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[Chronic subdural hematoma: historical studies].

M Guénot1

  • 1Service de Neurochirurgie A (Pr Sindou), Hôpital Neurologique P.-Wertheimer, 59, boulevard Pinel, 69003 Lyon. marc.guenot@chu-lyon.fr

Neuro-Chirurgie
|March 28, 2002
PubMed
Summary

Chronic subdural hematoma (CSH) descriptions date back to the 17th century. Early theories debated its cause, with trauma finally recognized as the origin in the 20th century.

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Area of Science:

  • Neurology
  • Neurosurgery
  • Medical History

Context:

  • The understanding of chronic subdural hematoma (CSH) has evolved significantly since its initial description.
  • Historical accounts reveal early debates regarding the etiology and classification of CSH.
  • Pioneering figures like Wepfer, Morgagni, Balzac, Virchow, and Trotter contributed to the evolving understanding of CSH.

Purpose:

  • To trace the historical trajectory of chronic subdural hematoma (CSH) understanding.
  • To delineate the evolution of CSH etiology from inflammatory to traumatic origins.
  • To provide a historical overview of CSH research and classification.

Summary:

  • Initial descriptions of CSH appeared in the mid-17th century.
  • Virchow proposed an inflammatory origin in 1857, naming it 'pachymeningitis hemorrhagica interna'.
  • The traumatic etiology of CSH was established in the early 20th century, with pathophysiology explored later.

Impact:

  • This historical perspective clarifies the diagnostic and etiological evolution of CSH.
  • Understanding the history aids in appreciating current diagnostic criteria and treatment approaches for CSH.
  • Recognizing the shift in understanding CSH etiology highlights advancements in medical science.

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