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[Chronic Subdural Hematoma in the Elderly]

Overview
Journal Chirurg
Specialty General Surgery
Date 2017 Jan 6
PMID 28054113
Citations 1
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Abstract

Chronic subdural hematoma (cSDH) is a common condition, the frequency of which further increases due to an aging population and more frequent use of antithrombotic drugs. It leads to unspecific symptoms and neurological deficits and is usually treated surgically. Burr hole trepanation and twist drill craniostomy have become the therapeutic standards with craniotomy being rarely used for recurrent cases. Although recurrences are relatively common, in most cases a good outcome can be achieved even in the elderly; however, as cSDH is associated with other comorbidities, it is indicative of an increased morbidity and mortality. Controlled trials need to be carried out to determine whether pharmacological therapies can also be beneficial in addition to surgical treatment.

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Middle Meningeal Artery Embolization Minimizes Burdensome Recurrence Rates After Newly Diagnosed Chronic Subdural Hematoma Evacuation (MEMBRANE): study protocol for a randomized controlled trial.

Hoenning A, Lemcke J, Rot S, Stengel D, Hoppe B, Zappel K Trials. 2022; 23(1):703.

PMID: 35996195 PMC: 9396835. DOI: 10.1186/s13063-022-06506-3.

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