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Chronic Subdural Hematoma
Anne G. Osborn, MD, FACR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Abbreviations

              • Chronic subdural hematoma (cSDH)
            • Definitions

              • Chronic (> 3 weeks to months) collection of blood products in subdural space
                • May have foci of more acute hemorrhage ("mixed" SDH)

            IMAGING

            • General Features

              • CT Findings

                • MR Findings

                  • Imaging Recommendations

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        • Staging, Grading, & Classification

                          • Gross Pathologic & Surgical Features

                            • Microscopic Features

                              CLINICAL ISSUES

                              • Presentation

                                • Demographics

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Image Interpretation Pearls

                                        Selected References

                                        1. Chan DY et al: Chronic subdural haematoma: to drain or not to drain, this is the question. World Neurosurg. ePub, 2014
                                        2. Kolias AG et al: Chronic subdural haematoma: modern management and emerging therapies. Nat Rev Neurol. 10(10):570-578, 2014
                                        3. Tseng JH et al: Risk factors for chronic subdural hematoma after a minor head injury in the elderly: a population-based study. Biomed Res Int. 2014:218646, 2014
                                        4. Godlewski B et al: Retrospective analysis of operative treatment of a series of 100 patients with subdural hematoma. Neurol Med Chir (Tokyo). 53(1):26-33, 2013
                                        5. Safain M et al: A single center's experience with the bedside subdural evacuating port system: a useful alternative to traditional methods for chronic subdural hematoma evacuation. J Neurosurg. 118(3):694-700, 2013
                                        6. Stanišić M et al: Volume and densities of chronic subdural haematoma obtained from CT imaging as predictors of postoperative recurrence: a prospective study of 107 operated patients. Acta Neurochir (Wien). 155(2):323-33; discussion 333, 2013
                                        7. Feng JF et al: Traumatic subdural effusion evolves into chronic subdural hematoma: two stages of the same inflammatory reaction? Med Hypotheses. 70(6):1147-9, 2008
                                        8. Fernando S et al: Neuroimaging of nonaccidental head trauma: pitfalls and controversies. Pediatr Radiol. 38(8):827-38, 2008
                                        9. Kristof RA et al: Cerebrospinal fluid leakage into the subdural space: possible influence on the pathogenesis and recurrence frequency of chronic subdural hematoma and subdural hygroma. J Neurosurg. 108(2):275-80, 2008
                                        Related Anatomy
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                                        Related Differential Diagnoses
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                                        References
                                        Tables

                                        Tables

                                        KEY FACTS

                                        • Terminology

                                          • Imaging

                                            • Top Differential Diagnoses

                                              • Pathology

                                                • Clinical Issues

                                                  TERMINOLOGY

                                                  • Abbreviations

                                                    • Chronic subdural hematoma (cSDH)
                                                  • Definitions

                                                    • Chronic (> 3 weeks to months) collection of blood products in subdural space
                                                      • May have foci of more acute hemorrhage ("mixed" SDH)

                                                  IMAGING

                                                  • General Features

                                                    • CT Findings

                                                      • MR Findings

                                                        • Imaging Recommendations

                                                          DIFFERENTIAL DIAGNOSIS

                                                            PATHOLOGY

                                                            • General Features

                                                              • Staging, Grading, & Classification

                                                                • Gross Pathologic & Surgical Features

                                                                  • Microscopic Features

                                                                    CLINICAL ISSUES

                                                                    • Presentation

                                                                      • Demographics

                                                                        • Natural History & Prognosis

                                                                          • Treatment

                                                                            DIAGNOSTIC CHECKLIST

                                                                            • Image Interpretation Pearls

                                                                              Selected References

                                                                              1. Chan DY et al: Chronic subdural haematoma: to drain or not to drain, this is the question. World Neurosurg. ePub, 2014
                                                                              2. Kolias AG et al: Chronic subdural haematoma: modern management and emerging therapies. Nat Rev Neurol. 10(10):570-578, 2014
                                                                              3. Tseng JH et al: Risk factors for chronic subdural hematoma after a minor head injury in the elderly: a population-based study. Biomed Res Int. 2014:218646, 2014
                                                                              4. Godlewski B et al: Retrospective analysis of operative treatment of a series of 100 patients with subdural hematoma. Neurol Med Chir (Tokyo). 53(1):26-33, 2013
                                                                              5. Safain M et al: A single center's experience with the bedside subdural evacuating port system: a useful alternative to traditional methods for chronic subdural hematoma evacuation. J Neurosurg. 118(3):694-700, 2013
                                                                              6. Stanišić M et al: Volume and densities of chronic subdural haematoma obtained from CT imaging as predictors of postoperative recurrence: a prospective study of 107 operated patients. Acta Neurochir (Wien). 155(2):323-33; discussion 333, 2013
                                                                              7. Feng JF et al: Traumatic subdural effusion evolves into chronic subdural hematoma: two stages of the same inflammatory reaction? Med Hypotheses. 70(6):1147-9, 2008
                                                                              8. Fernando S et al: Neuroimaging of nonaccidental head trauma: pitfalls and controversies. Pediatr Radiol. 38(8):827-38, 2008
                                                                              9. Kristof RA et al: Cerebrospinal fluid leakage into the subdural space: possible influence on the pathogenesis and recurrence frequency of chronic subdural hematoma and subdural hygroma. J Neurosurg. 108(2):275-80, 2008