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Hematoma, Subdural, Chronic

MedGen UID:
155445
Concept ID:
C0749095
Pathologic Function
Synonyms: Chronic Subdural Hematoma; Chronic Subdural Hematomas; Hematoma, Chronic Subdural; Hematomas, Chronic Subdural; Hemorrhage, Subdural, Chronic; Subdural Hematoma, Chronic; Subdural Hematomas, Chronic

Definition

Accumulation of blood in the SUBDURAL SPACE with delayed onset of neurological symptoms. Symptoms may include loss of consciousness, severe HEADACHE, and deteriorating mental status. [from MeSH]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVHematoma, Subdural, Chronic

Professional guidelines

PubMed

Uno M
Neurol Med Chir (Tokyo) 2023 Jan 15;63(1):1-8. Epub 2022 Oct 25 doi: 10.2176/jns-nmc.2022-0207. PMID: 36288974Free PMC Article
Feghali J, Yang W, Huang J
World Neurosurg 2020 Sep;141:339-345. Epub 2020 Jun 25 doi: 10.1016/j.wneu.2020.06.140. PMID: 32593768
Mehta V, Harward SC, Sankey EW, Nayar G, Codd PJ
J Clin Neurosci 2018 Apr;50:7-15. Epub 2018 Feb 7 doi: 10.1016/j.jocn.2018.01.050. PMID: 29428263

Recent clinical studies

Etiology

Maroufi SF, Farahbakhsh F, Macdonald RL, Khoshnevisan A
Neurosurg Rev 2023 Oct 16;46(1):270. doi: 10.1007/s10143-023-02175-1. PMID: 37843688
Yu J, Tang J, Chen M, Ren Q, He J, Tang M, Zhang X, Liu Z, Ding H
J Clin Neurosci 2023 Jan;107:23-33. Epub 2022 Nov 30 doi: 10.1016/j.jocn.2022.11.010. PMID: 36462413
Edlmann E, Giorgi-Coll S, Whitfield PC, Carpenter KLH, Hutchinson PJ
J Neuroinflammation 2017 May 30;14(1):108. doi: 10.1186/s12974-017-0881-y. PMID: 28558815Free PMC Article
Guha D, Macdonald RL
Neurosurg Clin N Am 2017 Apr;28(2):287-295. Epub 2017 Feb 1 doi: 10.1016/j.nec.2016.11.011. PMID: 28325463
Yang W, Huang J
Neurosurg Clin N Am 2017 Apr;28(2):205-210. Epub 2017 Feb 1 doi: 10.1016/j.nec.2016.11.002. PMID: 28325454

Diagnosis

Hamou HA, Clusmann H, Schulz JB, Wiesmann M, Altiok E, Höllig A
Dtsch Arztebl Int 2022 Mar 25;119(12):208-213. doi: 10.3238/arztebl.m2022.0144. PMID: 35236548Free PMC Article
Májovský M, Netuka D
Rozhl Chir 2018 Spring;97(6):253-257. PMID: 30442003
Jiang R, Zhao S, Wang R, Feng H, Zhang J, Li X, Mao Y, Yuan X, Fei Z, Zhao Y, Yu X, Poon WS, Zhu X, Liu N, Kang D, Sun T, Jiao B, Liu X, Yu R, Zhang J, Gao G, Hao J, Su N, Yin G, Zhu X, Lu Y, Wei J, Hu J, Hu R, Li J, Wang D, Wei H, Tian Y, Lei P, Dong JF, Zhang J
JAMA Neurol 2018 Nov 1;75(11):1338-1346. doi: 10.1001/jamaneurol.2018.2030. PMID: 30073290Free PMC Article
Mehta V, Harward SC, Sankey EW, Nayar G, Codd PJ
J Clin Neurosci 2018 Apr;50:7-15. Epub 2018 Feb 7 doi: 10.1016/j.jocn.2018.01.050. PMID: 29428263
Roh D, Reznik M, Claassen J
Neurosurg Clin N Am 2017 Apr;28(2):211-217. Epub 2017 Feb 1 doi: 10.1016/j.nec.2016.11.003. PMID: 28325455

