Comment diagnostique-t-on un hématome subdural chronique ?
Le diagnostic se fait par imagerie cérébrale, principalement par scanner ou IRM.
Hématome subduralImagerie par résonance magnétique
#2
Quels examens sont nécessaires pour confirmer le diagnostic ?
Un scanner cérébral est souvent le premier examen, suivi d'une IRM si nécessaire.
TomodensitométrieHématome subdural
#3
Quels signes cliniques indiquent un hématome subdural ?
Des maux de tête, des troubles de la mémoire et des changements de comportement peuvent indiquer un hématome.
Symptômes neurologiquesHématome subdural
#4
Peut-on détecter un hématome subdural sans symptômes ?
Oui, certains hématomes subdural peuvent être asymptomatiques et découverts par imagerie.
Hématome subduralAsymptomatique
#5
Quel rôle joue l'anamnèse dans le diagnostic ?
L'anamnèse aide à identifier des antécédents de traumatisme crânien ou de troubles de coagulation.
Antécédents médicauxHématome subdural
Symptômes
5
#1
Quels sont les symptômes courants d'un hématome subdural chronique ?
Les symptômes incluent des maux de tête, des troubles cognitifs et des changements de personnalité.
Symptômes neurologiquesHématome subdural
#2
Les symptômes peuvent-ils apparaître lentement ?
Oui, les symptômes peuvent se développer progressivement sur plusieurs semaines ou mois.
Hématome subduralSymptômes progressifs
#3
Comment les troubles de la marche se manifestent-ils ?
Les patients peuvent présenter une démarche instable ou des chutes fréquentes en raison de troubles neurologiques.
Troubles de la marcheHématome subdural
#4
Les troubles de la vision sont-ils possibles ?
Oui, des troubles visuels peuvent survenir en raison de la pression sur les structures cérébrales.
Troubles de la visionHématome subdural
#5
Peut-on avoir des convulsions avec un hématome subdural ?
Oui, des convulsions peuvent survenir si l'hématome exerce une pression sur le cortex cérébral.
ConvulsionsHématome subdural
Prévention
5
#1
Comment prévenir un hématome subdural chronique ?
Éviter les traumatismes crâniens en portant des casques et en sécurisant les environnements à risque.
Prévention des blessuresHématome subdural
#2
Les personnes âgées sont-elles plus à risque ?
Oui, les personnes âgées sont plus susceptibles en raison de la fragilité des vaisseaux sanguins et des chutes fréquentes.
Personnes âgéesHématome subdural
#3
Le traitement des troubles de coagulation aide-t-il ?
Oui, un bon contrôle des troubles de coagulation peut réduire le risque d'hématomes.
Troubles de coagulationHématome subdural
#4
Les activités sportives augmentent-elles le risque ?
Certaines activités sportives à risque de chutes ou de coups à la tête peuvent augmenter le risque.
Activités sportivesHématome subdural
#5
Les médicaments anticoagulants sont-ils un facteur de risque ?
Oui, les anticoagulants augmentent le risque d'hématomes en cas de traumatisme crânien.
AnticoagulantsHématome subdural
Traitements
5
#1
Quel est le traitement principal d'un hématome subdural chronique ?
Le traitement principal est la chirurgie pour drainer l'hématome et réduire la pression intracrânienne.
ChirurgieHématome subdural
#2
Quand une intervention chirurgicale est-elle nécessaire ?
Une intervention est nécessaire si l'hématome provoque des symptômes significatifs ou une pression intracrânienne élevée.
Intervention chirurgicaleHématome subdural
#3
Y a-t-il des traitements non chirurgicaux ?
Dans certains cas, une surveillance et un traitement médical peuvent être suffisants si les symptômes sont légers.
Traitement médicalHématome subdural
#4
Quels médicaments peuvent être utilisés ?
Des analgésiques et des anti-inflammatoires peuvent être prescrits pour soulager la douleur.
AnalgésiquesHématome subdural
#5
Quelles sont les complications possibles après traitement ?
Les complications peuvent inclure des infections, des récidives d'hématome ou des troubles neurologiques persistants.
ComplicationsHématome subdural
Complications
5
#1
Quelles sont les complications à long terme d'un hématome subdural ?
Les complications peuvent inclure des déficits neurologiques permanents, des troubles cognitifs ou des convulsions.
Déficits neurologiquesHématome subdural
#2
Un hématome subdural peut-il récidiver ?
Oui, il existe un risque de récidive, surtout si les facteurs de risque persistent.
