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Hemorrhagic Stroke ll: Pathophysiology

Hemorrhagic Stroke ll: Pathophysiology

A hemorrhagic stroke develops when a cerebral blood vessel ruptures, allowing blood to escape into the surrounding brain tissue, as in intracerebral hemorrhage (ICH), or into the subarachnoid space, as in subarachnoid hemorrhage (SAH). Because the skull is a rigid compartment, the sudden presence of extravascular blood rapidly increases intracranial pressure and compresses adjacent neural structures, leading to immediate tissue injury and impaired cerebral perfusion.Mass Effect and Primary...

Hemorrhagic Stroke l: Introduction

Hemorrhagic Stroke l: Introduction

A hemorrhagic stroke is an acute neurological event that occurs when a weakened cerebral blood vessel ruptures, allowing blood to accumulate within or around the brain. The sudden release of blood forms a focal hematoma that increases intracranial pressure, displaces neural tissue, and can obstruct cerebrospinal fluid pathways. These effects may be compounded by intraventricular extension of the hemorrhage, cerebral edema, or compression of adjacent structures, all of which contribute to...

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Updated: May 14, 2026

Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation

Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation

Published on: October 15, 2021

Outcomes in octogenarians with subdural hematomas.

Julie Pilitsis¹, Britney Atwater, Daniel Warden

¹Division of Neurosurgery, Albany Medical College, Albany, NY 12208, USA. jpilitsis@yahoo.com

Clinical Neurology and Neurosurgery

|February 23, 2013

Summary

This summary is machine-generated.

Elderly patients over 80 with subdural hematomas (SDH) have higher mortality. However, surgery significantly reduces mortality in this age group, highlighting the impact of medical decisions on outcomes.

Keywords:

Elderly NIS National database Subdural hematoma

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Last Updated: May 14, 2026

Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation

Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation

Published on: October 15, 2021

Area of Science:

Neurosurgery
Geriatric Medicine
Traumatic Brain Injury (TBI) Research

Background:

Literature on age and traumatic brain injury (TBI), particularly subdural hematomas (SDH), often defines elderly as 55-65 years.
Limited data exists for SDH patients over 75, with some suggesting increased mortality.
The influence of medical decision-making on mortality data for the very elderly with SDH is not well-documented.

Purpose of the Study:

To compare outcomes for SDH patients aged 60-79 and ≥80 using the Nationwide Inpatient Sample (NIS) database.
To evaluate the impact of administrative database limitations on medical decision-making and mortality rates.
To investigate the influence of surgical intervention on mortality for elderly SDH patients.

Main Methods:

Utilized the Nationwide Inpatient Sample (NIS) database for comparative outcome analysis.
Examined institutional data to assess the effects of administrative database limitations on medical decision-making.
Analyzed mortality rates in patients ≥80 undergoing surgical versus non-surgical management for SDH.

Main Results:

In-hospital mortality was higher in patients ≥80 with SDH in the NIS database, regardless of treatment (P<0.05).
Institutional data confirmed increased mortality for the ≥80 SDH group, but surgical intervention was associated with significantly lower mortality rates.
Patients ≥80 constituted 87% of those with operable lesions who did not receive surgery, indicating a substantial impact of clinical decision-making.

Conclusions:

This study highlights elevated in-hospital mortality for patients over 80 with SDH.
Surgical management in patients ≥80 with SDH was associated with considerably lower mortality rates.
Factors such as subdural type, admission Glasgow Coma Scale (GCS), and cognitive status significantly influence surgical decision-making in the very elderly.