| Keywords [eng] |
By using the following keywords, chronic subdural hematoma, burr hole craniotomy chronic subdural hematoma, craniotomy chronic subdural hematoma, twist drill craniostomy chronic subdural hematoma, epidemiology chronic subdural hematoma, pathogenesis chronic subdural hematoma, clinical findings chronic subdural hematoma and drainage chronic subdural hematoma, a total number of 7879 possible articles was yielded |
| Abstract [eng] |
Chronic subdural hematoma is one of the most frequently observed pathologies in neurosurgery. Increased use of blood thinners and improved radiologic imaging techniques have led to a sharp increase in the incidence of chronic subdural hematomas in recent years. Although there are different approaches and theories about the origin of CSDH, most literary sources indicate that it is a chain of events that follow an initial event, usually a fall with trauma to the head. The subdural space is one that is not present in healthy individuals but is created by the complex pathophysiological mechanisms of chronic subdural hematoma. The formation of new blood vessels, in combination with reduced blood coagulation, leads to progressively enlarging bleedings. The resulting inflammatory and fibrinolytic processes lead to the characteristic patterns of chronic subdural hematoma. What leads to the more difficult diagnosis are, among other things, the rather unspecific symptoms, especially in the case of minor bleeding. Especially symptoms such as urinary incontinence and memory loss are symptoms that are often overlooked, especially in the older generation, and are blamed on increasing age. The most important component of the final diagnosis is the evidence provided by radiological images, CT and MRI. Again, a trained eye is needed to avoid misdiagnosing a chronic hemorrhage for an acute one. Specific here is the decreased density of the hemorrhage. When it comes to therapy, it is often a preference of different surgeons, which method is finally chosen, whereby it must be said that the most invasive technique, the craniotomy is chosen rather rarely. The most popular techniques are burr-hole and twist-drill craniostomy. The choice of evacuation followed by drainage depends, among other things, on the location and size of the hemorrhage, and is an individual decision each time. Chronic subdural hematoma is a disease that should not be underestimated and where the outcome depends on many factors. Early diagnosis and appropriate treatment methods are essential. |
