Acute-on-Chronic Subdural Hematoma : Not Uncommon Events

Lee, Kyeong-Seok; Shim, Jae-Jun; Yoon, Seok-Mann; Doh, Jae-Won; Yun, Il-Gyu; Bae, Hack-Gun

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자료유형: 학술저널

저자정보: Lee, Kyeong-Seok (Department of Neurosurgery, Soonchunhyang University Cheonan Hospital) Shim, Jae-Jun (Department of Neurosurgery, Soonchunhyang University Cheonan Hospital) Yoon, Seok-Mann (Department of Neurosurgery, Soonchunhyang University Cheonan Hospital) Doh, Jae-Won (Department of Neurosurgery, Soonchunhyang University Cheonan Hospital) Yun, Il-Gyu (Department of Neurosurgery, Soonchunhyang University Cheonan Hospital) Bae, Hack-Gun (Department of Neurosurgery, Soonchunhyang University Cheonan Hospital)

저널정보: 대한신경외과학회 대한신경외과학회지 대한신경외과학회지 제50권 제6호

발행연도: 2011.1

수록면: 512 - 516 (5page)

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Objective : Patients with asymptomatic chronic subdural hematoma (SDH) are prone to fall or slip. Acute trauma on these patients may develop acute subdural bleeding over the chronic SDH. We recently experienced 9 patients with acute-on-chronic SDH. We report the clinical and radiological features of this lesion. Methods : We retrospectively examined the computed tomographic (CT) scans of 107 consecutive patients who diagnosed as chronic SDH from January 2008 to December 2010. All cases of CSDH were diagnosed on CT with or without MRI scan. Results : Acute-on-chronic SDH is not rare, being 8% of chronic SDH. The most common cause of trauma was a slip in drunken state. Alcoholism with multiple episodes of trauma was one of the prominent histories. Acute-on-chronic SDH appeared as a hyperdense layer of clot with irregular blurred margin or lumps in liquefied hematoma. Single or two burr holes was usually effective to remove the hematoma. Conclusion : Repeated trauma may cause acute bleeding over the chronic SDH. It will be helpful to understand the role of repeated trauma as a mechanism of hematoma enlargement.

#Chronic subdural hematoma #Computed tomography #Craniocerebral trauma #Diagnosis

참고문헌 (20)

참고문헌 신청

Chen JC / 2000 / Causes, epidemiology, and risk factors of chronicsubdural hematoma / Neurosurg Clin N Am 11:399~406

Fernando S / 2008 / Neuroimaging of nonaccidental head trauma : pitfalls and controversies / Pediatr Radiol 38:827~838

Gelabert-González M / 2005 / Chronic subdural haematoma : surgical treatment and outcome in 1000 cases / Clin Neurol Neurosurg 107:223~229

Haines DE / 1993 / The “subdural” space : a new look at an outdated concept / Neurosurgery 32:111~120

Kloss BT / 2010 / Acute-on-chronic subdural hematoma / Int J Emerg Med 3:511~512

이 논문의 저자 정보

Lee, Kyeong-Seok

소속기관 Department of Neurosurgery, Soonchunhyang University Chonan Hospital

주요연구분야 의약학 > 임상의학 > 신경외과학

논문수 26 이용수 84

Shim, Jae-Jun