Comparative Analysis of Surgical Results for Chronic Subdural Hematoma according to Age

, Tae Yun Kim; , Ki Seong Eom; , Tae Young Kim

Clinical Article

Journal of Korean Society of Geriatric Neurosurgery 2013;9(1):13-18.
Published online June 30, 2013.

Comparative Analysis of Surgical Results for Chronic Subdural Hematoma according to Age

Tae Yun Kim , Ki Seong Eom , Tae Young Kim

Department of Neurosurgery, Wonkwang University School of Medicine, Iksan, Korea

만성 경막하 혈종 환자의 연령에 따른 수술적 치료 결과의 비교 분석

김태윤ㆍ엄기성ㆍ김태영

원광대학교 의과대학 신경외과학교실

Abstract

Objective
Chronic subdural hematoma (C-SDH) is a common clinical disease and more common in geriatric population. The purpose of this study is to investigate the differences in clinical features according to age and compared variable factors.
Methods
Between January 2007 and December 2010, 115 patients has undergone burr hole trephination for C-SDH. We classified them into two groups by patients’ age (≤65years, >65years). We investigated the history of head injury, underlying medical conditions, neurologic symptoms, Glasgow Coma Scale, Markwalder clinical grade, preoperative computed tomography findings, morbidity, mortality, Glasgow Outcome Scale, and recurrence. And we compared these factors between the two age groups for statistical significance.
Results
Younger age group included 37 patients (33.2%) and older age group included 78 patients (67.8%). Trauma is major cause in each age group. Diabetes mellitus, hypertension, stroke, dementia, antiplatelet agent were significantly associated with older age group. Surgical outcome was no statis tical significance.
Conclusion
In older patients, clinician should note underlying disease and plan proper management.

Key Words: Vertebral Compression fractureㆍOsteoporosisㆍVertebroplastyㆍKyphoplasty