Therapy

Kan P, Fiorella D, Dabus G, Samaniego EA, Lanzino G, Siddiqui AH, Chen H, Khalessi AA, Pereira VM, Fifi JT, Bain MD, Colby GP, Wakhloo AK, Arthur AS; ARISE I Academic Industry Roundtable
Stroke 2024 May;55(5):1438-1448. Epub 2024 Apr 22 doi: 10.1161/STROKEAHA.123.044129. PMID: 38648281
Miah IP, Holl DC, Blaauw J, Lingsma HF, den Hertog HM, Jacobs B, Kruyt ND, van der Naalt J, Polinder S, Groen RJM, Kho KH, van Kooten F, Dirven CMF, Peul WC, Jellema K, Dammers R, van der Gaag NA; DECSA Collaborators
N Engl J Med 2023 Jun 15;388(24):2230-2240. doi: 10.1056/NEJMoa2216767. PMID: 37314705
Yu J, Tang J, Chen M, Ren Q, He J, Tang M, Zhang X, Liu Z, Ding H
J Clin Neurosci 2023 Jan;107:23-33. Epub 2022 Nov 30 doi: 10.1016/j.jocn.2022.11.010. PMID: 36462413
Hutchinson PJ, Edlmann E, Bulters D, Zolnourian A, Holton P, Suttner N, Agyemang K, Thomson S, Anderson IA, Al-Tamimi YZ, Henderson D, Whitfield PC, Gherle M, Brennan PM, Allison A, Thelin EP, Tarantino S, Pantaleo B, Caldwell K, Davis-Wilkie C, Mee H, Warburton EA, Barton G, Chari A, Marcus HJ, King AT, Belli A, Myint PK, Wilkinson I, Santarius T, Turner C, Bond S, Kolias AG; British Neurosurgical Trainee Research Collaborative; Dex-CSDH Trial Collaborators
N Engl J Med 2020 Dec 31;383(27):2616-2627. Epub 2020 Dec 16 doi: 10.1056/NEJMoa2020473. PMID: 33326713
Jiang R, Zhao S, Wang R, Feng H, Zhang J, Li X, Mao Y, Yuan X, Fei Z, Zhao Y, Yu X, Poon WS, Zhu X, Liu N, Kang D, Sun T, Jiao B, Liu X, Yu R, Zhang J, Gao G, Hao J, Su N, Yin G, Zhu X, Lu Y, Wei J, Hu J, Hu R, Li J, Wang D, Wei H, Tian Y, Lei P, Dong JF, Zhang J
JAMA Neurol 2018 Nov 1;75(11):1338-1346. doi: 10.1001/jamaneurol.2018.2030. PMID: 30073290Free PMC Article

Prognosis

Miah IP, Holl DC, Blaauw J, Lingsma HF, den Hertog HM, Jacobs B, Kruyt ND, van der Naalt J, Polinder S, Groen RJM, Kho KH, van Kooten F, Dirven CMF, Peul WC, Jellema K, Dammers R, van der Gaag NA; DECSA Collaborators
N Engl J Med 2023 Jun 15;388(24):2230-2240. doi: 10.1056/NEJMoa2216767. PMID: 37314705
Uno M
Neurol Med Chir (Tokyo) 2023 Jan 15;63(1):1-8. Epub 2022 Oct 25 doi: 10.2176/jns-nmc.2022-0207. PMID: 36288974Free PMC Article
Feghali J, Yang W, Huang J
World Neurosurg 2020 Sep;141:339-345. Epub 2020 Jun 25 doi: 10.1016/j.wneu.2020.06.140. PMID: 32593768
Edlmann E, Giorgi-Coll S, Whitfield PC, Carpenter KLH, Hutchinson PJ
J Neuroinflammation 2017 May 30;14(1):108. doi: 10.1186/s12974-017-0881-y. PMID: 28558815Free PMC Article
Yang W, Huang J
Neurosurg Clin N Am 2017 Apr;28(2):205-210. Epub 2017 Feb 1 doi: 10.1016/j.nec.2016.11.002. PMID: 28325454

