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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. Chen FM et al: Predictors of acute intracranial hemorrhage and recurrence of chronic subdural hematoma following burr hole drainage. BMC Neurol. 20(1):92, 2020
                                        2. Gazzeri R et al: Clinical investigation of chronic subdural hematoma: Relationship between surgical approach, drainage location, use of antithrombotic drugs and postoperative recurrence. Clin Neurol Neurosurg. 191:105705, 2020
                                        3. Haldrup M et al: Embolization of the middle meningeal artery in patients with chronic subdural hematoma-a systematic review and meta-analysis. Acta Neurochir (Wien). 162(4):777-84, 2020
                                        4. Kamenova M et al: When the drain hits the brain. World Neurosurg. ePub, 2020
                                        5. Du B et al: A clinical study of the intra-neuroendoscopic technique for the treatment of subacute-chronic and chronic septal subdural hematoma. Front Neurol. 10:1408, 2019
                                        6. Fang J et al: Ossified chronic subdural hematoma in children: Case report and review of literature. World Neurosurg. 126:613-5, 2019
                                        7. Chen KT et al: The relationship between hematoma and pachymeninges in an interdural hematoma: diagnosis and surgical strategy. World Neurosurg. 110:492-8.e3, 2018
                                        8. Gelabert-González M et al: Chronic subdural hematoma in the oldest-old population. Neurosurg Rev. 41(4):983-4, 2018
                                        9. Iorio-Morin C et al: Chronic subdural hematoma: Toward a new management paradigm for an increasingly complex population. J Neurotrauma. 35(16):1882-5, 2018
                                        10. Mehta V et al: Evidence based diagnosis and management of chronic subdural hematoma: A review of the literature. J Clin Neurosci. 50:7-15, 2018
                                        11. Sahyouni R et al: Chronic subdural hematoma: A historical and clinical perspective. World Neurosurg. 108:948-53, 2017
                                        12. Vega RA et al: Natural history of acute subdural hematoma. Neurosurg Clin N Am. 28(2):247-55, 2017
                                        13. Yang W et al: Chronic subdural hematoma: Epidemiology and natural history. Neurosurg Clin N Am. 28(2):205-10, 2017
                                        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. Chen FM et al: Predictors of acute intracranial hemorrhage and recurrence of chronic subdural hematoma following burr hole drainage. BMC Neurol. 20(1):92, 2020
                                                                              2. Gazzeri R et al: Clinical investigation of chronic subdural hematoma: Relationship between surgical approach, drainage location, use of antithrombotic drugs and postoperative recurrence. Clin Neurol Neurosurg. 191:105705, 2020
                                                                              3. Haldrup M et al: Embolization of the middle meningeal artery in patients with chronic subdural hematoma-a systematic review and meta-analysis. Acta Neurochir (Wien). 162(4):777-84, 2020
                                                                              4. Kamenova M et al: When the drain hits the brain. World Neurosurg. ePub, 2020
                                                                              5. Du B et al: A clinical study of the intra-neuroendoscopic technique for the treatment of subacute-chronic and chronic septal subdural hematoma. Front Neurol. 10:1408, 2019
                                                                              6. Fang J et al: Ossified chronic subdural hematoma in children: Case report and review of literature. World Neurosurg. 126:613-5, 2019
                                                                              7. Chen KT et al: The relationship between hematoma and pachymeninges in an interdural hematoma: diagnosis and surgical strategy. World Neurosurg. 110:492-8.e3, 2018
                                                                              8. Gelabert-González M et al: Chronic subdural hematoma in the oldest-old population. Neurosurg Rev. 41(4):983-4, 2018
                                                                              9. Iorio-Morin C et al: Chronic subdural hematoma: Toward a new management paradigm for an increasingly complex population. J Neurotrauma. 35(16):1882-5, 2018
                                                                              10. Mehta V et al: Evidence based diagnosis and management of chronic subdural hematoma: A review of the literature. J Clin Neurosci. 50:7-15, 2018
                                                                              11. Sahyouni R et al: Chronic subdural hematoma: A historical and clinical perspective. World Neurosurg. 108:948-53, 2017
                                                                              12. Vega RA et al: Natural history of acute subdural hematoma. Neurosurg Clin N Am. 28(2):247-55, 2017
                                                                              13. Yang W et al: Chronic subdural hematoma: Epidemiology and natural history. Neurosurg Clin N Am. 28(2):205-10, 2017