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Postgraduate Medical Journal 2002;78:71-75; doi:10.1136/pmj.78.916.71
© 2002 BMJ Publishing Group Ltd and The Fellowship of Postgraduate Medicine.
Postgraduate Medical Journal 2002;78:71-75
© 2002 The Fellowship of Postgraduate Medicine

REVIEW

Chronic subdural haematoma in the elderly

V Adhiyaman1, M Asghar2, K N Ganeshram1, B K Bhowmick1

1 Department of Geriatric Medicine, Glan Clwyd District General Hospital, Rhyl
2 Gloucestershire Royal Hospital, Gloucester

Correspondence to:
Correspondence to:
Dr V Adhiyaman, Department of Geriatric Medicine, Glan Clwyd District General Hospital, Rhyl, Denbighshire LL18 5UJ, UK;
adhiv{at}btinternet.com

Chronic subdural haematoma is predominantly a disease of the elderly. It usually follows a minor trauma. A history of direct trauma to the head is absent in up to half the cases. The common manifestations are altered mental state and focal neurological deficit. Neurological state at the time of diagnosis is the most important prognostic factor. Morbidity and mortality is higher in the elderly but outcome is good in patients who undergo neurosurgical intervention.

Keywords: chronic subdural haematoma; elderly

Abbreviations: CSDH, chronic subdural haematoma; MRI, magnetic resonance imaging; TND, transient neurological deficits


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