Journal List > J Korean Neurotraumatol Soc > v.7(2) > 1084105

J Korean Neurotraumatol Soc. 2011 Oct;7(2):83-87. Korean.
Published online October 31, 2011.  https://doi.org/10.13004/jknts.2011.7.2.83
Copyright © 2011 Korean Neurotraumatology Society
Age-Specific Characteristics in Chronic Subdural Hematoma Patients
Seung-Hwan Lee, MD, Sung-Kon Ha, MD, Jong Hyun Kim, MD, Joo-Han Kim, MD, Taek-Hyun Kwon, MD and Yun Kwan Park, MD
Department of Neurosurgery, Guro Hospital, Korea University College of Medicine, Seoul, Korea.

Address for correspondence: Jong Hyun Kim, MD. Department of Neurosurgery, Guro Hospital, Korea University College of Medicine, 97 Gurodong-gil, Guro-gu, Seoul 152-703, Korea. Tel: +82-2-2626-3096, Fax: +82-2-863-1684, Email: jhkimns@gmail.com
Received August 03, 2011; Revised August 25, 2011; Accepted August 25, 2011.

Abstract

Objective

It is well known that chronic subdural hematoma (CSDH) is relatively common in geriatric patients. However, frequently, CSDH can also develop in younger patients. We hypothesized that some clinical features may be different according to the age groups.

Methods

Total one-hundred thirty seven surgically treated CSDH patients from January 2006 to April 2011 were included. We divided patients into three sub-group by age (young, average and old). We investigated several risk factors, preoperative and postoperative CT findings of each groups.

Results

Hypertension, head trauma, arachnoid cyst and spontaneous intracranial hypotension were significantly associated with young age group compared to other groups. The recurrence rate of CSDH was higher in old age group with preoperative high density hematoma and postoperative pneumocephalus.

Conclusion

In this study, intracranial underlying diseases were relatively common in young age group. Old age group showed higher incidence of recurrence, preoperative mixed density and postoperative pneumocephalus on CT.

Keywords: Chronic subdural hematoma; Age Groups; Risk factors; Recurrence; Pneumocephalus

Figures


FIGURE 1
Age distribution in chronic subdural hematoma patients.
Click for larger image

Tables


TABLE 1
Correlation analysis between age-subgroups and risk factors in chronic subdural hematoma patients
Click for larger image


TABLE 2
Correlation analysis between age-subgroups and CT findings in chronic subdural hematoma patients
Click for larger image

Notes

The authors have no financial conflicts of interest.

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