|
KMID : 1143720070030010008
|
|
Korean Journal of Neurotrauma
2007 Volume.3 No. 1 p.8 ~ p.12
|
|
|
Clinical Analysis of Chronic Subdural Hematoma Developed from Traumatic Subdural Hygroma in the Eldery
|
|
Chung Seok-Won
Park Jin-Woo
Park Seong-Hyun
Park Jae-Chan
Hwang Sung-Kyoo
Hamm In-Suk
|
|
|
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
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
  
|