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Indian Journal of Neurotrauma 2014; 11(01): 1-4
DOI: 10.1016/j.ijnt.2014.05.001
Original Article
Thieme Medical and Scientific Publishers Private Ltd.

Subacute and chronic subdural hematoma in young population less than 40 years

Authors

  • Pragyan Sarma

    a   Senior Resident, Department of Neurosurgery, NIMHANS, Bangalore, Karnataka, India

  • B. Indira Devi

    b   Professor and Head, Department of Neurosurgery, NIMHANS, Bangalore, Karnataka, India

  • Dhaval P. Shukla

    c   Additional Professor, Department of Neurosurgery, NIMHANS, Bangalore, Karnataka, India

  • Dhananjaya I. Bhat

    c   Additional Professor, Department of Neurosurgery, NIMHANS, Bangalore, Karnataka, India

Subject Editor:
Further Information

Publication History

17 February 2014

01 May 2014

Publication Date:
06 April 2017 (online)

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Abstract

Objective

The objective of this study was to analyze clinical, radiological and surgical results of subacute and chronic subdural hematomas (CSDH) in young patients less than 40 years.

Methods

This is a retrospective study of young patients who were surgically treated for subacute and chronic SDH during a 10-year period from 2002 to 2012. A total of 1642 patients were treated for these conditions, of which 136 patients (0.083%) were of 40 years or less. Complete clinical, surgical, and radiological records were available for 92 (15 female and 77 male) patients.

Results

79 (86%) cases had history of prior trauma. However few cases had association with toxoplasmosis, renal failure, hypothyroidism and VP shunt. Young patients mainly presented with symptoms of raised intracranial pressure and around 19% had history of alcohol abuse.13 cases had altered blood parameters. Overall results of surgery were good. Post-operative recurrence was seen in only 13 cases.

Conclusion

Young adults with CSDH show less severe clinical and radiologic features as well as fewer recurrences than noted in the elderly population. In young adults with unexplained headaches, there should be low threshold for computed tomographic scan of brain. Burr hole evacuation is satisfactory and histological examination is mandatory particularly in cases where there is no history of trauma.

Keywords

Chronic subdural hematoma - Young adult - Recurrence