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CC BY 4.0 · Indian Journal of Neurotrauma 2023; 20(02): 161-164
DOI: 10.1055/s-0043-1771000
Letter to the Editor

Chronic Subdural Hematoma: Past, Present, and Future

Pragnesh M. Bhatt
1   NHS Grampian, Aberdeen, Scotland, United Kingdom
2   University of Aberdeen, Scotland, United Kingdom
3   NHS Education for Scotland, Scotland, United Kingdom
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Introduction

Chronic subdural hematoma (CSDH) is a common neurosurgical condition characterized by abnormal collection of blood products in the subdural space with indolent course of progression. Its pathophysiology is complex and many theories have been put forward over time. Its presentation varies from a minimally symptomatic event to potentially serious neurosurgical emergencies. The surgical evacuation is the mainstay of its management although there has been some interest in pharmacological and minimally invasive endovascular options in this millennium. The prognosis depends on a number of factors, some of which are interdependent.



Publication History

Article published online:
10 July 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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  • References

  • 1 D'Errico AP, German WJ. Chronic subdural hematoma. Yale J Biol Med 1930; 3 (01) 11-20
    PubMedSearch in Google Scholar
  • 2 Markwalder T-M. Chronic subdural hematomas: a review. J Neurosurg 1981; 54 (05) 637-645
    CrossrefPubMedSearch in Google Scholar
  • 3 Putman TJ, Cushing H. Chronic subdural hematoma: its pathology, its relation to pachymeningitis haemorrhagica and its surgical treatment. Arch Surg 1925; 11: 329-393
    CrossrefPubMedSearch in Google Scholar
  • 4 Gardner WJ. Traumatic subdural hematoma: with particular reference to the latent interval. Arch Neurol Psychiatry 1932; 27: 847-858
    CrossrefPubMedSearch in Google Scholar
  • 5 Apfelbaum RI, Guthkelch AN, Shulman K. Experimental production of subdural hematomas. J Neurosurg 1974; 40 (03) 336-346
    CrossrefPubMedSearch in Google Scholar
  • 6 Balser D, Farooq S, Mehmood T, Reyes M, Samadani U. Actual and projected incidence rates for chronic subdural hematomas in United States Veterans Administration and civilian populations. J Neurosurg 2015; 123 (05) 1209-1215
    CrossrefPubMedSearch in Google Scholar
  • 7 Karibe H, Kameyama M, Kawase M, Hirano T, Kawaguchi T, Tominaga T. [Epidemiology of chronic subdural hematomas]. No Shinkei Geka 2011; 39 (12) 1149-1153
    PubMedSearch in Google Scholar
  • 8 Shapey J, Glancz LJ, Brennan PM. Chronic subdural hematoma in the elderly: is it time for a new paradigm in management?. Curr Geriatr Rep 2016; 5 (02) 71-77
    CrossrefPubMedSearch in Google Scholar
  • 9 Toi H, Kinoshita K, Hirai S. et al. Present epidemiology of chronic subdural hematoma in Japan: analysis of 63,358 cases recorded in a national administrative database. J Neurosurg 2018; 128 (01) 222-228
    CrossrefPubMedSearch in Google Scholar
  • 10 Adhiyaman V, Asghar M, Ganeshram KN, Bhowmick BK. Chronic subdural haematoma in the elderly. Postgrad Med J 2002; 78 (916) 71-75
    CrossrefPubMedSearch in Google Scholar
  • 11 Traynelis VC. Chronic subdural hematoma in the elderly. Clin Geriatr Med 1991; 7 (03) 583-598
    CrossrefPubMedSearch in Google Scholar
  • 12 Yadav YR, Parihar V, Namdev H, Bajaj J. Chronic subdural hematoma. Asian J Neurosurg 2016; 11 (04) 330-342
    Thieme ConnectPubMedSearch in Google Scholar
  • 13 Iliescu IA, Constantinescu AI. Clinical evolutional aspects of chronic subdural haematomas: literature review. J Med Life 2015; 8 (Spec Issue): 26-33
    PubMedSearch in Google Scholar
  • 14 Potter JF, Fruin AH. Chronic subdural hematoma: the “great imitator.”. Geriatrics 1977; 32 (06) 61-66
    PubMedSearch in Google Scholar
  • 15 Maeshima S, Okumura Y, Nakai K, Itakura T, Komai N. Gerstmann's syndrome associated with chronic subdural haematoma: a case report. Brain Inj 1998; 12 (08) 697-701
    CrossrefPubMedSearch in Google Scholar
  • 16 Markwalder TM. The course of chronic subdural hematomas after burr-hole craniostomy with and without closed-system drainage. Neurosurg Clin N Am 2000; 11 (03) 541-546
    CrossrefPubMedSearch in Google Scholar
  • 17 Hosoda K, Tamaki N, Masumura M, Matsumoto S, Maeda F. Magnetic resonance images of chronic subdural hematomas. J Neurosurg 1987; 67 (05) 677-683
    CrossrefPubMedSearch in Google Scholar
  • 18 Han JS, Kaufman B, Alfidi RJ. et al. Head trauma evaluated by magnetic resonance and computed tomography: a comparison. Radiology 1984; 150 (01) 71-77
    CrossrefPubMedSearch in Google Scholar
  • 19 Santarius T, Kirkpatrick PJ, Ganesan D. et al. Use of drains versus no drains after burr-hole evacuation of chronic subdural haematoma: a randomised controlled trial. Lancet 2009; 374 (9695): 1067-1073
    CrossrefPubMedSearch in Google Scholar
  • 20 Peters DR, Parish J, Monk S. et al. Surgical treatment for chronic subdural hematoma in the elderly: a retrospective analysis. World Neurosurg X 2023; 18: 100183
    CrossrefPubMedSearch in Google Scholar
  • 21 Gelabert-González M, Iglesias-Pais M, García-Allut A, Martínez-Rumbo R. Chronic subdural haematoma: surgical treatment and outcome in 1000 cases. Clin Neurol Neurosurg 2005; 107 (03) 223-229
    CrossrefPubMedSearch in Google Scholar
  • 22 Nakaguchi H, Tanishima T, Yoshimasu N. Factors in the natural history of chronic subdural hematomas that influence their postoperative recurrence. J Neurosurg 2001; 95 (02) 256-262
    CrossrefPubMedSearch in Google Scholar
  • 23 Jones S, Kafetz K. A prospective study of chronic subdural haematomas in elderly patients. Age Ageing 1999; 28 (06) 519-521
    CrossrefPubMedSearch in Google Scholar
  • 24 Kan P, Maragkos GA, Srivatsan A. et al. Middle meningeal artery embolization for chronic subdural hematoma: a multi-center experience of 154 consecutive embolizations. Neurosurgery 2021; 88 (02) 268-277
    CrossrefPubMedSearch in Google Scholar
  • 25 Rozzelle CJ, Wofford JL, Branch CL. Predictors of hospital mortality in older patients with subdural hematoma. J Am Geriatr Soc 1995; 43 (03) 240-244
    CrossrefPubMedSearch in Google Scholar
  • 26 van Havenbergh T, van Calenbergh F, Goffin J, Plets C. Outcome of chronic subdural haematoma: analysis of prognostic factors. Br J Neurosurg 1996; 10 (01) 35-39
    CrossrefPubMedSearch in Google Scholar
  • 27 Yamamoto H, Hirashima Y, Hamada H, Hayashi N, Origasa H, Endo S. Independent predictors of recurrence of chronic subdural hematoma: results of multivariate analysis performed using a logistic regression model. J Neurosurg 2003; 98 (06) 1217-1221
    CrossrefPubMedSearch in Google Scholar