Advanced search
Publication Cover
British Journal of Neurosurgery Volume 5, 1991 - Issue 5
Submit an article Journal homepage
181
Views
76
CrossRef citations to date
0
Altmetric
Original Article

Chronic subdural hematoma: Pathophysiological basis for treatment

Allan J. Drapkin Department of Surgery (Neurosurgery), Jersey Shore Medical Center, Neptune, New Jersey, USA
Pages 467-473 | Published online: 06 Jul 2009

Citations (76)

Keep up to date with the latest research on this topic with citation updates for this article.

Subscribe to citation updates

Read on this site (6)

Aydemir Kale, İbrahim İlker Öz, Eren Görkem Gün, Murat Kalaycı & Şanser Gül. (2017) Is the recurrence rate of chronic subdural hematomas dependent on the duration of drainage?. Neurological Research 39:5, pages 399-402.
Read now
Romuald Seizeur, Francis Abed-Rabbo, Sami Obaid, Philippe Saliou, Alexandre Simon, Phong Dam Hieu & Elsa Magro. (2017) Chronic subdural haematomas in elderly population. Neurosurgical aspects and focus on the single-burr hole technique performed under assisted local anaesthesia. British Journal of Neurosurgery 31:2, pages 258-261.
Read now
David Yuen Chung Chan, Danny Tat Ming Chan, Tin Fung David Sun, Stephanie Chi Ping Ng, George Kwok Chu Wong & Wai Sang Poon. (2017) The use of atorvastatin for chronic subdural haematoma: a retrospective cohort comparison study. British Journal of Neurosurgery 31:1, pages 72-77.
Read now
Yosef Laviv & Zvi Harry Rappaport. (2014) Risk factors for development of significant chronic subdural hematoma following conservative treatment of acute subdural hemorrhage. British Journal of Neurosurgery 28:6, pages 733-738.
Read now
T. F. D. Sun, R. Boet & W. S. Poon. (2005) Non-surgical primary treatment of chronic subdural haematoma: Preliminary results of using dexamethasone. British Journal of Neurosurgery 19:4, pages 327-333.
Read now
T Santarius & P. J. Hutchinson. (2004) Chronic subdural haematoma: time to rationalize treatment?. British Journal of Neurosurgery 18:4, pages 328-332.
Read now

Articles from other publishers (70)

