Clinical Analysis of Chronic Subdural Hematoma in Elderly

, Sang Wook Joo; , Moo Seong Kim; , Seong Jin No, Seong Hwa Paeng; , Se Yeong Pyo; , Yeong Gyun Jeong, Sun Il Lee; , Yong Tae Jung

Clinical Article

Journal of Korean Society of Geriatric Neurosurgery 2007;3(1):38-40.
Published online June 30, 2007.

Clinical Analysis of Chronic Subdural Hematoma in Elderly

Sang Wook Joo , Moo Seong Kim , Seong Jin No, Seong Hwa Paeng , Se Yeong Pyo , Yeong Gyun Jeong, Sun Il Lee , Yong Tae Jung

Department of Neurosurgery, Inje University, Busan Paik Hospital, Busan, Korea

고령 연령에서 만성경막하혈종의 임상적 분석

주상욱ㆍ김무성ㆍ노승진ㆍ팽성화ㆍ표세영ㆍ정영균ㆍ이선일ㆍ정용태

인제대학교 부산백병원 신경외과학교실

Abstract

Objective
s: Chronic subdural hematoma is common in elderly individuals. We analysed the chronic subdural hematoma in individuals aged over 70.
Methods
A total of 50 patients with chronic subdural hematoma underwent surgery at our institution during last three years. Of these, 38 patients were treated with burr hole drainage, and 12 patients with craniotomy and removal of hematoma.
Results
The fronto-temporo-parietal involvement was the most common pattern in our series. Recurrence was observed in 2 cases in the craniotomy group. There were no recurred cases in the burr hole drainage group.
Conclusion
In older age group (over 70 years), burr hole drainage treatment of the chronic subdural hematoma is considered as a sufficient surgical method for good outcome.

Key Words: Chronic subdural hematomaㆍBurr holeㆍDrainageㆍRecurrenceㆍElderly