RécidiveHématome subdural
#3
Comment les infections peuvent-elles survenir après une chirurgie ?
Les infections peuvent survenir au site chirurgical, nécessitant un traitement antibiotique.
InfectionsChirurgie
#4
Les troubles psychologiques sont-ils possibles ?
Oui, des troubles psychologiques comme la dépression peuvent survenir après un hématome subdural.
Troubles psychologiquesHématome subdural
#5
Quel est l'impact sur la qualité de vie ?
L'hématome subdural peut affecter la qualité de vie en raison de déficits fonctionnels et cognitifs.
Qualité de vieHématome subdural
Facteurs de risque
5
#1
Quels sont les principaux facteurs de risque ?
Les facteurs incluent l'âge avancé, les anticoagulants, et les antécédents de traumatismes crâniens.
Facteurs de risqueHématome subdural
#2
Les antécédents d'accidents augmentent-ils le risque ?
Oui, des antécédents d'accidents augmentent le risque d'hématomes subduraux chroniques.
Antécédents médicauxHématome subdural
#3
Le sexe influence-t-il le risque d'hématome subdural ?
Des études montrent que les hommes sont plus souvent touchés que les femmes, mais les raisons ne sont pas claires.
SexeHématome subdural
#4
Les troubles de la coagulation sont-ils un facteur de risque ?
Oui, les troubles de la coagulation augmentent le risque d'hématomes en cas de traumatisme.
Troubles de coagulationHématome subdural
#5
Les chutes sont-elles un facteur de risque majeur ?
Oui, les chutes, surtout chez les personnes âgées, sont un facteur de risque majeur d'hématomes subduraux.
ChutesHématome subdural
{
"@context": "https://schema.org",
"@graph": [
{
"@type": "MedicalWebPage",
"name": "Hématome subdural chronique : Questions médicales les plus fréquentes",
"headline": "Hématome subdural chronique : Comprendre les symptômes, diagnostics et traitements",
"description": "Guide complet et accessible sur les Hématome subdural chronique : explications, diagnostics, traitements et prévention. Information médicale validée destinée aux patients.",
"datePublished": "2024-05-07",
"dateModified": "2026-04-27",
"inLanguage": "fr",
"medicalAudience": [
{
"@type": "MedicalAudience",
"name": "Grand public",
"audienceType": "Patient",
"healthCondition": {
"@type": "MedicalCondition",
"name": "Hématome subdural chronique"
},
"suggestedMinAge": 18,
"suggestedGender": "unisex"
},
{
"@type": "MedicalAudience",
"name": "Médecins",
"audienceType": "Physician",
"geographicArea": {
"@type": "AdministrativeArea",
"name": "France"
}
},
{
"@type": "MedicalAudience",
"name": "Chercheurs",
"audienceType": "Researcher",
"geographicArea": {
"@type": "AdministrativeArea",
"name": "International"
}
}
],
"reviewedBy": {
"@type": "Person",
"name": "Dr Olivier Menir",
"jobTitle": "Expert en Médecine",
"description": "Expert en Médecine, Optimisation des Parcours de Soins et Révision Médicale",
"url": "/static/pages/docteur-olivier-menir.html",
"alumniOf": {
"@type": "EducationalOrganization",
"name": "Université Paris Descartes"
}
},
"isPartOf": {
"@type": "MedicalWebPage",
"name": "Hématome subdural",
"url": "https://questionsmedicales.fr/mesh/D006408",
"about": {
"@type": "MedicalCondition",
"name": "Hématome subdural",
"code": {
"@type": "MedicalCode",
"code": "D006408",
"codingSystem": "MeSH"
},
"identifier": {
"@type": "PropertyValue",
"propertyID": "MeSH Tree",
"value": "C26.915.300.490.450"
}
}
},
"about": {
"@type": "MedicalCondition",
"name": "Hématome subdural chronique",
"alternateName": "Hematoma, Subdural, Chronic",
"code": {
"@type": "MedicalCode",
"code": "D020200",
"codingSystem": "MeSH"
}
},
"author": [
{
"@type": "Person",
"name": "Kåre Fugleholm",
"url": "https://questionsmedicales.fr/author/K%C3%A5re%20Fugleholm",
"affiliation": {
"@type": "Organization",
"name": "Department of Neurosurgery, Rigshospitalet University Hospital, Blegdamsvej 9, 2100, Copenhagen, Denmark."