Carlos Umberto Pereira, Débora Moura da Paixão Oliveira & Lauro Roberto de Azevedo Setton. (2023) Surgical Treatment of Chronic Subdural Hematoma under Local Anesthesia: Case Report and Literature Review. Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery.
Crossref
Roger Lodewijkx, Merijn Foppen, Kari-Anne Mariam Slot, William Peter Vandertop & Dagmar Verbaan. (2023) Recurrent Chronic Subdural Hematoma After Burr-Hole Surgery and Postoperative Drainage: A Systematic Review and Meta-Analysis. Operative Neurosurgery 25:3, pages 216-241.
Crossref
Omar El Farouk Ahmed, Ahmed Nagaty, Mohamed Helmy & Shafik Tahseen El Molla. (2023) The use of dexamethasone therapy for conservative management of chronic subdural hematomas: a question about efficacy and safety. The Egyptian Journal of Neurology, Psychiatry and Neurosurgery 59:1.
Crossref
Hongbin Liu, Rudan Yan, Fei Xie & Seidu A. Richard. (2022) Hematoma cavity separation and neomembrane thickness are potential triggers of recurrence of chronic subdural hematoma. BMC Surgery 22:1.
Crossref
Ishita P. MiahAnastassia BlanterYeliz TankErik W. van ZwetFrits R. RosendaalWilco C. PeulRuben DammersDana C. HollHester F. LingsmaHeleen M. den HertogJoukje van der NaaltKorné JellemaNiels A. Van der Gaag. (2022) Change in Hematoma Size after Dexamethasone Therapy in Chronic Subdural Hematoma Subtypes: A Prospective Study in Symptomatic Patients. Journal of Neurotrauma.
Crossref
Ralf Weigel, Lothar Schilling & Joachim K. Krauss. (2022) The pathophysiology of chronic subdural hematoma revisited: emphasis on aging processes as key factor. GeroScience 44:3, pages 1353-1371.
Crossref
Sae Min Kwon, Min Ho Lee, Youngbeom Seo, Young Il Kim, Hyuk-Jin Oh, Kyung Hwan Kim, Kyu-Sun Choi & Kyuha Chong. (2022) A Radiological Assessment of Chronic Subdural Hematomas. Korean Journal of Neurotrauma 18:1, pages 12.
Crossref
Michael T. Bounajem, Robert A. Campbell, Frederik Denorme & Ramesh Grandhi. (2021) Paradigms in chronic subdural hematoma pathophysiology: Current treatments and new directions. Journal of Trauma and Acute Care Surgery 91:6, pages e134-e141.
Crossref
Bradley S. Guidry, Katherine A. Kelly, Aaron M. Yengo-Kahn, Matthews Lan, Alan R. Tang, Silky Chotai, Peter Morone & Patrick D. Kelly. (2021) Statins as a Medical Adjunct in the Surgical Management of Chronic Subdural Hematomas. World Neurosurgery 149, pages e281-e291.
Crossref
Yue-Shan Fan, Bo Wang, Dong Wang, Xin Xu, Chuang Gao, Ying Li, Shu Zhang, Gui-Li Yang, Xiao Liu, Rong-Cai Jiang & Jian-Ning Zhang. (2021) Atorvastatin combined with low-dose dexamethasone for vascular endothelial cell dysfunction induced by chronic subdural hematoma. Neural Regeneration Research 16:3, pages 523.
Crossref
Ishita P. Miah, Yeliz Tank, Frits R. Rosendaal, Wilco C. Peul, Ruben Dammers, Hester F. Lingsma, Heleen M. den Hertog, Korné Jellema & Niels A. van der Gaag. (2020) Radiological prognostic factors of chronic subdural hematoma recurrence: a systematic review and meta-analysis. Neuroradiology 63:1, pages 27-40.
Crossref
Ali Akhaddar. 2021. Subdural Hematoma. Subdural Hematoma 71 77 .
Mohammed Benzagmout. 2021. Subdural Hematoma. Subdural Hematoma 461 478 .
Mohammed Benzagmout, Tokpo Armel Junior & Said Boujraf. 2021. Subdural Hematoma. Subdural Hematoma 401 416 .
Mustafa Balevi, Ayşe M. Dumlu & Mehmet Turgut. 2021. Subdural Hematoma. Subdural Hematoma 177 188 .
Jongwook Choi, Jinsu Pyen, Sungmin Cho, Jongyeon Kim, Younmoo Koo & Kum Whang. (2020) Influence of Antithrombotic Medication on the Risk of Chronic Subdural Hematoma Recurrence after Burr-Hole Surgery. Journal of Korean Neurosurgical Society 63:4, pages 513-518.
Crossref
Ishita P. MiahMartin HerklotsGerwin RoksWilco C. PeulRobert WalchenbachRuben DammersHester F. LingsmaHeleen M. den HertogKorné JellemaNiels A. Van der Gaag. (2020) Dexamethasone Therapy in Symptomatic Chronic Subdural Hematoma (DECSA–R): A Retrospective Evaluation of Initial Corticosteroid Therapy versus Primary Surgery. Journal of Neurotrauma 37:2, pages 366-372.
Crossref
