TY - JOUR
T1 - Chronic subdural hematoma in adult and elderly patients
AU - Iantosca, M. R.
AU - Simon, R. H.
PY - 2000
Y1 - 2000
N2 - Before the availability of CT, the ability of CSH to simulate the presentation of a wide variety of neurologic disorders led to the misdiagnosis of this condition in up to two thirds of these cases. Fortunately, the increased use of imaging for cerebrovascular disease, tumors, and dementia has led to increased detection of these lesions. Earlier diagnosis with a lower incidence of coma and decreased level of consciousness at presentation has been the end result, likely accounting for the decreased morbidity and mortality associated with this disease over the last 30 years. Nevertheless, the increasingly advanced age of patients with CSH and the varied clinical presentation in this age group can lead to potential delays in diagnosis in the elderly. In this expanding population of elderly patients with increased risks for medical and surgical complications, appreciation for the wide variety of clinical presentations and early diagnostic imaging are the keys to maintaining the low morbidity associated with this disease.
AB - Before the availability of CT, the ability of CSH to simulate the presentation of a wide variety of neurologic disorders led to the misdiagnosis of this condition in up to two thirds of these cases. Fortunately, the increased use of imaging for cerebrovascular disease, tumors, and dementia has led to increased detection of these lesions. Earlier diagnosis with a lower incidence of coma and decreased level of consciousness at presentation has been the end result, likely accounting for the decreased morbidity and mortality associated with this disease over the last 30 years. Nevertheless, the increasingly advanced age of patients with CSH and the varied clinical presentation in this age group can lead to potential delays in diagnosis in the elderly. In this expanding population of elderly patients with increased risks for medical and surgical complications, appreciation for the wide variety of clinical presentations and early diagnostic imaging are the keys to maintaining the low morbidity associated with this disease.
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U2 - 10.1016/s1042-3680(18)30107-4
DO - 10.1016/s1042-3680(18)30107-4
M3 - Review article
C2 - 10918014
AN - SCOPUS:0033858818
VL - 11
SP - 447
EP - 454
JO - Neurosurgery Clinics of North America
JF - Neurosurgery Clinics of North America
SN - 1042-3680
IS - 3
ER -