Clinical cases on conservative treatment of chronic subdural hematoma
Keywords:
chronic subdural hematoma, older adult, neurosurgery.Abstract
Introduction: Chronic subdural hematoma is one of the most common clinical entities in everyday neurosurgical practice, which incidence and prevalence increase considerably with age. Conservative treatment can be very useful in many patients.Objective: To show that the exclusive pharmacological management of this condition can be considered in many patients.
Clinical cases: Two elderly patients attended at the neurosurgery service are presented with a diagnosis of chronic subdural hematoma. They were treated only with drugs.
Conclusions: The final result was the reabsorption of the subdural collections, which was proven by imaging studies.
Downloads
Download data is not yet available.
References
1. Edlmann E, Giorgi-Coll S, Whitfield PC, Carpenter K LH, Hutchinson PJ. Pathophysiology of chronic subdural haematoma: inflammation, angiogenesis and implications for pharmacotherapy. Journal of Neuroinflammation. 2017 [acceso: 29/08/2019]; 14(108):[aprox. 4 p.]. Disponible en: https://jneuroinflammation.biomedcentral.com/articles/10.1186/s12974-017-0881-y
2. Holl DC, Volovici V, Dirven CMF, Peul WC, van Kooten F, Jellema K. Pathophysiology and Nonsurgical Treatment of Chronic Subdural Hematoma: From Past to Present to Future. World Neurosurg. 2018 [acceso: 29/08/2019];116: [aprox.8 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/29772364
3. Peng D, Zhu Y. External drains versus no drains after burr-hole evacuation for the treatment of chronic subdural haematoma in adults Format: Abstract Send to. Cochrane Database Syst Rev. 2016 [acceso: 29/08/2019]; 31(8):[aprox. 4 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/27578263
4. Dziedzic TA, Kunert P, Marchel A. Clinical Course and Results of Surgery for Chronic Subdural Hematomas in Patients on Drugs Affecting Hemostasis. J Korean Neurosurg Soc. 2017 [acceso: 22/05/2020]; 60(2):232‐8. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5365289/pdf/jkns-60-2-232.pdf
5. Christopher E, Poon M TC, Glancz LJ, Hutchinson PJ, Kolias AG, Brennan PM. Outcomes following surgery in subgroups of comatose and very elderly patients with chronic subdural hematoma. Neurosurg Rev. 2019 [acceso: 29/08/2019]; 42(2):[aprox.2 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/29679178
6. Lee KS. How to Treat Chronic Subdural Hematoma? Past and Now. J Korean Neurosurg Soc. 2019 [acceso: 22/05/2020]; 62(2):144-52. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6411568/
7. Chung Chan DY, Ming Chan DT, David Sun TF, Chi Ping Ng S, Chu Wong GK, Sang Poon W. The use of atorvastatin for chronic subdural haematoma: a retrospective cohort comparison study. British. Journal of Neurosurgery. 2017 [acceso: 29/08/2019]; 31(1):[aprox.5 p.]. Disponible en: https://doi.org/10.1080/02688697.2016.1208806
8. Uno M, Toi H, Hirai S. Chronic Subdural Hematoma in Elderly Patients: Is This Disease Benign? Neurol Med Chir. 2017[acceso: 22/05/2020]; 57(8):402‐9. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5566699/pdf/nmc-57-402.pdf
9. Soleman J, Nocera F, Mariani L. The conservative and pharmacological management of chronic subdural haematoma. Swiss Med Wkly. 2017 [acceso: 29/08/2019]; 17(147):[aprox. 4 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/28102879
10. Iorio-Morin C, Blanchard J, Richer M, Mathieu D. Tranexamic Acid in Chronic Subdural Hematomas (TRACS): study protocol for a randomized controlled trial. Trials. 2016 [acceso 22/05/2020]; 17(1):235. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4857422/pdf/13063_20-16_Article_1358.pdf
11. Chacín González JP, Reyes Graterol EO, García Oduber SM. Complications associated to tranexamic acid in the surgical drainage of subdural hematoma. Rev. Chil. Neurocirugía. 2018 [acceso 22/05/2020]; 44:121-127. Disponible en: https://www.neurocirugiachile.org/wp-content/uploads/2018/11/Chacin_p121_v44n2_2018.pdf
2. Holl DC, Volovici V, Dirven CMF, Peul WC, van Kooten F, Jellema K. Pathophysiology and Nonsurgical Treatment of Chronic Subdural Hematoma: From Past to Present to Future. World Neurosurg. 2018 [acceso: 29/08/2019];116: [aprox.8 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/29772364
