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Published on: October 15, 2021
The surgical treatment of three young chronic subdural hematoma patients with different causes
Kun Hou1, Chen G Li1, Yang Zhang1
1Department of Neurosurgery, The First Affiliated Hospital of Jilin University, Changchun, China.
Insights
Chronic subdural hematoma (CSDH) is uncommon in young individuals, often presenting with vague symptoms. Prompt surgical drainage is effective, but unique risk factors in younger patients warrant further investigation.
Area of Science:
- Neurology
- Neurosurgery
- Trauma Surgery
Background:
- Chronic subdural hematoma (CSDH) is typically considered a condition affecting the elderly.
- CSDH in juveniles and young adults is rare, often overlooked due to non-specific symptoms and insidious onset.
Observation:
- This study presents three cases of CSDH in young patients with varied symptoms and predisposing factors.
- Clinical histories, tests, and examinations highlighted diverse etiological elements contributing to CSDH in this demographic.
Findings:
- Young CSDH patients exhibit distinct clinical and etiopathological characteristics compared to older individuals.
- Trauma is a significant risk factor, but other predisposing factors may also contribute to CSDH development in the young.
- Burr hole and drainage surgery effectively resolved preoperative symptoms in all reported young cases.
Implications:
- CSDH in young patients requires careful consideration due to its unique presentation and potential underlying causes.
- While surgical drainage is often successful, further diagnostic evaluation and tailored management strategies may be necessary for specific cases.
- Increased awareness and appropriate diagnostic approaches are crucial for timely diagnosis and treatment of CSDH in younger populations.
Abstract:
Chronic subdural hematoma (CSDH), which rarely happens in the young, is thought to be a disease of the elderly. Whereas unspecific symptoms and insidious onset in juveniles and young adults, as a result of its relative low morbidity, CSDH is usually neglected even undertreated in the young. Through the three cases and review of the current literature on this subject, we tried to illustrate the clinical and etiopathological characteristics of this entity and find out the most appropriate treatment strategy. We report three young CSDH patients with different but similar symptoms. The present histories, tests and examinations revealed different predisposing factors accounting for the genesis of CSDH. Their preoperative symptoms were all resolved with burr hole and drainage operation. Juveniles and young adults suffering from CSDH differ from that of their elderly counterparts in their clinical and etiopathological characteristics. Although trauma is the most important risk factor in young and old CSDH patients, some other predisposing factors may exist. Burr hole and drainage surgery could resolve the problem most of the time. But further tests and examinations even specific management should be made in some cases.
