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Chronic Subdural Hematoma in Women
Kazuko Hotta1, Takatoshi Sorimachi1, Yumie Honda2
1Department of Neurosurgery, Tokai University, Kanagawa, Japan.
World Neurosurgery
|June 1, 2017
Summary
Women with chronic subdural hematoma (CSDH) are older and experience worse outcomes, including more frequent consciousness disturbances and higher mortality rates compared to men. Understanding these sex differences in CSDH is crucial for improving treatment.
Area of Science:
- Neurology
- Neurosurgery
- Medical Research
Background:
- Sex differences in disease prevalence and outcomes are increasingly recognized as critical for personalized medicine.
- Chronic subdural hematoma (CSH) exhibits a known male predominance, necessitating further investigation into sex-specific clinical characteristics.
Purpose of the Study:
- To elucidate and compare the clinical characteristics of chronic subdural hematoma (CSDH) between male and female patients.
- To identify potential sex-based predictors for adverse outcomes in CSDH.
Main Methods:
- Retrospective analysis of clinical factors and computed tomography findings.
- Inclusion of 490 consecutive patients diagnosed with CSDH between 2006 and 2015.
- Univariate and multivariate analyses to assess sex differences and independent predictors.
Main Results:
- Women with CSDH were significantly older and had a higher incidence of premorbid impaired activities of daily living, consciousness disturbance, and mortality.
- Female sex was identified as an independent predictor of consciousness disturbance at admission and death at discharge.
- Women showed less frequent instances of good recovery and lower alcohol intake compared to men.
Conclusions:
- Significant sex differences exist in the clinical presentation and outcomes of chronic subdural hematoma (CSDH).
- Women with CSDH experience poorer outcomes than men, highlighting the need for sex-specific management strategies.
- Future CSDH management should consider these sex-based disease characteristics to potentially improve patient outcomes, particularly for women.
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