}
},
{
"@type": "Person",
"name": "None None",
"url": "https://questionsmedicales.fr/author/None%20None",
"affiliation": {
"@type": "Organization",
"name": ""
}
},
{
"@type": "Person",
"name": "Thorbjørn Søren Rønn Jensen",
"url": "https://questionsmedicales.fr/author/Thorbj%C3%B8rn%20S%C3%B8ren%20R%C3%B8nn%20Jensen",
"affiliation": {
"@type": "Organization",
"name": "Department of Neurosurgery, The Neuroscience Centre, Copenhagen University Hospital, Inge Lehmanns Vej 6, 2100, Copenhagen, Rigshospitalet, Denmark. tjens07@gmail.com."
}
},
{
"@type": "Person",
"name": "Tina Binderup",
"url": "https://questionsmedicales.fr/author/Tina%20Binderup",
"affiliation": {
"@type": "Organization",
"name": "Department of Clinical Physiology and Nuclear Medicine & Cluster for Molecular Imaging, Copenhagen, Rigshospitalet, Denmark."
}
},
{
"@type": "Person",
"name": "Sae-Yeon Won",
"url": "https://questionsmedicales.fr/author/Sae-Yeon%20Won",
"affiliation": {
"@type": "Organization",
"name": "Department of Neurosurgery, University Hospital, Goethe-University, Frankfurt am Main, Germany."
}
}
],
"citation": [
{
"@type": "ScholarlyArticle",
"name": "Acute-to-chronic subdural hematoma: radiographic and clinical progression from acute subdural hematoma.",
"datePublished": "2024-05-30",
"url": "https://questionsmedicales.fr/article/38811425",
"identifier": {
"@type": "PropertyValue",
"propertyID": "DOI",
"value": "10.1007/s10143-024-02465-2"
}
},
{
"@type": "ScholarlyArticle",
"name": "The cellular composition of chronic subdural hematoma.",
"datePublished": "2024-05-10",
"url": "https://questionsmedicales.fr/article/38724806",
"identifier": {
"@type": "PropertyValue",
"propertyID": "DOI",
"value": "10.1007/s00701-024-06101-2"
}
},
{
"@type": "ScholarlyArticle",
"name": "Predictors of mortality in chronic subdural hematoma evacuation.",
"datePublished": "2023-12-01",
"url": "https://questionsmedicales.fr/article/38036800",
"identifier": {
"@type": "PropertyValue",
"propertyID": "DOI",
"value": "10.1007/s10143-023-02213-y"
}
},
{
"@type": "ScholarlyArticle",
"name": "Predictors of revision surgery after bedside subdural drain placement for chronic subdural hematomas.",
"datePublished": "2023-06-16",
"url": "https://questionsmedicales.fr/article/37336052",
"identifier": {
"@type": "PropertyValue",
"propertyID": "DOI",
"value": "10.1016/j.clineuro.2023.107836"
}
},
{
"@type": "ScholarlyArticle",
"name": "Inflammatory biomarkers differentiate the stage of maturation in chronic subdural hematomas.",
"datePublished": "2023-06-09",
"url": "https://questionsmedicales.fr/article/37364514",
"identifier": {
"@type": "PropertyValue",
"propertyID": "DOI",
"value": "10.1016/j.jneuroim.2023.578127"
}
}
],
"breadcrumb": {
"@type": "BreadcrumbList",
"itemListElement": [
{
"@type": "ListItem",
"position": 1,
"name": "questionsmedicales.fr",
"item": "https://questionsmedicales.fr"
},
{
"@type": "ListItem",
"position": 2,
"name": "Plaies et blessures",
"item": "https://questionsmedicales.fr/mesh/D014947"
},
{
"@type": "ListItem",
"position": 3,
"name": "Traumatismes du système nerveux",
"item": "https://questionsmedicales.fr/mesh/D020196"
},
{
"@type": "ListItem",
"position": 4,
"name": "Traumatismes cranioencéphaliques",
"item": "https://questionsmedicales.fr/mesh/D006259"
},
{
"@type": "ListItem",
"position": 5,
"name": "Hémorragie intracrânienne traumatique",
"item": "https://questionsmedicales.fr/mesh/D020198"
},
{
"@type": "ListItem",
"position": 6,
"name": "Hématome subdural",
"item": "https://questionsmedicales.fr/mesh/D006408"
},
{
"@type": "ListItem",
"position": 7,
"name": "Hématome subdural chronique",
"item": "https://questionsmedicales.fr/mesh/D020200"
}
]
}
},
{
"@type": "MedicalWebPage",
"name": "Article complet : Hématome subdural chronique - Questions et réponses",
"headline": "Questions et réponses médicales fréquentes sur Hématome subdural chronique",
"description": "Une compilation de questions et réponses structurées, validées par des experts médicaux.",