Ahmed M. Elshanawany & Ahmed Elsayed Abokresha. (2020) Efficacy of Single Burr Hole in Management of Chronic Subdural Hematoma. Open Journal of Modern Neurosurgery 10:01, pages 81-87.
Crossref
Hosni Salama. (2019) Outcome of single burr hole under local anesthesia in the management of chronic subdural hematoma. Egyptian Journal of Neurosurgery 34:1.
Crossref
Edoardo Viaroli, Corrado Iaccarino, Rodolfo Maduri, Roy Thomas Daniel & Franco Servadei. 2019. Complications in Neurosurgery. Complications in Neurosurgery 274 279 .
Ishita P. Miah, Dana C. Holl, Wilco C. Peul, Robert Walchenbach, Nyika Kruyt, Karlijn de Laat, Radboud W. Koot, Victor Volovici, Clemens M. F. Dirven, Fop van Kooten, Kuan H. Kho, Heleen M. den Hertog, Joukje van der Naalt, Bram Jacobs, Rob J. M. Groen, Hester F. Lingsma, Ruben Dammers, Korné Jellema & Niels A. van der Gaag. (2018) Dexamethasone therapy versus surgery for chronic subdural haematoma (DECSA trial): study protocol for a randomised controlled trial. Trials 19:1.
Crossref
Elena I. Fomchenko, Emily J. Gilmore, Charles C. Matouk, Jason L. Gerrard & Kevin N. Sheth. (2018) Management of Subdural Hematomas: Part II. Surgical Management of Subdural Hematomas. Current Treatment Options in Neurology 20:8.
Crossref
Elena I. Fomchenko, Emily J. Gilmore, Charles C. Matouk, Jason L. Gerrard & Kevin N. Sheth. (2018) Management of Subdural Hematomas: Part I. Medical Management of Subdural Hematomas. Current Treatment Options in Neurology 20:8.
Crossref
Jiri BartekJr.Jr., Kristin Sjåvik, Samuel Schaible, Sasha Gulati, Ole Solheim, Petter Förander & Asgeir Store Jakola. (2018) The Role of Angiotensin-Converting Enzyme Inhibitors in Patients with Chronic Subdural Hematoma: A Scandinavian Population-Based Multicenter Study. World Neurosurgery 113, pages e555-e560.
Crossref
Koji OsukaYasuo WatanabeNobuteru UsudaMasahiro AoyamaKenichiro IwamiMikinobu TakeuchiTakeya WatabeMasakazu Takayasu. (2017) Expression of Caspase Signaling Components in the Outer Membranes of Chronic Subdural Hematomas. Journal of Neurotrauma 34:22, pages 3192-3197.
Crossref
Virendra R. Desai, Robert A. Scranton & Gavin W. Britz. (2017) Management of Recurrent Subdural Hematomas. Neurosurgery Clinics of North America 28:2, pages 279-286.
Crossref
David Yuen Chung Chan, Peter Yat Ming Woo, Calvin Hoi Kwan Mak, Alberto Chi Ho Chu, Charles Churk Hang Li, Natalie Man Wai Ko, Stephanie Chi Ping Ng, Tin Fung David Sun & Wai Sang Poon. (2017) Use of subdural drain for chronic subdural haematoma? A 4-year multi-centre observational study of 302 cases. Journal of Clinical Neuroscience 36, pages 27-30.
Crossref
Omar Tanweer, Fabio A. Frisoli, Crystal Bravate, Gillian Harrison, Donato Pacione, Douglas Kondziolka & Paul P. Huang. (2016) Tranexamic Acid for Treatment of Residual Subdural Hematoma After Bedside Twist-Drill Evacuation. World Neurosurgery 91, pages 29-33.
Crossref
Marian C. Neidert, Tobias Schmidt, Tatyana Mitova, Jorn Fierstra, David Bellut, Luca Regli, Jan-Karl Burkhardt & Oliver Bozinov. (2016) Preoperative angiotensin converting enzyme inhibitor usage in patients with chronic subdural hematoma: Associations with initial presentation and clinical outcome. Journal of Clinical Neuroscience 28, pages 82-86.
Crossref
Dae-in KimJae-hoon KimHee-in KangByung-gwan MoonJoo-seung KimDeok-ryeong Kim. (2016) Impact of Time Interval between Trauma Onset and Burr Hole Surgery on Recurrence of Late Subacute or Chronic Subdural Hematoma. Journal of Korean Neurosurgical Society 59:5, pages 498.
Crossref
Amit Kumar Thotakura & Nageswara Rao Marabathina. (2015) Nonsurgical Treatment of Chronic Subdural Hematoma with Steroids. World Neurosurgery 84:6, pages 1968-1972.
Crossref
Angelo RusconiSimone SangiorgiLidia BifoneSergio Balbi. (2015) Infrequent Hemorrhagic Complications Following Surgical Drainage of Chronic Subdural Hematomas. Journal of Korean Neurosurgical Society 57:5, pages 379.
Crossref
Jong Joo LeeYusam WonTaeyoung YangSion KimChun-sik ChoiJaeyoung Yang. (2015) Risk Factors of Chronic Subdural Hematoma Progression after Conservative Management of Cases with Initially Acute Subdural Hematoma. Korean Journal of Neurotrauma 11:2, pages 52.
Crossref
