chronical subdural heamatomas

We have reviewed all acute neurosurgical admissions between December 2007 and December 2009. Hundred and nine (46.6%) of our admissions were head injuries. A subdural haematoma(SDH) was found in 51.4%(56) of the head injuries. Of these, 50/56 presented with a Glasgow Coma Scale(GCS) of 14 to 15, 41.1% (23) of these SDH needed surgery. The commonest mode of injury was falls [67.9%(74) of head injuries]. Risk factors for falls are co-morbidities which are particular to an elderly population, these include osteoarthritis and audio/ visual impairment...

Within the period from 1981 to 1986 a total of 65 patients with 74 (9 bilateral) chronic subdural haematomas (CSH) were operated on. First symptoms, preceding diseases, accompanying factors and neurological findings were listed and evaluated retrospectively. Preoperative CT criteria and postoperative CT controls of the course were put in relation to the clinical development of the findings obtained with different surgical techniques. The comparison of borehole trepanation (37 haematomas) and large craniotomy (37 heamatomas) shows advantages with respect to the retrogression of the haematomas (CT), the postoperative clinical course and the complications in favour of the patients subjected to borehole trepanation...