Journal of Korean Society of Geriatric Neurosurgery 2010;6(1):19-24.
Published online June 30, 2010.
Clinical Feature and Surgical Outcome of Chronic Subdural Hematoma in Elderly Patients
Jung Kyu Lim , Jong Yang Oh , Chul Bum Cho , Chung Kee Chough , Hae Kwan Park , Kyoung Jin Lee , Hyoung Kyun Rha
Department of Neurosurgery, Yeouido St. Mary's Hospital, The Catholic University of Korea, Seoul
고령환자에서 만성 경막하 혈종의 임상적 특징 및 수술적 치료의 결과
임정규ㆍ오종양ㆍ조철범ㆍ조정기ㆍ박해관ㆍ이경진ㆍ나형균
가톨릭대학교 의과대학 성모병원 신경외과학교실
Abstract
Backgroud: As the average life expectancy is rapidly increasing, the number of elderly patients with chronic subdural hematoma Is increasing. Because low invasive surgery of chronic subdural hematoma provides marked symptomatic improvement, surgery is recommended for patients with chronic subdural hematoma. However, clinical features and surgical outcomes of elderly patients with chronic subdural hematoma remain unclear. The purpose of this study was to evaluate the clinical features and surgical outcomes in elderly patients with chronic subdural hematoma.
Methods
We retrospectively reviewed 101 patients who underwent surgical treatment for chronic subdural hematoma during the 6 year period 2004 to 2009 at our institution. They were divided into two groups: patients with 75 years or more than 75 years in group A (n=34), patients with less than 75 years in group B (n=67). Mean ages were 79.1±3.4 and 61.1±8.8. We compared the clinical, radiological features and surgical outcomes in two groups of patients.
Results
The results of this study showed that chronic subdural hematomas in the elderly patients (≥75 yrs) were characterized by 1) high rate of slip down history, 2) hemiparesis rather than headache as main symptom, 3) severe degree of brain atrophy, 4) long brain expansion time. However, there is no difference of surgical outcomes and complication rates between groups.
Conclusions
These distinguishing characteristics between two aged groups will be helpful to determine treatment strategies for ext-re mely aged patients with chronic subdural hematoma.
Key Words: Chronic subdural hematomaㆍClinical featureㆍElderly patientㆍSurgical result


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