Browse > Article
http://dx.doi.org/10.3340/jkns.2014.55.4.218

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)
Publication Information
Journal of Korean Neurosurgical Society / v.55, no.4, 2014 , pp. 218-221 More about this Journal
Abstract
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.
Keywords
Chronic subdural hematoma; Young adult; Cerebrospinal fluid leakage; Intracranial hypotension; Arachnoid cyst;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Fishman RA, Dillon WP : Dural enhancement and cerebral displacement secondary to intracranial hypotension. Neurology 43 (3 Pt 1) : 609-611, 1993   DOI   ScienceOn
2 Fuentes S, Palombi O, Pouit B, Bernard C, Desgeorges M : [Arachnoid cysts of the middle fossa and associated subdural hematoma. Three case reports and review of the literature]. Neurochirurgie 46 : 376-382, 2000
3 Kotwica Z, Polis L : The association of arteriovenous malformation, aneurysm and chronic subdural hematoma. Case report. Zentralbl Neurochir 47 : 158-160, 1986
4 Helland CA, Wester K : A population based study of intracranial arachnoid cysts : clinical and neuroimaging outcomes following surgical cyst decompression in adults. J Neurol Neurosurg Psychiatry 78 : 1129-1135, 2007
5 Honma S, Fukazawa T, Hamada K, Hamada T, Tashiro K : [MRI changes in spontaneous intracranial hypotension]. Rinsho Shinkeigaku 36 : 912-915, 1996
6 Ikeda N, Wakabayashi S, Nagao K, Ichioka T, Srivatanakul K, Kajikawa H, et al. : [Two cases of spontaneous intracranial hypotension associated with chronic subdural hematoma only treated with burr hole irrigation of the hematomas]. No To Shinkei 57 : 701-707, 2005
7 Missori P, Maraglino C, Tarantino R, Salvati M, Calderaro G, Santoro A, et al. : Chronic subdural haematomas in patients aged under 50. Clin Neurol Neurosurg 102 : 199-202, 2000   DOI
8 Murakami M, Morikawa K, Matsuno A, Kaneda K, Nagashima T : Spontaneous intracranial hypotension associated with bilateral chronic subdural hematomas--case report. Neurol Med Chir (Tokyo) 40 : 484-488, 2000   DOI
9 Nakajima H, Sakai T, Aoki N, Takakura K : Bilateral chronic subdural hematomas associated with intracranial hypotension--case report. Neurol Med Chir (Tokyo) 36 : 647-649, 1996   DOI   ScienceOn
10 Nosik WA : Intracranial hypotension secondary to lumbar nerve sleeve tear. J Am Med Assoc 157 : 1110-1111, 1955   DOI
11 Oka Y, Kumon Y, Ohta S, Sakaki S, Ohue S, Takeda S : Chronic subdural hematoma associated with middle fossa arachnoid cysts--three case reports. Neurol Med Chir (Tokyo) 34 : 95-99, 1994   DOI
12 Page A, Paxton RM, Mohan D : A reappraisal of the relationship between arachnoid cysts of the middle fossa and chronic subdural haematoma. J Neurol Neurosurg Psychiatry 50 : 1001-1007, 1987   DOI
13 Schievink WI, Meyer FB, Atkinson JL, Mokri B : Spontaneous spinal cerebrospinal fluid leaks and intracranial hypotension. J Neurosurg 84 : 598-605, 1996   DOI   ScienceOn
14 Umebayashi D, Takado M, Osaka Y, Nakahara Y, Tenjin H : [Two cases of spontaneous intracranial hypotension with bilateral chronic subdural hematomas]. Brain Nerve 63 : 171-175, 2011
15 Schievink WI, Morreale VM, Atkinson JL, Meyer FB, Piepgras DG, Ebersold MJ : Surgical treatment of spontaneous spinal cerebrospinal fluid leaks. J Neurosurg 88 : 243-246, 1998   DOI   ScienceOn
16 Strupp M, Katsarava Z : [Post-lumbar puncture syndrome and spontaneous low CSF pressure syndrome]. Nervenarzt 80 : 1509-1519, 2009   DOI
17 Tseng YL, Chang YY, Lan MY, Wu HS, Liu JS : Spontaneous intracranial hypotension in a patient with reversible pachymeningeal enhancement and brain descent. Chang Gung Med J 26 : 293-298, 2003
18 Aoki N, Sakai T : Intraoperative subdural hematoma in a patient with arachnoid cyst in the middle cranial fossa. Childs Nerv Syst 6 : 44-46, 1990   DOI
19 Blank SC, Shakir RA, Bindoff LA, Bradey N : Spontaneous intracranial hypotension : clinical and magnetic resonance imaging characteristics. Clin Neurol Neurosurg 99 : 199-204, 1997   DOI   ScienceOn
20 Albuquerque FC, Giannotta SL : Arachnoid cyst rupture producing subdural hygroma and intracranial hypertension : case reports. Neurosurgery 41 : 951-955; discussion 955-956, 1997   DOI   ScienceOn
21 Bosma JJ, Miles JB, Shaw MD : Spontaneous chronic and subacute subdural haematoma in young adults. Acta Neurochir (Wien) 142 : 1307- 1310, 2000   DOI
22 Davenport RJ, Chataway SJ, Warlow CP : Spontaneous intracranial hypotension from a CSF leak in a patient with Marfan's syndrome. J Neurol Neurosurg Psychiatry 59 : 516-519, 1995   DOI
23 Dillon WP, Fishman RA : Some lessons learned about the diagnosis and treatment of spontaneous intracranial hypotension. AJNR Am J Neuroradiol 19 : 1001-1002, 1998
24 Ferrante E, Savino A, Sances G, Nappi G : Spontaneous intracranial hypotension syndrome : report of twelve cases. Headache 44 : 615-622, 2004   DOI   ScienceOn
25 Mori K, Yamamoto T, Horinaka N, Maeda M : Arachnoid cyst is a risk factor for chronic subdural hematoma in juveniles : twelve cases of chronic subdural hematoma associated with arachnoid cyst. J Neurotrauma 19 : 1017-1027, 2002   DOI
26 Takahashi T, Senbokuya N, Horikoshi T, Sato E, Nukui H, Kinouchi H : [Refractory chronic subdural hematoma due to spontaneous intracranial hypotension]. No Shinkei Geka 35 : 799-806, 2007
27 Arpino L, Gravina M, Basile D, Franco A : Spontaneous chronic subdural hematoma in a young adult. J Neurosurg Sci 53 : 55-57, 2009
28 Mokri B, Piepgras DG, Miller GM : Syndrome of orthostatic headaches and diffuse pachymeningeal gadolinium enhancement. Mayo Clin Proc 72 : 400-413, 1997   DOI   ScienceOn
29 Servadei F, Vergoni G, Frattarelli M, Pasini A, Arista A, Fagioli L : Arachnoid cyst of middle cranial fossa and ipsilateral subdural haematoma : diagnostic and therapeutic implications in three cases. Br J Neurosurg 7 : 249-253, 1993   DOI
30 Albanese A, Tuttolomondo A, Anile C, Sabatino G, Pompucci A, Pinto A, et al. : Spontaneous chronic subdural hematomas in young adults with a deficiency in coagulation factor XIII. Report of three cases. J Neurosurg 102 : 1130-1132, 2005   DOI