Turkish neurosurgery · 2012
Traumatic peritentorial subdural hematomas: a study of 32 cases.
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Takeuchi Satoru, Takasato Yoshio, Masaoka Hiroyuki, Hayakawa Takanori, Yatsushige Hiroshi, Nagatani Kimihiro, Otani Naoki, Osada Hideo, Wada Kojiro, Nawashiro Hiroshi
Аннотация
AIM: This study aimed to investigate the clinicoradiological features in patients with traumatic peritentorial subdural hematomas (SDHs).
MATERIAL AND METHODS: We retrospectively reviewed the clinical and radiological findings, management criteria, and outcomes in 32 patients with peritentorial SDHs. The outcomes were classified as favorable (good recovery or moderate disability) or poor (severe disability, vegetative state, or death).
RESULTS: Of the 32 patients, 19 were male and 13 were female. The patients' ages ranged from 10-92 years (mean age, 60.9 years). Coagulopathies were observed in 23 patients. Twenty-four patients presented with associated intracranial lesions. Eighteen patients had favorable outcomes and 14 had poor outcomes. All patients were treated conservatively. The presence of coagulopathy (p = 0.024) and presence of convexity SDH (p = 0.008) correlated with the outcome.
CONCLUSION: The patients with traumatic peritentorial SDHs were predominantly male and relatively elderly, and had a high incidence of coagulopathy, associated intracranial lesions (especially falx SDHs), a high rate of impact in the occipital or frontal regions, and a low incidence of skull fractures. The factors that were correlated with outcome in patients receiving conservative therapy were the presence of coagulopathy and the presence of convexity SDH.
MATERIAL AND METHODS: We retrospectively reviewed the clinical and radiological findings, management criteria, and outcomes in 32 patients with peritentorial SDHs. The outcomes were classified as favorable (good recovery or moderate disability) or poor (severe disability, vegetative state, or death).
RESULTS: Of the 32 patients, 19 were male and 13 were female. The patients' ages ranged from 10-92 years (mean age, 60.9 years). Coagulopathies were observed in 23 patients. Twenty-four patients presented with associated intracranial lesions. Eighteen patients had favorable outcomes and 14 had poor outcomes. All patients were treated conservatively. The presence of coagulopathy (p = 0.024) and presence of convexity SDH (p = 0.008) correlated with the outcome.
CONCLUSION: The patients with traumatic peritentorial SDHs were predominantly male and relatively elderly, and had a high incidence of coagulopathy, associated intracranial lesions (especially falx SDHs), a high rate of impact in the occipital or frontal regions, and a low incidence of skull fractures. The factors that were correlated with outcome in patients receiving conservative therapy were the presence of coagulopathy and the presence of convexity SDH.
Предметные рубрики MeSH
AdolescentAdultAgedAged, 80 and overBlood Coagulation DisordersChildDisability EvaluationFatal OutcomeFemaleHematoma, Subdural, IntracranialHumansMagnetic Resonance ImagingMaleMiddle AgedPersistent Vegetative StatePredictive Value of TestsPrognosisRecovery of FunctionRetrospective StudiesTomography, X-Ray ComputedYoung Adult