Age-Specific Characteristics in Chronic Subdural Hematoma Patients

Seung-Hwan Lee; Sung-Kon Ha; Jong Hyun Kim; Joo-Han Kim; Taek-Hyun Kwon; Yun Kwan Park

doi:10.13004/jknts.2011.7.2.83

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

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Lee, Ha, Kim, Kim, Kwon, and Park: Age-Specific Characteristics in Chronic Subdural Hematoma Patients

Clinical Article

Journal of Korean Neurotraumatology Society 2011; 7(2): 83-87.

Published online: 31 October 2011

DOI: https://doi.org/10.13004/jknts.2011.7.2.83

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, 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, jhkimns@gmail.com

Received 3 August 2011 Revised 25 August 2011 Accepted 25 August 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 and Tables

FIGURE 1

Age distribution in chronic subdural hematoma patients.

TABLE 1

Correlation analysis between age-subgroups and risk factors in chronic subdural hematoma patients

^*based on Anova test. YG: young age group (age <50), AG: average age group (50≤ age ≤70), OG: old age group (age >70), DM: diabetes mellitus, SIH: spontaneous intracranial hypotension

TABLE 2

Correlation analysis between age-subgroups and CT findings in chronic subdural hematoma patients

^*pneuomocephalus: the maximum depth of air density >10 mm. YG: young age group (age <50), AG: average age group (50≤ age ≤70), OG: old age group (age >70)

Notes

The authors have no financial conflicts of interest.

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