"datePublished": "2026-05-09",
"inLanguage": "fr",
"hasPart": [
{
"@type": "MedicalWebPage",
"name": "Diagnostic",
"headline": "Diagnostic sur Hématome subdural chronique",
"description": "Comment diagnostique-t-on un hématome subdural chronique ?\nQuels examens sont nécessaires pour confirmer le diagnostic ?\nQuels signes cliniques indiquent un hématome subdural ?\nPeut-on détecter un hématome subdural sans symptômes ?\nQuel rôle joue l'anamnèse dans le diagnostic ?",
"url": "https://questionsmedicales.fr/mesh/D020200#section-diagnostic"
},
{
"@type": "MedicalWebPage",
"name": "Symptômes",
"headline": "Symptômes sur Hématome subdural chronique",
"description": "Quels sont les symptômes courants d'un hématome subdural chronique ?\nLes symptômes peuvent-ils apparaître lentement ?\nComment les troubles de la marche se manifestent-ils ?\nLes troubles de la vision sont-ils possibles ?\nPeut-on avoir des convulsions avec un hématome subdural ?",
"url": "https://questionsmedicales.fr/mesh/D020200#section-symptômes"
},
{
"@type": "MedicalWebPage",
"name": "Prévention",
"headline": "Prévention sur Hématome subdural chronique",
"description": "Comment prévenir un hématome subdural chronique ?\nLes personnes âgées sont-elles plus à risque ?\nLe traitement des troubles de coagulation aide-t-il ?\nLes activités sportives augmentent-elles le risque ?\nLes médicaments anticoagulants sont-ils un facteur de risque ?",
"url": "https://questionsmedicales.fr/mesh/D020200#section-prévention"
},
{
"@type": "MedicalWebPage",
"name": "Traitements",
"headline": "Traitements sur Hématome subdural chronique",
"description": "Quel est le traitement principal d'un hématome subdural chronique ?\nQuand une intervention chirurgicale est-elle nécessaire ?\nY a-t-il des traitements non chirurgicaux ?\nQuels médicaments peuvent être utilisés ?\nQuelles sont les complications possibles après traitement ?",
"url": "https://questionsmedicales.fr/mesh/D020200#section-traitements"
},
{
"@type": "MedicalWebPage",
"name": "Complications",
"headline": "Complications sur Hématome subdural chronique",
"description": "Quelles sont les complications à long terme d'un hématome subdural ?\nUn hématome subdural peut-il récidiver ?\nComment les infections peuvent-elles survenir après une chirurgie ?\nLes troubles psychologiques sont-ils possibles ?\nQuel est l'impact sur la qualité de vie ?",
"url": "https://questionsmedicales.fr/mesh/D020200#section-complications"
},
{
"@type": "MedicalWebPage",
"name": "Facteurs de risque",
"headline": "Facteurs de risque sur Hématome subdural chronique",
"description": "Quels sont les principaux facteurs de risque ?\nLes antécédents d'accidents augmentent-ils le risque ?\nLe sexe influence-t-il le risque d'hématome subdural ?\nLes troubles de la coagulation sont-ils un facteur de risque ?\nLes chutes sont-elles un facteur de risque majeur ?",
"url": "https://questionsmedicales.fr/mesh/D020200#section-facteurs de risque"
}
]
},
{
"@type": "FAQPage",
"mainEntity": [
{
"@type": "Question",
"name": "Comment diagnostique-t-on un hématome subdural chronique ?",
"position": 1,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le diagnostic se fait par imagerie cérébrale, principalement par scanner ou IRM."
}
},
{
"@type": "Question",
"name": "Quels examens sont nécessaires pour confirmer le diagnostic ?",
"position": 2,
"acceptedAnswer": {
"@type": "Answer",
"text": "Un scanner cérébral est souvent le premier examen, suivi d'une IRM si nécessaire."
}
},
{
"@type": "Question",
"name": "Quels signes cliniques indiquent un hématome subdural ?",
"position": 3,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des maux de tête, des troubles de la mémoire et des changements de comportement peuvent indiquer un hématome."
}
},
{
"@type": "Question",
"name": "Peut-on détecter un hématome subdural sans symptômes ?",
"position": 4,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, certains hématomes subdural peuvent être asymptomatiques et découverts par imagerie."
