Diagnosis and Treatment of Subdural Hemorrhage in the Very Aged†

Moore, Matthew T.

doi:10.1111/j.1532-5415.1955.tb01011.x

Cited by 1 publication

(3 citation statements)

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“…In the aged, the early diagnosis of subdural haematoma and subsequent surgical drainage involve a very good prognosis in the majority of cases (1, 2, 7). Sometimes there is spontaneous recovery (8, 9), and Bender (9) proposes such expectancy in selected cases of chronic subdural haematoma with a progressively favorable course.…”

Section: Discussionmentioning

confidence: 99%

“…However, the surgical approach is uncomplicated, even in patients with severe cardiovascular disease, including cardiac insufficiency, hypertension and coronary disease (1, 2).…”

Section: Discussionmentioning

confidence: 99%

“…Chronic subdural haematoma in the aged presents a difficult diagnostic problem. This is especially true because the slow and irregular development of symptoms tends toward diagnostic correlation with common brain lesions of later years such as cerebrovascular disease, primary cerebral neoplasm or metastasis (1, 2).…”

mentioning

confidence: 99%

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Chronic Subdural Haematoma in the Aged

Lavy

Herishianu

1969

J American Geriatrics Society

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Fifteen elderly patients with chronic subdural haematoma were studied by various clinical and laboratory methods, including lumbar puncture, roentgenography, electroencephalography, echo‐encephalography, air studies and exploratory craniotomy. A history of head injury was obtained in only 6 of the 15 cases. Two mechanisms seem to account for the neurological picture: 1) disturbed cerebral arterial circulation owing to direct pressure of the haematoma on the main artery of the hemisphere, and 2) progressive cerebral edema owing to impaired venous return. Since the condition of the patient may vary, the signs and symptoms may be confused with those of transient cerebral ischemic attacks. With early diagnosis and treatment of chronic subdural haematoma in the elderly, the prognosis is excellent.

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Section: Discussionmentioning

confidence: 99%

“…However, the surgical approach is uncomplicated, even in patients with severe cardiovascular disease, including cardiac insufficiency, hypertension and coronary disease (1, 2).…”

Section: Discussionmentioning

confidence: 99%