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Subacute subdural hematoma

D Adam1, C Tudor

  • 1Neurosurgical Clinic, G. Marinescu Hospital, Bucharest, Romania.

Romanian Journal of Neurology and Psychiatry = Revue Roumaine De Neurologie Et Psychiatrie
|January 1, 1993
PubMed
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Subacute subdural hematoma (SASDH) requires more study, often resulting from milder trauma. Surgical evacuation is effective, with a high survival rate for patients with SASDH.

Area of Science:

  • Neurosurgery
  • Neurology
  • Trauma Surgery

Background:

  • Subacute subdural hematoma (SASDH) is understudied compared to acute (ASDH) and chronic (CSDH) forms.
  • Clinicians often focus on ASDH and CSDH, leaving SASDH less analyzed.
  • Understanding SASDH is crucial for comprehensive head trauma management.

Purpose of the Study:

  • To analyze the particularities of subacute subdural hematoma (SASDH).
  • To outline the clinical presentation and diagnostic findings of SASDH.
  • To evaluate the outcomes of surgical intervention for SASDH.

Main Methods:

  • A series of 69 patients diagnosed with SASDH was retrospectively studied.
  • Clinical symptoms, trauma mechanisms, and associated cerebral lesions were documented.

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  • Diagnostic imaging included skull radiography, carotid arteriography, and CT scans; surgical evacuation was performed via burr hole.

    • Main Results:

    • SASDH resulted from milder trauma, with concussion being the most common associated injury (34%).
    • Clinical symptoms appeared 3-14 days post-trauma, with moderate consciousness impairment (GCS < 8 in 18.9%).
    • CT scans showed variable densities, and surgical evacuation had a 17.4% intraoperative mortality rate, with 79.8% survival.

    Conclusions:

    • Subacute subdural hematoma (SASDH) presents unique characteristics requiring specific clinical attention.
    • Early diagnosis and surgical intervention are key to managing SASDH effectively.
    • Further research into SASDH is warranted to improve patient outcomes.