Chronic Subdural Hematoma: Epidemiology and Natural History

Wuyang Yang; Judy Huang

doi:10.1016/j.nec.2016.11.002

Chronic Subdural Hematoma: Epidemiology and Natural History

Neurosurg Clin N Am. 2017 Apr;28(2):205-210. doi: 10.1016/j.nec.2016.11.002. Epub 2017 Feb 1.

Authors

Wuyang Yang¹, Judy Huang²

Affiliations

¹ Department of Neurosurgery, Johns Hopkins University School of Medicine, 1800 Orleans Street, Zayed Tower, Suite 6115F, Baltimore, MD 21287, USA.
² Department of Neurosurgery, Johns Hopkins University School of Medicine, 1800 Orleans Street, Zayed Tower, Suite 6115F, Baltimore, MD 21287, USA. Electronic address: jhuang24@jhmi.edu.

PMID: 28325454
DOI: 10.1016/j.nec.2016.11.002

Abstract

This article discusses the epidemiology and natural history of chronic subdural hematoma (CSDH), a common disease prevalent in the elderly population. The incidence of CSDH ranges from 1.72 to 20.6 per 100,000 persons per year. Risk factors include advancing age, male gender, and antiplatelet or anticoagulant use. Clinical progression is separated into 3 distinct periods, including the initial traumatic event, the latency period, and the clinical presentation period. The recurrence of CSDH and nonsurgical predictive factors are described in detail to provide a comprehensive understanding of the outcome of this disease.

Keywords: Chronic subdural hematoma; Epidemiology; Natural history; Pathogenesis.

Publication types

Review

MeSH terms

Aged
Aged, 80 and over
Female
Hematoma, Subdural, Chronic / epidemiology*
Hematoma, Subdural, Chronic / etiology*
Humans
Male
Risk Factors