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Chronic Subdural Hematoma in a Patient With Long-Standing Syphilis.
Jose Marino1, Vratko Himic1, Felipe Monteiro1
1Department of Neurological Surgery University of Miami Leonard M. Miller School of Medicine Miami Florida USA.
Clinical Case Reports
|April 27, 2026
Summary
Chronic subdural hematoma in young adults is rare without trauma. Prompt diagnosis and surgical intervention, including burr hole evacuation and artery embolization, lead to successful outcomes.
Area of Science:
- Neurosurgery
- Vascular Neurology
Background:
- Chronic subdural hematoma (CSDH) typically affects older adults and is often linked to head trauma or bleeding disorders.
- CSDH in younger individuals without apparent risk factors presents a diagnostic challenge.
Purpose of the Study:
- To investigate the characteristics and management of CSDH in young adults presenting without trauma or coagulopathy.
- To evaluate the efficacy of combined surgical and endovascular treatment strategies.
Main Methods:
- Retrospective analysis of young adult patients diagnosed with CSDH.
- Utilized comprehensive neuroimaging to rule out underlying vascular abnormalities.
- Performed burr hole evacuation and middle meningeal artery embolization (MMAE).
Main Results:
- Successful outcomes were achieved with the combined approach.
- Early diagnosis and intervention are crucial for favorable prognoses.
- The role of systemic infections in CSDH etiology remains uncertain.
Conclusions:
- A combination of thorough imaging, burr hole evacuation, and MMAE offers excellent results for CSDH in young adults.
- Further research is needed to explore potential contributing factors like chronic infections.
Keywords:
chronic subdural hematomaintracranial hemorrhagemiddle meningeal artery embolizationneurosyphilissyphilisMore Related Videos
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