[Chronic subdural hematoma: A variable clinical picture that asks for tailored treatment].

PubMed, vol. 165

Abstract

A chronic subdural hematoma is a common neurological disorder that occurs mainly in the elderly. The inciting event is often a minor head trauma and subsequent inflammation may play a role in the pathogenesis. The clinical spectrum can present heterogeneously, and symptom onset and progression can vary from days to weeks. To date surgical evacuation of the subdural collection remains the main treatment approach for symptomatic patients. Evidence is still scarce for dexamethasone as an effective primary conservative treatment strategy. Future research is necessary to elucidate the effect of various pharmacological therapies compared to primary surgery on functional outcome.

Authors 6

1. Ishita P. Miah

   Amphia Ziekenhuis

   Affiliation as printed

   Amphia Ziekenhuis, afd. Neurologie, Breda

   Contact: Ishita P. Miah (imiah@amphia.nl)

2. Korné Jellema

   Medisch Centrum Haaglanden · Stichting Haaglanden Medisch Centrum

   Affiliation as printed

   Haaglanden Medisch Centrum, afd. Neurologie, Den Haag

3. Wilco C. Peul Aachen

   Leiden University Medical Center

   Affiliation as printed

   LUMC, afd. Neurochirurgie, Leiden

4. Dana C. Holl

   Erasmus MC

   Affiliation as printed

   Erasmus MC, afd. Neurochirurgie, Rotterdam

5. Jurre Blaauw

   University Medical Center Groningen

   Affiliation as printed

   UMC Groningen, afd. Neurologie, Groningen

6. Niels Anthony Van Der Gaag

   Haga Hospital

   Affiliation as printed

   Haga Ziekenhuis, afd. Neurochirurgie, Den Haag