3. Peng D, Zhu Y. External drains versus no drains after burr-hole evacuation for the treatment of chronic subdural haematoma in adults Format: Abstract Send to. Cochrane Database Syst Rev. 2016 [acceso: 29/08/2019]; 31(8):[aprox. 4 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/27578263
4. Dziedzic TA, Kunert P, Marchel A. Clinical Course and Results of Surgery for Chronic Subdural Hematomas in Patients on Drugs Affecting Hemostasis. J Korean Neurosurg Soc. 2017 [acceso: 22/05/2020]; 60(2):232‐8. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5365289/pdf/jkns-60-2-232.pdf
5. Christopher E, Poon M TC, Glancz LJ, Hutchinson PJ, Kolias AG, Brennan PM. Outcomes following surgery in subgroups of comatose and very elderly patients with chronic subdural hematoma. Neurosurg Rev. 2019 [acceso: 29/08/2019]; 42(2):[aprox.2 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/29679178
6. Lee KS. How to Treat Chronic Subdural Hematoma? Past and Now. J Korean Neurosurg Soc. 2019 [acceso: 22/05/2020]; 62(2):144-52. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6411568/
7. Chung Chan DY, Ming Chan DT, David Sun TF, Chi Ping Ng S, Chu Wong GK, Sang Poon W. The use of atorvastatin for chronic subdural haematoma: a retrospective cohort comparison study. British. Journal of Neurosurgery. 2017 [acceso: 29/08/2019]; 31(1):[aprox.5 p.]. Disponible en: https://doi.org/10.1080/02688697.2016.1208806
8. Uno M, Toi H, Hirai S. Chronic Subdural Hematoma in Elderly Patients: Is This Disease Benign? Neurol Med Chir. 2017[acceso: 22/05/2020]; 57(8):402‐9. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5566699/pdf/nmc-57-402.pdf
9. Soleman J, Nocera F, Mariani L. The conservative and pharmacological management of chronic subdural haematoma. Swiss Med Wkly. 2017 [acceso: 29/08/2019]; 17(147):[aprox. 4 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/28102879
10. Iorio-Morin C, Blanchard J, Richer M, Mathieu D. Tranexamic Acid in Chronic Subdural Hematomas (TRACS): study protocol for a randomized controlled trial. Trials. 2016 [acceso 22/05/2020]; 17(1):235. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4857422/pdf/13063_20-16_Article_1358.pdf
11. Chacín González JP, Reyes Graterol EO, García Oduber SM. Complications associated to tranexamic acid in the surgical drainage of subdural hematoma. Rev. Chil. Neurocirugía. 2018 [acceso 22/05/2020]; 44:121-127. Disponible en: https://www.neurocirugiachile.org/wp-content/uploads/2018/11/Chacin_p121_v44n2_2018.pdf
Published
2021-04-01
How to Cite
1.
Figueredo Acosta H. Clinical cases on conservative treatment of chronic subdural hematoma. Rev Cubana Med Milit [Internet]. 2021 Apr. 1 [cited 2025 Apr. 19];50(2):e0210940. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/940
Issue
Section
Case Presentation
License
Authors who have publications with this Journal accept the following terms:
- The authors will retain their copyright and guarantee the Journal the right of first publication of their work, which will simultaneously be subject to the Creative Commons Attribution License. The content presented here can be shared, copied and redistributed in any medium or format; Can be adapted, remixed, transformed or created from the material, using the following terms: Attribution (giving appropriate credit to the work, providing a link to the license, and indicating if changes have been made); non-commercial (you cannot use the material for commercial purposes) and share-alike (if you remix, transform or create new material from this work, you can distribute your contribution as long as you use the same license as the original work).
- The authors may adopt other non-exclusive license agreements for the distribution of the published version of the work (for example: depositing it in an institutional electronic archive or publishing it in a monographic volume) as long as the initial publication in this Journal is indicated.
- Authors are allowed and recommended to disseminate their work through the Internet (e.g., in institutional electronic archives or on their website) before and during the submission process, which can produce interesting exchanges and increase citations. of the published work.
