Journal List > J Korean Neurotraumatol Soc > v.3(1) > 1084012

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Chung, Park, Park, Park, Hwang, and Hamm: Clinical Analysis of Chronic Subdural Hematoma Developed from Traumatic Subdural Hygroma in the Eldery
Clinical Article

Journal of Korean Neurotraumatology Society 2007; 3(1): 8-12.

Published online: 30 June 2007

DOI: https://doi.org/10.13004/jknts.2007.3.1.8

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

Seok-Won Chung, MD, Jin-Woo Park, MD, Seong-Hyun Park, MD, Jaechan Park, MD, Sung-Kyoo Hwang, MD, In-Suk Hamm, MD

Department of Neurosurgery, School of Medicine, Kyungpook National University, Kyungpook National University Hospital, Daegu, Korea.

Address for correspondence: Seong-Hyun Park, MD. Department of Neurosurgery, School of Medicine, Kyungpook National University, Kyungpook National University Hospital, 50 Samdeok 2-ga, Jung-gu, Daegu 700-721, Korea. Tel: +82-53-420-5649, Fax: +82-53-423-0504, nsdoctor@naver.com

Copyright © 2007 Journal of Korean Neurotraumatology Society

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.

Keywords: Traumatic subdural hygroma, Chronic subdural hematoma, Head injuries, Old ages

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