Hematoma subdural crónico: Una enfermedad del adulto mayor
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Patricio Tagle M [1] ; Francisco Mery M [1] ; Gonzalo Torrealba M [1] ; Sergio Del Villar PM [1] ; Hans Carmona V [1] ; Manuel Campos P [1] ; Jorge Méndez S [1] ; Ada Chicharro C [1]
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[1] Pontificia Universidad Católica de Chile
Pontificia Universidad Católica de Chile
Santiago, Chile
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- Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 131, Nº. 2, 2003, págs. 177-182
- Idioma: español
- Títulos paralelos:
- Chronic subdural hematoma: a disease of elderly people
- Enlaces
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Resumen
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 and methods: One hundred patients (77 male, mean age 77±13 years) with chronic subdural hematoma were analyzed. Results: The main clinical presentations were mental status changes (50%) and progressive focal neurological deficit (46%). 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%. 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 good outcome (Rev Méd Chile 2003; 131: 177-82)
