Organised Chronic Subdural Haematoma – Case Reports

Česká verzia

Authors: R. Kaiser; L. Houšťava; L. Mencl; P. Haninec
Authors place of work: Neurochirurgická klinika 3. LF UK a FN Královské Vinohrady, Praha
Published in the journal: Cesk Slov Neurol N 2011; 74/107(3): 353-356
Category: Case Report

Summary

Chronic subdural haematoma is a very common disease of older age. The treatment is usually simple, consisting of evacuation, usually via a burr-hole craniotomy. A more complicated clinical course may be presented by the presence of subdural membranes arising out of increasing fibrotization. Very occasionally, this may predominate and lead to development of an organized mass. Diagnosis based on CT is not possible, because only hyperdense membranes are usually shown. Repeated evacuations with irrigation are unsuccessful; all these cases are finally treated by removal of an organized mass by craniotomy. We present three such cases from 201 (1.5%) chronic subdural haematomas treated at our department between 2005 and 2010. Clinical status and CT findings improved after radical elimination of organized matter in all cases.

Key words:
chronic subdural hematoma – organized subdural hematoma

Zdroje

1. Weigel R, Schmiedek P, Krauss JK. Outcome of contemporary surgery for chronic subdural haematoma: evidence based review. J Neurol Neurosurg Psychiatry 2003; 74(7): 937–943.

2. Häckel M, Benes V jr. Diagnosis and therapy of chronic subdural hematoma. Rozhl Chir 1993; 72(3): 118–123.

3. Houdek M, Kala M, Heřman M. Interhemispheric subdural haematoma. Cesk Slov Neurol N 1996; 59/92(6): 338–340.

4. Rocchi G, Caroli E, Salvati M, Delfini R. Membranectomy in organized chronic subdural hematomas: indications and technical notes. Surg Neurol 2007; 67(4): 374–380.

5. Imaizumi S, Onuma T, Kameyama M, Naganuma H. Organized chronic subdural hematoma requiring craniotomy-five case reports. Neurol Med Chir (Tokyo) 2001; 41(1): 19–24.

6. Isobe N, Sato H, Murakami T, Kurokawa Y, Seyama G, Oki S. Six cases of organized chronic subdural hematoma. No Shinkei Geka 2008; 36(12): 1115–1120.

7. Fukazawa K, Sakakura M, Niwa S, Yamamoto J, Kuraishi K, Mouri G. A case of organized chronic subdural hematoma showing an early recurrence after craniotomy. No Shinkei Geka 2005; 33(4): 389–394.

8. Ohkawa T, Ogura M, Tanaka S, Terada T, Itakura T. Craniotomy for organized subdural hematoma. No Shinkei Geka 2005; 33(4): 357–362.

9. Nagasaki M, Omata T, Miyazawa N, Kaneko M, Fukamachi A, Nukui H. Organized chronic subdural hematoma; report of two cases. No Shinkei Geka 1991; 19(9): 861–865.

10. Fujioka M, Okuchi K, Miyamoto S, Sakaki T, Tsuonda S, Iwasaki S. Bilateral organized chronic subdural haematomas: high field magnetic resonance images and histological considerations. Acta Neurochir (Wien) 1994; 131(3–4): 265–269.

11. Rodziewicz GS, Chuang WC. Endoscopic removal of organized chronic subdural hematoma. Surg Neurol 1995; 43(6): 569–572.