retrospectively reviewed. Serial Computed Tomography (CT) scans were performed and all of the patients underwent burr-hole drainage.
RESULTS
In 9 patients (64.3%), without any neurological symptoms except headache, serial CT scan detected the change of TSDG into CSDH. There was no complication directly associated with surgical procedure. Except 2 patients who have serious underlined disease, 12 patients (85.7%) showed clinical improvement of their symptoms.
CONCLUSION
TSDG is one of the origins of CSDH. Especially in old ages, the incidence is increased. In case of head trauma patients, especially in old ages, serial CT scan is essential for detecting changing into CSDH and prompt operation is benefit for better prognosis.

Keyword

Traumatic subdural hygroma; Chronic subdural hematoma; Head injuries; Old ages

MeSH Terms

Aged
Craniocerebral Trauma
Drainage
Headache
Hematoma, Subdural, Chronic*
Humans
Incidence
Prognosis
Retrospective Studies
Subdural Effusion*
Tomography, X-Ray Computed