Concerning Stroke Syndromes (Cva?) and Space-Occupying Intracranial Lesions

Am, Rabiner

doi:10.1177/000331976401501103

Cited by 2 publications

(1 citation statement)

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“…This is especially true if the hematoma is chronic (11, 12). Often an elderly person is admitted to a chronic disease service with a diagnosis of “cerebrovascular accident,” “stroke,” or “chronic brain syndrome” and the presence of a subdural hematoma is overlooked until necropsy (13). The frequency of subdural hematoma in the aged is unknown, but Bedford (9) found it in 1 per cent of 5,100 hospitalized patients more than 65 years old.…”

Section: Review Of the Literaturementioning

confidence: 99%

Chronic Subdural Hematoma in the Elderly: A Curable Lesion

Raskind

Metcalf

Weiss

et al. 1968

J American Geriatrics Society

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Thirty‐nine elderly patients were treated surgically for chronic subdural hematoma. Of the 34 who survived the postoperative period, 30 were restored to their pre‐illness states of activity and function; the remaining 4 had paraplegia or hemiparesis. Chronic subdural hematoma in patients past 60 years of age presents many difficulties in diagnosis. However, clues often may be elicited by careful inquiry into the history, thorough physical examination, echo‐encephalography, plain roentgenograms of the skull, and analysis of the cerebrospinal fluid. Subdural hematoma must be seriously considered in any person older than 60 with a history of recent personality changes, rapidly progressing senility, headaches, or neurological deficits, whether or not there has been any known trauma to the head. It is important to recognize that the lesion is often curable. The better results in our series were obtained in those cases in which diagnosis and surgical intervention were carried out early in the course of the illness.

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Section: Review Of the Literaturementioning

confidence: 99%