}
},
{
"@type": "Question",
"name": "Quel rôle joue l'anamnèse dans le diagnostic ?",
"position": 5,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'anamnèse aide à identifier des antécédents de traumatisme crânien ou de troubles de coagulation."
}
},
{
"@type": "Question",
"name": "Quels sont les symptômes courants d'un hématome subdural chronique ?",
"position": 6,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les symptômes incluent des maux de tête, des troubles cognitifs et des changements de personnalité."
}
},
{
"@type": "Question",
"name": "Les symptômes peuvent-ils apparaître lentement ?",
"position": 7,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les symptômes peuvent se développer progressivement sur plusieurs semaines ou mois."
}
},
{
"@type": "Question",
"name": "Comment les troubles de la marche se manifestent-ils ?",
"position": 8,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les patients peuvent présenter une démarche instable ou des chutes fréquentes en raison de troubles neurologiques."
}
},
{
"@type": "Question",
"name": "Les troubles de la vision sont-ils possibles ?",
"position": 9,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des troubles visuels peuvent survenir en raison de la pression sur les structures cérébrales."
}
},
{
"@type": "Question",
"name": "Peut-on avoir des convulsions avec un hématome subdural ?",
"position": 10,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des convulsions peuvent survenir si l'hématome exerce une pression sur le cortex cérébral."
}
},
{
"@type": "Question",
"name": "Comment prévenir un hématome subdural chronique ?",
"position": 11,
"acceptedAnswer": {
"@type": "Answer",
"text": "Éviter les traumatismes crâniens en portant des casques et en sécurisant les environnements à risque."
}
},
{
"@type": "Question",
"name": "Les personnes âgées sont-elles plus à risque ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les personnes âgées sont plus susceptibles en raison de la fragilité des vaisseaux sanguins et des chutes fréquentes."
}
},
{
"@type": "Question",
"name": "Le traitement des troubles de coagulation aide-t-il ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, un bon contrôle des troubles de coagulation peut réduire le risque d'hématomes."
}
},
{
"@type": "Question",
"name": "Les activités sportives augmentent-elles le risque ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "Certaines activités sportives à risque de chutes ou de coups à la tête peuvent augmenter le risque."
}
},
{
"@type": "Question",
"name": "Les médicaments anticoagulants sont-ils un facteur de risque ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les anticoagulants augmentent le risque d'hématomes en cas de traumatisme crânien."
}
},
{
"@type": "Question",
"name": "Quel est le traitement principal d'un hématome subdural chronique ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le traitement principal est la chirurgie pour drainer l'hématome et réduire la pression intracrânienne."
}
},
{
"@type": "Question",
"name": "Quand une intervention chirurgicale est-elle nécessaire ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une intervention est nécessaire si l'hématome provoque des symptômes significatifs ou une pression intracrânienne élevée."
}
},
{
"@type": "Question",
"name": "Y a-t-il des traitements non chirurgicaux ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "Dans certains cas, une surveillance et un traitement médical peuvent être suffisants si les symptômes sont légers."
}
},
{
"@type": "Question",
"name": "Quels médicaments peuvent être utilisés ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des analgésiques et des anti-inflammatoires peuvent être prescrits pour soulager la douleur."
}
},
{
"@type": "Question",
"name": "Quelles sont les complications possibles après traitement ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications peuvent inclure des infections, des récidives d'hématome ou des troubles neurologiques persistants."
}
},
{
"@type": "Question",
"name": "Quelles sont les complications à long terme d'un hématome subdural ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications peuvent inclure des déficits neurologiques permanents, des troubles cognitifs ou des convulsions."
}
},
{
"@type": "Question",
"name": "Un hématome subdural peut-il récidiver ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, il existe un risque de récidive, surtout si les facteurs de risque persistent."
}
},
{
"@type": "Question",
"name": "Comment les infections peuvent-elles survenir après une chirurgie ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les infections peuvent survenir au site chirurgical, nécessitant un traitement antibiotique."
}
},
{
"@type": "Question",
"name": "Les troubles psychologiques sont-ils possibles ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des troubles psychologiques comme la dépression peuvent survenir après un hématome subdural."
}
},
{
"@type": "Question",
"name": "Quel est l'impact sur la qualité de vie ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'hématome subdural peut affecter la qualité de vie en raison de déficits fonctionnels et cognitifs."
}
},
{
"@type": "Question",
"name": "Quels sont les principaux facteurs de risque ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les facteurs incluent l'âge avancé, les anticoagulants, et les antécédents de traumatismes crâniens."
