Journal of Korean Neurosurgical Society

  • 제55권4호
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  • Pages.218-221
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  • 2014
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  • 2005-3711(pISSN)
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  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
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The Surgical Treatment of Three Young Chronic Subdural Hematoma Patients with Different Causes

  • Hou, Kun (Department of Neurosurgery, The First Affiliated Hospital of Jilin University) ;
  • Li, Chen G. (Department of Neurosurgery, The First Affiliated Hospital of Jilin University) ;
  • Zhang, Yang (Department of Neurosurgery, The First Affiliated Hospital of Jilin University) ;
  • Zhu, Bo X. (Department of Neurosurgery, The First Affiliated Hospital of Jilin University)
  • 투고 : 2013.02.19
  • 심사 : 2014.04.15
  • 발행 : 2014.04.28
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초록

Chronic subdural hematoma (CSDH), which rarely happens in the young, is thought to be a disease of the elderly. Whereas unspecific symptoms and insidious onset in juveniles and young adults, as a result of its relative low morbidity, CSDH is usually neglected even undertreated in the young. Through the three cases and review of the current literature on this subject, we tried to illustrate the clinical and etiopathological characteristics of this entity and find out the most appropriate treatment strategy. We report three young CSDH patients with different but similar symptoms. The present histories, tests and examinations revealed different predisposing factors accounting for the genesis of CSDH. Their preoperative symptoms were all resolved with burr hole and drainage operation. Juveniles and young adults suffering from CSDH differ from that of their elderly counterparts in their clinical and etiopathological characteristics. Although trauma is the most important risk factor in young and old CSDH patients, some other predisposing factors may exist. Burr hole and drainage surgery could resolve the problem most of the time. But further tests and examinations even specific management should be made in some cases.

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참고문헌

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피인용 문헌

  1. Sport-related structural brain injury associated with arachnoid cysts: a systematic review and quantitative analysis vol.40, pp.4, 2016, https://doi.org/10.3171/2016.1.focus15608
  2. Clinical Course in Chronic Subdural Hematoma Patients Aged 18–49 Compared to Patients 50 Years and Above: A Multicenter Study and Meta-Analysis vol.10, pp.None, 2019, https://doi.org/10.3389/fneur.2019.00311