Dating subdural hematomas and the elderly

dating subdural hematomas and the elderly

Sep 15, However, the remaining 26% had to undergo burrhole drainage of a 'hypodense liquid subdural haematoma'. In all of the patients undergoing. Oct 19, Importance Elderly patients who undergo surgery for an isolated . in keeping with prior studies; the date of the first recorded operation was. Chronic subdural haematoma is predominantly a It has long been recognised that the elderly are . date before creating pressure on the adjacent brain.

Seizure was defined as clinical manifestation, ictal patterns in the EEG recordings, or clinical suspicion with interictal discharges in the EEG recordings. A structured telephone survey was administered by two independent physicians after obtaining informed consent from the patient for participation in this study.

Dare to date: age estimation of subdural hematomas, literature, and case analysis.

Study Design This study was a retrospective analysis at a single center. The aims of the study were to evaluate the incidence of aSDH in patients 80 years of age or older in the last decade, to determine the overall functional outcome, to identify predictors of an unfavorable or a favorable functional outcome, and to identify specific risk factors for seizures in elderly patients since the occurrence of seizures is one of the frequent complications and has been shown to be an independent predictor of a poor functional outcome.

For trend statistics, the Mantel-Haenszel test was used. In addition, univariate and multivariate analyses were performed. Multivariable logistic regression analysis was conducted to obtain independent risk factors for an unfavorable outcome.

Dare to date: age estimation of subdural hematomas, literature, and case analysis.

For parametric parameters, an unpaired t-test was used. Results Over the study period, 68 Among them were 8 patients who were 90 years or older.

In a subgroup analysis, patients with fewer than 5 comorbidities had a favorable outcome He then represented at the end of January following another fall at home. Once again, he described his legs giving way suddenly but this time there was no head injury. He was initially found to have haemoglobin of 7. He also had acute renal failure.

  • Rates of Repeated Operation for Isolated Subdural Hematoma Among Older Adults

Both of these issues resolved following transfusion of two units of blood and fluid resuscitation. A repeat CT head was performed and was compared with the previous scan.

dating subdural hematomas and the elderly

There was a significant progression in the previous left-sided subdural extra-axial collection, which appeared to be subacute to chronic in nature, along with mass effect, and left-sided midline shift of about 8. There was distortion of the fourth ventricle raising the suspicion of underlying brain stem mass effect. Once again the case was discussed with the local neurosurgical hospital and after viewing the images they felt that he would benefit from urgent surgical evacuation.

He was transferred to the neurosurgical hospital the following day.

Subdural Hematoma : Causes, Diagnosis, Symptoms, Treatment, Prognosis

Eleven days later, he was transferred back to our hospital for rehabilitation following a burrhole evacuation under local anaesthetic without any complications. After physiotherapy and occupational therapy on the ward, our patient was back to his baseline and discharged home 8 days later without any need in additional care. Discussion Subdural haemorrhage is haemorrhage into the subdural space between the layers of the dura and arachnoid mater due to rupture of bridging veins.

It can occur following head injury, but in the elderly and alcoholics there is often no history of obvious head trauma. In addition, these patients often have coagulopathy as a result of thrombocytopenia or oral anti-coagulants. However, in small haematomas and haematomas that are in the isodense phase, MRI imaging is more sensitive and can be useful in acute on chronic haemorrhage. In T1 sequences, the haematoma appears bright due to the presence of methaemoglobin.

After diagnosis, close liaison with the neurosurgical department is vital to determine whether neurosurgical intervention is required.

dating subdural hematomas and the elderly

Management is either conservative or surgical depending on a number of factors including chronicity, size of the haematoma, GCS, pupil responses and extent of midline shift.