Kwang Jin LeeKi Seong EomJong Tae ParkTae Young Kim. (2015) Fatal Post-Operative Epilepticus after Burr-Hole Drainage for Chronic Subdural Hematoma. Korean Journal of Neurotrauma 11:2, pages 144.
Crossref
Ali Seifi, Ali Akbar Asadi-Pooya, Kevin Carr, Mitchell Maltenfort, Mehrdad Emami, Rodney Bell, Michael Moussouttas, Moussa Yazbeck & Fred Rincon. (2014) The epidemiology, risk factors, and impact on hospital mortality of status epilepticus after subdural hematoma in the United States. SpringerPlus 3:1.
Crossref
Ching-Lin Chen, Hui-Ling Kuo & Wei-Hung Chen. (2014) Complication of an acute subdural hemotoma located between dura and outer membrane space after burr-hole drainage for chronic subdural hemorrhage. Formosan Journal of Surgery 47:5, pages 197-200.
Crossref
Allan J. Drapkin. (2014) Chronic Subdural Hematomas. World Neurosurgery 81:3-4, pages e20-e21.
Crossref
L. M. E. Berghauser Pont, D. W. J. Dippel, B. H. Verweij, C. M. F. Dirven & R. Dammers. (2012) Ambivalence among neurologists and neurosurgeons on the treatment of chronic subdural hematoma: a national survey. Acta Neurologica Belgica 113:1, pages 55-59.
Crossref
Meng Dai, Bing Li, Shijie Hu, Canhua Xu, Bin Yang, Jianbo Li, Feng Fu, Zhou Fei & Xiuzhen Dong. (2013) In Vivo Imaging of Twist Drill Drainage for Subdural Hematoma: A Clinical Feasibility Study on Electrical Impedance Tomography for Measuring Intracranial Bleeding in Humans. PLoS ONE 8:1, pages e55020.
Crossref
David Ellison, Seth Love, Leila Chimelli, Brian N. Harding, James S. Lowe, Harry V. Vinters, Sebastian Brandner & William H. Yong. 2013. Neuropathology. Neuropathology 233 268 .
L. M. E. Berghauser Pont, C. M. F. Dirven, D. W. J. Dippel, B. H. Verweij & R. Dammers. (2012) The role of corticosteroids in the management of chronic subdural hematoma: a systematic review. European Journal of Neurology 19:11, pages 1397-1403.
Crossref
Eric Schmidt & Emmanuel Moyse. 2012. Pathy's Principles and Practice of Geriatric Medicine. Pathy's Principles and Practice of Geriatric Medicine 701 710 .
Lotte M.E. Berghauser Pont, Ruben Dammers, Joost W. Schouten, Hester F. Lingsma & Clemens M.F. Dirven. (2012) Clinical Factors Associated With Outcome in Chronic Subdural Hematoma. Neurosurgery 70:4, pages 873-880.
Crossref
Andrew F. Ducruet, Bartosz T. Grobelny, Brad E. Zacharia, Zachary L. Hickman, Peter L. DeRosa, Kristen Anderson, Eric Sussman, Austin Carpenter & E. Sander ConnollyJr.Jr.. (2011) The surgical management of chronic subdural hematoma. Neurosurgical Review 35:2, pages 155-169.
Crossref
Hwan Soo KimWeon HeoJae Hun ChaJoon Suk SongDong Youl Rhee. (2012) Factor Affecting Recurrence of Chronic Subdural Hematoma after Burr-Hole Drainage. Korean Journal of Neurotrauma 8:2, pages 73.
Crossref
Yang-Won SimKyung-Soo MinMou-Seop LeeYoung-Gyu KimDong-Ho Kim. (2012) A Clinical Analysis in Risk Factors of Chronic Subdural Hematoma: Focusing on the Age. Korean Journal of Neurotrauma 8:2, pages 115.
Crossref
Joachim K. Krauss, Lawrence F. Marshall & Ralf Weigel. 2011. Youmans Neurological Surgery. Youmans Neurological Surgery 535 543 .
Ju-Wan SeukHyoung-Joon ChunHyeong-Joong Yi. (2010) Status Epilepticus Caused by Small Amount Subacute to Chronic Subdural Hematoma: Case Report and Review of Literatures. Journal of Korean Neurotraumatology Society 6:2, pages 154.
Crossref
P.D. Delgado-López, V. Martín-Velasco, J.M. Castilla-Díez, A. Rodríguez-Salazar, A.M. Galacho-Harriero & O. Fernández-Arconada. (2009) Dexamethasone treatment in chronic subdural haematoma. Neurocirugía 20:4, pages 346-359.
Crossref
Young-Il KimJung-Hoon LeeSeung-Won ParkTaek-Kyun NamByung-Kook MinSung-Nam Hwang. (2008) Analysis of Prognostic Factors for Chronic Subdural Hematoma. Journal of Korean Neurotraumatology Society 4:1, pages 14.
Crossref
R. Gazzeri, M. Galarza, M. Neroni, A. Canova, G. M. Refice & S. Esposito. (2007) Continuous subgaleal suction drainage for the treatment of chronic subdural haematoma. Acta Neurochirurgica 149:5, pages 487-493.
Crossref
J Gurunathan. (2005) Treatment of chronic subdural hematoma with burr hole craniostomy and irrigation. The Indian Journal of Neurotrauma 2:2, pages 127-130.