}
},
{
"@type": "Question",
"name": "Les antécédents d'accidents augmentent-ils le risque ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des antécédents d'accidents augmentent le risque d'hématomes subduraux chroniques."
}
},
{
"@type": "Question",
"name": "Le sexe influence-t-il le risque d'hématome subdural ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des études montrent que les hommes sont plus souvent touchés que les femmes, mais les raisons ne sont pas claires."
}
},
{
"@type": "Question",
"name": "Les troubles de la coagulation sont-ils un facteur de risque ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les troubles de la coagulation augmentent le risque d'hématomes en cas de traumatisme."
}
},
{
"@type": "Question",
"name": "Les chutes sont-elles un facteur de risque majeur ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les chutes, surtout chez les personnes âgées, sont un facteur de risque majeur d'hématomes subduraux."
}
}
]
}
]
}
Department of Neurosurgery, The Neuroscience Centre, Copenhagen University Hospital, Inge Lehmanns Vej 6, 2100, Copenhagen, Rigshospitalet, Denmark. tjens07@gmail.com.
From the Department of Neurology, Amphia Hospital, Breda (I.P.M.), the Departments of Neurology (I.P.M., N.D.K.) and Neurosurgery (W.C.P., N.A.G.), Leiden University Medical Center, Leiden, the Departments of Neurology (I.P.M., K.J.) and Neurosurgery (W.C.P., N.A.G.), Haaglanden Medical Center, and the Department of Neurosurgery, Haga Teaching Hospital (W.C.P., N.A.G.), the Hague, the Stroke Center (D.C.H., F.K., C.M.F.D., R.D.) and the Departments of Neurosurgery (D.C.H., C.M.F.D., R.D.), Public Health (D.C.H., J.B., H.F.L., S.P.), and Neurology (F.K.), Erasmus Medical Center, Rotterdam, the Departments of Neurology (J.B., B.J., J.N.) and Neurosurgery (R.J.M.G.), University of Groningen, University Medical Center Groningen, Groningen, the Department of Neurology, Isala, Zwolle (H.M.H.), and the Department of Neurosurgery, Medisch Spectrum Twente, and the Clinical Neurophysiology Group, University of Twente, Enschede (K.H.K.) - all in the Netherlands.
From the Department of Neurology, Amphia Hospital, Breda (I.P.M.), the Departments of Neurology (I.P.M., N.D.K.) and Neurosurgery (W.C.P., N.A.G.), Leiden University Medical Center, Leiden, the Departments of Neurology (I.P.M., K.J.) and Neurosurgery (W.C.P., N.A.G.), Haaglanden Medical Center, and the Department of Neurosurgery, Haga Teaching Hospital (W.C.P., N.A.G.), the Hague, the Stroke Center (D.C.H., F.K., C.M.F.D., R.D.) and the Departments of Neurosurgery (D.C.H., C.M.F.D., R.D.), Public Health (D.C.H., J.B., H.F.L., S.P.), and Neurology (F.K.), Erasmus Medical Center, Rotterdam, the Departments of Neurology (J.B., B.J., J.N.) and Neurosurgery (R.J.M.G.), University of Groningen, University Medical Center Groningen, Groningen, the Department of Neurology, Isala, Zwolle (H.M.H.), and the Department of Neurosurgery, Medisch Spectrum Twente, and the Clinical Neurophysiology Group, University of Twente, Enschede (K.H.K.) - all in the Netherlands.
From the Department of Neurology, Amphia Hospital, Breda (I.P.M.), the Departments of Neurology (I.P.M., N.D.K.) and Neurosurgery (W.C.P., N.A.G.), Leiden University Medical Center, Leiden, the Departments of Neurology (I.P.M., K.J.) and Neurosurgery (W.C.P., N.A.G.), Haaglanden Medical Center, and the Department of Neurosurgery, Haga Teaching Hospital (W.C.P., N.A.G.), the Hague, the Stroke Center (D.C.H., F.K., C.M.F.D., R.D.) and the Departments of Neurosurgery (D.C.H., C.M.F.D., R.D.), Public Health (D.C.H., J.B., H.F.L., S.P.), and Neurology (F.K.), Erasmus Medical Center, Rotterdam, the Departments of Neurology (J.B., B.J., J.N.) and Neurosurgery (R.J.M.G.), University of Groningen, University Medical Center Groningen, Groningen, the Department of Neurology, Isala, Zwolle (H.M.H.), and the Department of Neurosurgery, Medisch Spectrum Twente, and the Clinical Neurophysiology Group, University of Twente, Enschede (K.H.K.) - all in the Netherlands.