Clinical prediction guides

Maroufi SF, Farahbakhsh F, Macdonald RL, Khoshnevisan A
Neurosurg Rev 2023 Oct 16;46(1):270. doi: 10.1007/s10143-023-02175-1. PMID: 37843688
Miah IP, Holl DC, Blaauw J, Lingsma HF, den Hertog HM, Jacobs B, Kruyt ND, van der Naalt J, Polinder S, Groen RJM, Kho KH, van Kooten F, Dirven CMF, Peul WC, Jellema K, Dammers R, van der Gaag NA; DECSA Collaborators
N Engl J Med 2023 Jun 15;388(24):2230-2240. doi: 10.1056/NEJMoa2216767. PMID: 37314705
Hutchinson PJ, Edlmann E, Bulters D, Zolnourian A, Holton P, Suttner N, Agyemang K, Thomson S, Anderson IA, Al-Tamimi YZ, Henderson D, Whitfield PC, Gherle M, Brennan PM, Allison A, Thelin EP, Tarantino S, Pantaleo B, Caldwell K, Davis-Wilkie C, Mee H, Warburton EA, Barton G, Chari A, Marcus HJ, King AT, Belli A, Myint PK, Wilkinson I, Santarius T, Turner C, Bond S, Kolias AG; British Neurosurgical Trainee Research Collaborative; Dex-CSDH Trial Collaborators
N Engl J Med 2020 Dec 31;383(27):2616-2627. Epub 2020 Dec 16 doi: 10.1056/NEJMoa2020473. PMID: 33326713
Feghali J, Yang W, Huang J
World Neurosurg 2020 Sep;141:339-345. Epub 2020 Jun 25 doi: 10.1016/j.wneu.2020.06.140. PMID: 32593768
Yang W, Huang J
Neurosurg Clin N Am 2017 Apr;28(2):205-210. Epub 2017 Feb 1 doi: 10.1016/j.nec.2016.11.002. PMID: 28325454

Recent systematic reviews

Adegboyega G, Gillespie CS, Watson M, Lee KS, Brannigan J, Mazzoleni A, Goacher E, Mantle O, Omar V, Gamage G, Touzet AY, Mowforth O, Stubbs DJ, Davies BM, Hutchinson PJ; Improving Care in Elderly Neurosurgery Initiative working group
World Neurosurg 2024 Sep;189:381-386.e1. Epub 2024 Jun 18 doi: 10.1016/j.wneu.2024.06.071. PMID: 38901476
Maroufi SF, Farahbakhsh F, Macdonald RL, Khoshnevisan A
Neurosurg Rev 2023 Oct 16;46(1):270. doi: 10.1007/s10143-023-02175-1. PMID: 37843688
Sattari SA, Yang W, Shahbandi A, Feghali J, Lee RP, Xu R, Jackson C, Gonzalez LF, Tamargo RJ, Huang J, Caplan JM
Neurosurgery 2023 Jun 1;92(6):1142-1154. Epub 2023 Mar 17 doi: 10.1227/neu.0000000000002365. PMID: 36929762
Yu J, Tang J, Chen M, Ren Q, He J, Tang M, Zhang X, Liu Z, Ding H
J Clin Neurosci 2023 Jan;107:23-33. Epub 2022 Nov 30 doi: 10.1016/j.jocn.2022.11.010. PMID: 36462413
Ironside N, Nguyen C, Do Q, Ugiliweneza B, Chen CJ, Sieg EP, James RF, Ding D
J Neurointerv Surg 2021 Oct;13(10):951-957. Epub 2021 Jun 30 doi: 10.1136/neurintsurg-2021-017352. PMID: 34193592

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