Chronic Subdural Haematoma in the Aged

Lavy, S; Herishianu, Y.

doi:10.1111/j.1532-5415.1969.tb05354.x

Cited by 13 publications

(3 citation statements)

References 7 publications

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“…Relatives, well-intentioned or otherwise, provide further hurdles in the path of proper diagnosis and treatment; there are those who believe that any procedure might be meddlesome or even dangerous because of the age and general physical condition of the patient, and there are those who would seek psychiatric commitment of the patient purely for reasons of financial gain. On rare occasions, a referring physician is not familiar with the relative safety and accuracy of present-day methods of diagnosis (7) and the effectiveness and low risk of treatment (1,2,6).…”

mentioning

confidence: 99%

Chronic Subdural Hematoma in the Elderly: A Challenge in Diagnosis and Treatment

Raskind

Glover

Weiss

1972

J American Geriatrics Society

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This report concerns 52 elderly patients with chronic subdural hematoma. Difficulties in diagnosis are enhanced in this age group because many of the elderly cannot give a coherent history and often manifest signs of changes in the central nervous system due to concomitant vascular and other degenerative diseases. Even in aged persons, chronic subdural hematoma is curable by surgical methods. In this series 39 patients were restored to normal function, and 9 to the previous level of function; 3 were lost to follow-up; and only 1 was worse after surgery; there were no deaths. Poor results are almost always attributable to delay in diagnosis. Hence the importance of paying great attention to diagnostic procedures, and prompt treatment .

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mentioning

confidence: 99%

Chronic Subdural Hematoma in the Elderly: A Challenge in Diagnosis and Treatment

Raskind

Glover

Weiss

1972

J American Geriatrics Society

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“…The echoencephalogram is a useful screening test. The electroencephalogram is less specific, and occasionally gives normal results in cases of SDH (12).…”

Section: Discussionmentioning

confidence: 99%

Subdural Hematoma: A Clinical Approach

Rosin

Dijk

1980

J American Geriatrics Society

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Subdural hematoma (SDH) in the elderly often occurs following a relatively mild fall. Compared to the old person's high risk of falling, SDH is relatively uncommon and the diagnosis may be elusive. Five cases are presented, two in detail. In one, despite the acute onset within hours and manifestations of an ipsilateral neurologic deficit, operative removal of the SDH gave excellent results. The second patient represented a dementia assessment problem prior to admission to an institution. Inpatient observation eventually revealed a deteriorating neurologic state and led to the correct diagnosis of SDH. The patient returned home, fully recovered, two weeks after the appropriate surgical procedure. The pathogenesis of SDH is discussed. Clinical suspicion of its presence should prompt the performance of an echoencephalogram and a computerized axial tomogram of the brain.

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“…However, other pathologic processes should be considered when an elderly patient has a history inconsistent with a CVA but with signs of upper motor neuron dysfunction of the arm and hand. Subdural hematomas, both traumatic and spontaneous, occur frequently in the elderly, 1 as do central nervous system (CNS) tumors 2 …”

Section: Upper Motor Neuron Dysfunctionmentioning

confidence: 99%