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Clinical pattern of chronic subdural haematoma
1Department of Neurosurgery, Medical Academy of Lódź, Poland.
Neurochirurgia
|September 1, 1991
Summary
Chronic subdural hematoma (CSH) can mimic stroke symptoms and present with increased intracranial pressure. Neurological deficits are more common in older adults, and CSH may be missed if not suspected.
Area of Science:
- Neurosurgery
- Neurology
- Clinical Medicine
Background:
- Chronic subdural hematoma (CSH) is a significant neurological condition.
- Accurate diagnosis of CSH is crucial for timely intervention.
Purpose of the Study:
- To evaluate the clinical presentation of chronic subdural hematoma (CSH).
- To identify factors influencing CSH manifestation in adult patients.
Main Methods:
- Retrospective analysis of 131 adult patients with CSH.
- Review of clinical files from the Department of Neurosurgery, Medical Academy of Lódź.
Main Results:
- 14 patients (10.7%) presented with sudden onset, mimicking cerebral stroke.
- 50% of patients exhibited symptoms of increased intracranial pressure (ICP).
- Focal neurological deficits were more frequent in patients over 40 years old, with homolateral signs in 13%.
Conclusions:
- CSH can present atypically, sometimes resembling a stroke.
- Despite advances in imaging, CSH may be overlooked if not considered as a potential intracranial space-occupying lesion.