Crossref
M. Stanisic, M. Lund-Johansen & R. Mahesparan. (2005) Treatment of chronic subdural hematoma by burr-hole craniostomy in adults: influence of some factors on postoperative recurrence. Acta Neurochirurgica 147:12, pages 1249-1257.
Crossref
. (2004) Subdural Hematoma. Journal of Neurosurgery 100:1.
Crossref
Alessandro Frati, Maurizio Salvati, Fabrizio Mainiero, Flora Ippoliti, Giovanni Rocchi, Antonino Raco, Emanuela Caroli, Giampaolo Cantore & Roberto Delfini. (2004) Inflammation markers and risk factors for recurrence in 35 patients with a posttraumatic chronic subdural hematoma: a prospective study. Journal of Neurosurgery 100:1, pages 24-32.
Crossref
Jerzy Slowinski, Wieslaw Szydlik, Agata Sanetra, Irena Kaminska & Ryszard Mrowka. (2003) Bilateral Chronic Subdural Hematomas With Neurologic Symptoms Complicating Spinal Anesthesia. Regional Anesthesia and Pain Medicine 28:4, pages 347-350.
Crossref
M. Gelabert-González, J.M. Fernández-Villa, E. López-García & A. García-Allut. (2001) Hematoma subdural crónico en el paciente mayor de 80 años. Neurocirugía 12:4, pages 325-330.
Crossref
H. V. Vinters. 2001. Neuropathology. Neuropathology 51 99 .
. (2000) Nontraumatic Acute Spinal Subdural Hematoma. Journal of Neurosurgery: Spine 93:1.
Crossref
Hikmat El-Kadi, Vincent J. Miele & Howard H. Kaufman. (2000) Prognosis of Chronic Subdural Hematomas. Neurosurgery Clinics of North America 11:3, pages 553-567.
Crossref
A. Gabarrós, J.J. Acebes, R. Rodríguez, J. Cabiol, L. López Obarrio, A. Mamov & F. Isamat. (2000) Resultados del tratamiento quirúrgico del hematoma subdural crónico. Comparación de dos técnicas: minitrépano y drenaje cerrado continuo versus dos trépanos y drenaj e externo abierto. Neurocirugía 11:5, pages 377-390.
Crossref
Wendell A. Gibby. 2000. Neuroimaging. Neuroimaging 365 411 .
Allan J. Drapkin. (1997) Endoscopy for chronic SDH. Surgical Neurology 48:4, pages 427.
Crossref
Ralf-Ingo Ernestus, Piotr Beldzinski, Heinrich Lanfermann & Norfrid Klug. (1997) Chronic subdural hematoma: Surgical treatment and outcome in 104 patients. Surgical Neurology 48:3, pages 220-225.
Crossref
Michel Elie, Francois Primeau & Martin G. Cole. (1996) Chronic Subdural Hematoma in the Elderly: A Case Report. Journal of Geriatric Psychiatry and Neurology 9:2, pages 100-101.
Crossref
P. Mellerg�rd & O. Wisten. (1996) Operations and re-operations for chronic subdural haematomas during a 25-year period in a well defined population. Acta Neurochirurgica 138:6, pages 708-713.
Crossref
Robert A. Sabo, William C. Hanigan & Jean C. Aldag. (1995) Chronic subdural hematomas and seizures: The role of prophylactic anticonvulsive medication. Surgical Neurology 43:6, pages 579-582.
Crossref
A. R. Choudhury. (1994) Avoidable factors that contribute to complications in the surgical treatment of chronic subdural haematoma. Acta Neurochirurgica 129:1-2, pages 15-19.
Crossref
J. K. Brown & R. A. Minns. (2008) NON‐ACCIDENTAL HEAD INJURY, WITH PARTICULAR REFERENCE TO WHIPLASH SHAKING INJURY AND MEDICO‐LEGAL ASPECTS. Developmental Medicine & Child Neurology 35:10, pages 849-869.
Crossref
. (1993) Multiloculated Chronic Subdural Hematomas. Journal of Neurosurgery 78:3.
Crossref

Reprints and Corporate Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

To request a reprint or corporate permissions for this article, please click on the relevant link below:

Order Reprints Request Corporate Permissions

Academic Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

Obtain permissions instantly via Rightslink by clicking on the button below:

Request Academic Permissions

If you are unable to obtain permissions via Rightslink, please complete and submit this Permissions form. For more information, please visit our Permissions help page.

Related research

People also read lists articles that other readers of this article have read.

Recommended articles lists articles that we recommend and is powered by our AI driven recommendation engine.

Cited by lists all citing articles based on Crossref citations.
Articles with the Crossref icon will open in a new tab.