Subdural hematoma natural history, complications and prognosis: Difference between revisions
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=== Natural History === | === Natural History === | ||
* The symptoms of chronic subdural hematoma usually develop in the sixth and seventh decade of life. | * The symptoms of chronic subdural hematoma usually develop in the sixth and seventh decade of life.<ref name="pmid21819196">{{cite journal |vauthors=Kalanithi P, Schubert RD, Lad SP, Harris OA, Boakye M |title=Hospital costs, incidence, and inhospital mortality rates of traumatic subdural hematoma in the United States |journal=J. Neurosurg. |volume=115 |issue=5 |pages=1013–8 |date=November 2011 |pmid=21819196 |doi=10.3171/2011.6.JNS101989 |url=}}</ref><ref name="pmid21423076">{{cite journal |vauthors=Kanat A, Kayaci S, Yazar U, Kazdal H, Terzi Y |title=Chronic subdural hematoma in adults: why does it occur more often in males than females? Influence of patient's sexual gender on occurrence |journal=J Neurosurg Sci |volume=54 |issue=3 |pages=99–103 |date=September 2010 |pmid=21423076 |doi= |url=}}</ref> | ||
* In acute subdural hematoma, the symptoms of SDH typically develop 24 hours after head injury. | * In acute subdural hematoma, the symptoms of SDH typically develop 24 hours after head injury. | ||
* In subacute subdural hematoma, the symptoms os SDH typically develop between 1 to 10 days after [[head trauma]]. | * In subacute subdural hematoma, the symptoms os SDH typically develop between 1 to 10 days after [[head trauma]]. |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
If left untreated, [#]% of patients with [disease name] may progress to develop [manifestation 1], [manifestation 2], and [manifestation 3].
OR
Common complications of [disease name] include [complication 1], [complication 2], and [complication 3].
OR
Prognosis is generally excellent/good/poor, and the 1/5/10-year mortality/survival rate of patients with [disease name] is approximately [#]%.
Natural History, Complications, and Prognosis
Natural History
- The symptoms of chronic subdural hematoma usually develop in the sixth and seventh decade of life.[1][2]
- In acute subdural hematoma, the symptoms of SDH typically develop 24 hours after head injury.
- In subacute subdural hematoma, the symptoms os SDH typically develop between 1 to 10 days after head trauma.
- In chronic subdural hematoma, the symptoms of SDH typically develop weeks or months after head trauma
- If left untreated, 14% of patients with subdural hematoma may progress to serious complications including death.
Complications
Common complications of subdural hematoma include:
- Memory loss
- Dizziness
- Headache
- Anxiety
- Difficulty concentrating
- Seizures
- Temporary or permanent weakness
- Numbness
- Difficulty speaking
- Brain herniation
- Coma
- Death
Prognosis
- Acute subdural hematoma prognosis is generally poor, and the case mortality rate of traumatic subdural hematoma is approximately 14%.
- Acute subdural hematomas has high rates of death and injury.
- Depending on the extent, type, and locationat of hematoma at the time of diagnosis, the prognosis may vary.
- However, the prognosis is generally regarded as poor in acute subdural hematoma and good in chronic subdural hematoma.
- Subacute and chronic subdural hematomas have better outcomes in most cases, with symptoms often going away after the blood collection is drained.
- There is a high frequency of seizures following a subdural hematoma, even after drainage.
- These seizures are usually well controlled with medication.
- Seizures may occur at the time the hematoma forms, or up to months or years afterward.
- A period of rehabilitation is sometimes needed to assist the person back to his or her usual level of functioning.
References
- ↑ Kalanithi P, Schubert RD, Lad SP, Harris OA, Boakye M (November 2011). "Hospital costs, incidence, and inhospital mortality rates of traumatic subdural hematoma in the United States". J. Neurosurg. 115 (5): 1013–8. doi:10.3171/2011.6.JNS101989. PMID 21819196.
- ↑ Kanat A, Kayaci S, Yazar U, Kazdal H, Terzi Y (September 2010). "Chronic subdural hematoma in adults: why does it occur more often in males than females? Influence of patient's sexual gender on occurrence". J Neurosurg Sci. 54 (3): 99–103. PMID 21423076.