From the Department of Neurology, Amphia Hospital, Breda (I.P.M.), the Departments of Neurology (I.P.M., N.D.K.) and Neurosurgery (W.C.P., N.A.G.), Leiden University Medical Center, Leiden, the Departments of Neurology (I.P.M., K.J.) and Neurosurgery (W.C.P., N.A.G.), Haaglanden Medical Center, and the Department of Neurosurgery, Haga Teaching Hospital (W.C.P., N.A.G.), the Hague, the Stroke Center (D.C.H., F.K., C.M.F.D., R.D.) and the Departments of Neurosurgery (D.C.H., C.M.F.D., R.D.), Public Health (D.C.H., J.B., H.F.L., S.P.), and Neurology (F.K.), Erasmus Medical Center, Rotterdam, the Departments of Neurology (J.B., B.J., J.N.) and Neurosurgery (R.J.M.G.), University of Groningen, University Medical Center Groningen, Groningen, the Department of Neurology, Isala, Zwolle (H.M.H.), and the Department of Neurosurgery, Medisch Spectrum Twente, and the Clinical Neurophysiology Group, University of Twente, Enschede (K.H.K.) - all in the Netherlands.
From the Department of Neurology, Amphia Hospital, Breda (I.P.M.), the Departments of Neurology (I.P.M., N.D.K.) and Neurosurgery (W.C.P., N.A.G.), Leiden University Medical Center, Leiden, the Departments of Neurology (I.P.M., K.J.) and Neurosurgery (W.C.P., N.A.G.), Haaglanden Medical Center, and the Department of Neurosurgery, Haga Teaching Hospital (W.C.P., N.A.G.), the Hague, the Stroke Center (D.C.H., F.K., C.M.F.D., R.D.) and the Departments of Neurosurgery (D.C.H., C.M.F.D., R.D.), Public Health (D.C.H., J.B., H.F.L., S.P.), and Neurology (F.K.), Erasmus Medical Center, Rotterdam, the Departments of Neurology (J.B., B.J., J.N.) and Neurosurgery (R.J.M.G.), University of Groningen, University Medical Center Groningen, Groningen, the Department of Neurology, Isala, Zwolle (H.M.H.), and the Department of Neurosurgery, Medisch Spectrum Twente, and the Clinical Neurophysiology Group, University of Twente, Enschede (K.H.K.) - all in the Netherlands.
From the Department of Neurology, Amphia Hospital, Breda (I.P.M.), the Departments of Neurology (I.P.M., N.D.K.) and Neurosurgery (W.C.P., N.A.G.), Leiden University Medical Center, Leiden, the Departments of Neurology (I.P.M., K.J.) and Neurosurgery (W.C.P., N.A.G.), Haaglanden Medical Center, and the Department of Neurosurgery, Haga Teaching Hospital (W.C.P., N.A.G.), the Hague, the Stroke Center (D.C.H., F.K., C.M.F.D., R.D.) and the Departments of Neurosurgery (D.C.H., C.M.F.D., R.D.), Public Health (D.C.H., J.B., H.F.L., S.P.), and Neurology (F.K.), Erasmus Medical Center, Rotterdam, the Departments of Neurology (J.B., B.J., J.N.) and Neurosurgery (R.J.M.G.), University of Groningen, University Medical Center Groningen, Groningen, the Department of Neurology, Isala, Zwolle (H.M.H.), and the Department of Neurosurgery, Medisch Spectrum Twente, and the Clinical Neurophysiology Group, University of Twente, Enschede (K.H.K.) - all in the Netherlands.
The pathogenesis of chronic subdural hematoma (CSDH) has not been completely understood. However, different mechanisms can result in space-occupying subdural fluid collections, one pathway can be the ...
All patients with unilateral CSDH, requiring burr hole trephination between 2018 and 2023 were included. The population was distributed into an acute-to-chronic group (group A, n = 41) and into a conv...
In group A, volume and midline shift increased significantly during the progression from acute-to-chronic (p < 0.001, resp.). Clinical performance (modified Rankin scale, Glasgow Coma Scale) dropped s...
If ASDH transforms to CSDH, treatment may become mandatory early due to increase in volume and midline shift. Close monitoring of these patients is crucial since DOC and rapid deterioration is common ...
The pathophysiology of chronic subdural hematoma (CSDH) remains to be fully understood. Basic knowledge of the composition and features of cells in the CSDH fluid may contribute to the understanding o...
