Subdural hematoma historical perspective

Subdural Hematoma Microchapters
Home
Patient Information
Overview
Historical Perspective
Classification
Pathophysiology
Causes
Differentiating Subdural Hematoma from other Diseases
Epidemiology and Demographics
Risk Factors
Screening
Natural History, Complications and Prognosis
Diagnosis
Diagnostic Study of Choice
History and Symptoms
Physical Examination
Laboratory Findings
Electrocardiogram
X-ray
Echocardiography and Ultrasound
CT
MRI
Other Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Surgery
Primary Prevention
Secondary Prevention
Cost-Effectiveness of Therapy
Future or Investigational Therapies
Case Studies
Case #1
Subdural hematoma historical perspective On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Subdural hematoma historical perspective All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Subdural hematoma historical perspective
CDC on Subdural hematoma historical perspective
Subdural hematoma historical perspective in the news
Blogs on Subdural hematoma historical perspective
Directions to Hospitals Treating Subdural hematoma
Risk calculators and risk factors for Subdural hematoma historical perspective

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Fahimeh Shojaei, M.D.

Historical Perspective

Discovery

• The first case of subdural hematoma was discovered by Johan J.Wpfer, in 1657.

1657 Johan J.Wepfer Reported first case of subdural hematoma

1857 Virchow Described pachymeningitis hemorrhage as a result of dura's inflammation leading to fibrin and capillary prolifration

1925 Putnam and chushing First described chronic subdural hematoma

1972 Watanabe et al. First described animal models of chronic subdural hematoma

1974 Apfelbaumet al Described the fact that CSF is not necessarily part of chrnoic subdural hematoma membrane formation

1975 Sato and suzuki First described chronic subdural hematoma capsular structure

1976 Labadie and Glover First decribed the effect of dexamethasone injection on inhibiting membrane formation

Landmark Events in the Development of Treatment Strategies

• Trephination is the process of creating a hole in the skull.
• The evidence of these procedure is found all over the world starting from Paleolithic period also known as old stone age (2.4 million years ago).
• Until 19^th century scientists used to think that these holes were made by accident or weapons, but further studies showed that they were actually surgical procedure.
• The number of holes were different in every person and evidence of healing from edge of the holes was shown a 70% cure rate with limited infection or any complication.
• In old stone age the old people with brain atrophy would developed chronic subdural hematoma.
• One of the symptoms of subdural hematoma is ataxia.
• These people were more susceptible to fall and heading their head into a sharp object (natural trephination).
• Old stone age people observed a dark liquid comes out of the brain from puncture wound of these people, and the symptoms of the patients starts to go away.
• It created the idea of “demonic brain” and established the trephination procedure.

Source:Image Courtesy by Kyeong-Seok Lee, MD

Famous Cases

The following are a few famous cases of subdural hematoma:

• Former fox news president Roger Ailes
• Ann B. Davis’s the center square of the Brady Bunch tic-tac-toe grid
• Alex Trebek the Canadian-American television personality