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Current diagnosis and treatment of chronic subdural haematomas.

Iliescu IA - J Med Life (2015 Jul-Sep)

Bottom Line: Although the surgical treatment presents a categorical indication in most of the cases, the fact that there are many surgical techniques, a great relapse rate, as well as the numerous studies, which try to highlight the efficiency of a technique as compared to another, demonstrate that the treatment of these haematomas is far from reaching a consensus among the neurosurgeons.The latest conservatory treatment directions are still being studied and need many years to be confirmed.CT = computerized tomography, MRI = magnetic resonance imaging.

View Article: PubMed Central - PubMed

Affiliation: Department of Neurosurgery, University Hospital Bucharest, Romania.

ABSTRACT

Unlabelled: A developed society is usually also characterized by an elderly population, which has a continuous percentage growth. This population frequently presents a cumulus of medical pathologies. With the development of the medication and surgical treatment of different affections, the life span has increased and the pathology of an old patient has diversified as far as the cumulus of various pathological diseases in the same person is concerned. Chronic subdural pathologies represent an affection frequently met in neurosurgery practice. Any neurosurgeon, neurologist and not only, has to be aware of the possibility of the existence of a chronic subdural haematoma, especially when the patient is old and is subjected to an anticoagulant or antiaggregant treatment, these 2 causes being by far the etiological factors most frequently met in chronic subdural haematomas. With an adequate diagnosis and treatment, usually surgical, the prognosis is favorable. Although the surgical treatment presents a categorical indication in most of the cases, the fact that there are many surgical techniques, a great relapse rate, as well as the numerous studies, which try to highlight the efficiency of a technique as compared to another, demonstrate that the treatment of these haematomas is far from reaching a consensus among the neurosurgeons. The latest conservatory treatment directions are still being studied and need many years to be confirmed.

Abbreviations: CT = computerized tomography, MRI = magnetic resonance imaging.

No MeSH data available.


Related in: MedlinePlus

Chronic subdural haematoma of right brain hemisphere (CT scan); what should be noted is the hypodense aspect of the haematoma and the mass effect it has on the structures of the median line
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Figure 1: Chronic subdural haematoma of right brain hemisphere (CT scan); what should be noted is the hypodense aspect of the haematoma and the mass effect it has on the structures of the median line

Mentions: It was introduced in 1972, based on the researches of Hounsfield. By using the densitometry differences at the level of the serial sections of the skull and its contents, it created the possibility of evidencing different injuries, the injured structure and the movement of the brain structures – the mass effect. It represents an investigation, which is currently very often used, it is rapid and it can also be applied in comatose patients, which has led to the precocious screening of many brain injuries. Being an extremely accessible investigation at present, which offers important information for the neurosurgeon in many cases of brain injuries, the CT scan is an essential tool in emergency brain injuries traumas. Currently, no emergency room of an emergency hospital can be conceived without having a CT scan (Fig. 1,2).


Current diagnosis and treatment of chronic subdural haematomas.

Iliescu IA - J Med Life (2015 Jul-Sep)

Chronic subdural haematoma of right brain hemisphere (CT scan); what should be noted is the hypodense aspect of the haematoma and the mass effect it has on the structures of the median line
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4556906&req=5

Figure 1: Chronic subdural haematoma of right brain hemisphere (CT scan); what should be noted is the hypodense aspect of the haematoma and the mass effect it has on the structures of the median line
Mentions: It was introduced in 1972, based on the researches of Hounsfield. By using the densitometry differences at the level of the serial sections of the skull and its contents, it created the possibility of evidencing different injuries, the injured structure and the movement of the brain structures – the mass effect. It represents an investigation, which is currently very often used, it is rapid and it can also be applied in comatose patients, which has led to the precocious screening of many brain injuries. Being an extremely accessible investigation at present, which offers important information for the neurosurgeon in many cases of brain injuries, the CT scan is an essential tool in emergency brain injuries traumas. Currently, no emergency room of an emergency hospital can be conceived without having a CT scan (Fig. 1,2).

Bottom Line: Although the surgical treatment presents a categorical indication in most of the cases, the fact that there are many surgical techniques, a great relapse rate, as well as the numerous studies, which try to highlight the efficiency of a technique as compared to another, demonstrate that the treatment of these haematomas is far from reaching a consensus among the neurosurgeons.The latest conservatory treatment directions are still being studied and need many years to be confirmed.CT = computerized tomography, MRI = magnetic resonance imaging.

View Article: PubMed Central - PubMed

Affiliation: Department of Neurosurgery, University Hospital Bucharest, Romania.

ABSTRACT

Unlabelled: A developed society is usually also characterized by an elderly population, which has a continuous percentage growth. This population frequently presents a cumulus of medical pathologies. With the development of the medication and surgical treatment of different affections, the life span has increased and the pathology of an old patient has diversified as far as the cumulus of various pathological diseases in the same person is concerned. Chronic subdural pathologies represent an affection frequently met in neurosurgery practice. Any neurosurgeon, neurologist and not only, has to be aware of the possibility of the existence of a chronic subdural haematoma, especially when the patient is old and is subjected to an anticoagulant or antiaggregant treatment, these 2 causes being by far the etiological factors most frequently met in chronic subdural haematomas. With an adequate diagnosis and treatment, usually surgical, the prognosis is favorable. Although the surgical treatment presents a categorical indication in most of the cases, the fact that there are many surgical techniques, a great relapse rate, as well as the numerous studies, which try to highlight the efficiency of a technique as compared to another, demonstrate that the treatment of these haematomas is far from reaching a consensus among the neurosurgeons. The latest conservatory treatment directions are still being studied and need many years to be confirmed.

Abbreviations: CT = computerized tomography, MRI = magnetic resonance imaging.

No MeSH data available.


Related in: MedlinePlus