In:
Praxis, Hogrefe Publishing Group, Vol. 99, No. 21 ( 2010-10-01), p. 1269-1277
Abstract:
Subdural hematomas (SDH) are associated with an increased morbidity and mortality and generally occur as chronic SDH among older patients. The most frequent signs and symptoms – like headache, alteration of consciousness, gait impairment and hemiparesis – are also prevalent among other diseases, which has to be taken into account in the differential diagnosis. In the case of symptomatic patients with focal neurological deficits, a surgical intervention should be considered, whereas in case of asymptomatic patients or patients with only slight headaches, also a conservative treatment with a clinical and radiological follow-up might be a possibility. Also after surgical intervention, the recurrence rate is between 5 and 33%. Therefore, all patients with chronic SDH depict, irrespective of the indication for an oral anticoagulation, a challenge for the treating physicians.
Type of Medium:
Online Resource
ISSN:
1661-8157
,
1661-8165
DOI:
10.1024/1661-8157/a000275
Language:
German
Publisher:
Hogrefe Publishing Group
Publication Date:
2010
