Chronic Subdural Hematoma

Sex Steroid hormones in the pathogenesis of chronic subdural haematoma

“…It is weil accepted that the primary etiological factor resp onsible for CSOH is the tearin g of corticodura l brid ging veins (31). The bleedin g usually occurs in either a virtual space (25) or a cellular compartment between the dura and the arac hnoid membranes (10), mostly in elderly people becaus e of concomitant cortical atrophy (6).…”

“…Sub dural haematoma -Steroids -Estradiol -Progest eron e -t-PA-Hyperfibrinolysis Chro nic sub dura l haematoma (CSDH) has a higher ineidence in male tha n in fema le patients (18), affects male patients with urinary estrogens higher than those found in norm al subjec ts (28); it is more common duringthe 7 th decade of life (6,18,19 ) i.e. durin g a period of quiescent gonadal activity.…”

Probabilistic diagnosis of normal pressure hydrocephalus and other treatable cerebral lesions in dementia

“…Of the pre-senile demented patients 8.5% had a SOL and none had a chronic subdural haematoma (CSH). In non-demented patients aged less than 60 years CSH is not infrequent and the condition is well known for its frequent neuropsychological manifestations (Brihaye 1986). The absence of CSH in this 125 age group in the autopsy study has to be explained by the alertness of physicians that leads to surgical drainage before dementia develops.…”