Hematoma subdural crónico: Una enfermedad del adulto mayor

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 subdur...

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Autores principales:	Tagle M,Patricio, Mery M,Francisco, Torrealba M,Gonzalo, Del Villar PM,Sergio, Carmona V,Hans, Campos P,Manuel, Méndez S,Jorge, Chicharro C,Ada
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2003
Materias:	Hematoma subdural
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003000200007
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spelling	oai:scielo:S0034-988720030002000072005-11-22Hematoma subdural crónico: Una enfermedad del adulto mayorTagle M,PatricioMery M,FranciscoTorrealba M,GonzaloDel Villar PM,SergioCarmona V,HansCampos P,ManuelMéndez S,JorgeChicharro C,Ada Hematoma subdural 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)info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.131 n.2 20032003-02-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003000200007es10.4067/S0034-98872003000200007
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Hematoma subdural
spellingShingle	Hematoma subdural Tagle M,Patricio Mery M,Francisco Torrealba M,Gonzalo Del Villar PM,Sergio Carmona V,Hans Campos P,Manuel Méndez S,Jorge Chicharro C,Ada Hematoma subdural crónico: Una enfermedad del adulto mayor
description	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)
author	Tagle M,Patricio Mery M,Francisco Torrealba M,Gonzalo Del Villar PM,Sergio Carmona V,Hans Campos P,Manuel Méndez S,Jorge Chicharro C,Ada
author_facet	Tagle M,Patricio Mery M,Francisco Torrealba M,Gonzalo Del Villar PM,Sergio Carmona V,Hans Campos P,Manuel Méndez S,Jorge Chicharro C,Ada
author_sort	Tagle M,Patricio
title	Hematoma subdural crónico: Una enfermedad del adulto mayor
title_short	Hematoma subdural crónico: Una enfermedad del adulto mayor
title_full	Hematoma subdural crónico: Una enfermedad del adulto mayor
title_fullStr	Hematoma subdural crónico: Una enfermedad del adulto mayor
title_full_unstemmed	Hematoma subdural crónico: Una enfermedad del adulto mayor
title_sort	hematoma subdural crónico: una enfermedad del adulto mayor
publisher	Sociedad Médica de Santiago
publishDate	2003
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003000200007
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Hematoma subdural crónico: Una enfermedad del adulto mayor

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