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
Artigo
em Espanhol
| LILACS
| ID: lil-342239
Biblioteca responsável:
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:
Texto completo:
Disponível
Coleções:
Bases de dados internacionais
Base de dados:
LILACS
Assunto principal:
Hematoma Subdural Crônico
Tipo de estudo:
Estudo diagnóstico
/
Estudo prognóstico
Limite:
Idoso
/
Feminino
/
Humanos
/
Masculino
Idioma:
Espanhol
Revista:
Rev. méd. Chile
Assunto da revista:
Medicina
Ano de publicação:
2003
Tipo de documento:
Artigo
País de afiliação:
Chile
Instituição/País de afiliação:
Pontificia Universidad Católica de Chile/CL