Multimodal evaluation of chronic subdural hematoma

Authors

Abstract

Introduction: Chronic subdural hematoma is the most frequent late complication of cranioencephalic trauma. The early diagnosis and correct treatment allow the recovery of patients.
Objective: To systematize the different criteria of classification of chronic subdural hematoma that leads the multimodal evaluation for more effective selection of surgical technique.
Methods: A review of literature about chronic subdural hematoma was done in the main database focused on different clinical and radiological classifications and 26 articles were selected. The main classifications and scales were chosen and applied to 22 patients, obtaining preliminary results.
Results: Benders, Marckwalder and Gordon Firing scales are the most common, nevertheless there are tomographic classifications that include density, homogeneity of hematoma that are of great importance in the selection of the surgical technique. The presence of membranes and septum are only included in the evaluation of hematoma density. There are some others with predictive value that identify those factors related to recurrences before surgery that are considered a bad prognosis to the final evolution of these patients with this type of hematoma.
Conclusions: The previous evaluation to surgery requires the use of different scales, the identification and characterization of membranes are important to select the optimum surgical technique to decrease morbidity and mortality after surgery.

DeCS:HEMATOMA, SUBDURAL, CHRONIC/classification; HEMATOMA, SUBDURAL, CHRONIC/diagnostic imaging; TOMOGRAPHY, SPIRAL COMPUTED; SURGICAL PROCEDURES, OPERATIVE; REVIEW LITERATURE AS TOPIC.

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References

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Published

2022-12-23

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1.
Mosquera-Betancourt G, Téllez-Isla R, Fuentes-Chávez J. Multimodal evaluation of chronic subdural hematoma. Arch méd Camagüey [Internet]. 2022 Dec. 23 [cited 2025 Jul. 15];27:e9054. Available from: https://revistaamc.sld.cu/index.php/amc/article/view/9054

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