Systemic blood and subdural hematoma fluid were collected from CSDH patients with and without recurrent CSDH at the time of primary and secondary surgery. Analyses of cells and cellular features inclu...
Of the 85 included patients, 20 patients were operated for a recurrent CSDH within 90 days follow-up. All cells found in the systemic blood were present in the CSDH fluid, but the composition was diff...
This study is the first to investigate the cellular composition of CSDH fluid. Compared to systemic blood and to a reference distribution, an increased number of immune cells were present in the hemat...
The study was approved by the Scientific Ethical Committee of the Capital Region of Denmark (Journal no. H-20051073....
Chronic subdural hematoma (cSDH) is one of the most common types of intracranial hemorrhages, particularly in the elderly. Despite extensive research regarding cSDH diagnosis and treatment, there is c...
For chronic subdural hematoma (cSDH), bedside subdural drains (SDD) provide a useful alternative to more invasive neurosurgical techniques, including evacuation through multiple burr holes or formal c...
We conducted a retrospective case control study of cSDH patients treated with bedside SDD at a level one trauma center between 2018 and 2022. Binomial regression was used to compare SDD patients and g...
Ninety six cSDH patients were included, of whom 13 (13.5%) required a revision surgery after initial treatment failure with bedside SDD. Patients requiring revision surgery demonstrated an increased m...
Among patients treated with SDD, we identified 3 independent factors predicting the need for revision surgery: GCS score, midline shift, and duration of drain placement. Craniotomy may be favored over...
Inflammation is a major pathophysiological driver of the development of chronic subdural hematomas (CSDH), but there is still limited knowledge on the key molecular processes and corresponding biomark...
In this observational study, 58 patients who were operated on with CSDH evacuation, at the Department of Neurosurgery, Uppsala, Sweden, between 2019 and 2021, were prospectively included. The CSDH flu...
In 84 of the 92 inflammatory biomarkers, the concentration was above the detection limit in >50% of the patients. There was a significant difference in GDNF, NT-3, and IL-8 depending on the Nakaguchi ...
Our findings support the presence of local inflammation in the CSDH, a shift in biomarker pattern as the CSDH matures towards the trabeculated state, potentially differences in biomarker patterns with...
Chronic subdural hematoma (CSDH) is commonly treated by burr-hole drainage with subgaleal or subdural drain insertion, mostly based on surgeon's preference. We analyzed the recurrence rate and clinica...
700 cases of burr-hole drainage for CSDH between 2017 and 2022 were included. Subdural drain insertion was compared to subgaleal drain insertion. The primary outcome were the rates of recurrence and r...
Baseline characteristics were comparable. The recurrence and reoperation rate after subdural drainage were respectively 15.3% (38/249) and 9.6% (24/249). The recurrence and reoperation rate after subg...
We found relative equipoise between subdural or subgaleal drain insertion concerning recurrence, reoperation rate or clinical outcome. A large multicenter randomized controlled trial could be designed...
Chronic subdural hematoma (CSH) refers to intracranial hemorrhages frequently caused by minor head trauma and is mostly seen in middle and advanced age. One of the hypotheses regarding the development...
The inclusion criteria covered patients in all ages who were diagnosed as CSH by computed tomography and/or magnetic resonance imaging and treated by surgical intervention in our clinic between 2018 a...
A total of 68 cases, 57 (83.8%) male and 11 (16.2%) female, aged between 13 and 93, were included in the study. The mean age of the patients included in the study was 72.59 ± 13.13 years. NLR of the c...
As seen from the results of this study, peripheral blood values in CSH patients may be significantly higher than in the healthy control group, while they are below the normal laboratory cut-off values...
Calcified chronic subdural hematoma is a rare and infrequent diagnosis made in clinical practice according to the literature. Calcification of chronic subdural hematoma is found more frequently in chi...
An 84-year-old Ethiopian male patient presented with progressive right-sided body weakness of 8-month duration. The weakness started in the right lower extremity and progressively involved the upper e...
The most common symptom of calcified chronic subdural hematoma is headache followed by lethargy, confusion, memory impairment weakness, and seizures. A diminished level of consciousness is relatively ...
Chronic subdural hematoma (CSDH) is a common neurosurgical condition. Inflammation has been found to play an essential role in the formation of CSDHs, and the prognostic nutritional index (PNI), a nut...
Chronic subdural hematoma (CSH) is predominantly a disease of the elderly. Aging societies in advanced countries are seeing the number of CSH cases increasing. We applied a three-day hospitalization p...