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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

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
Vacca VM Jr, Argento I
Nursing 2018 May;48(5):24-31. doi: 10.1097/01.NURSE.0000531885.29772.ec. PMID: 29634595
Ban SP, Hwang G, Byoun HS, Kim T, Lee SU, Bang JS, Han JH, Kim CY, Kwon OK, Oh CW
Radiology 2018 Mar;286(3):992-999. Epub 2017 Oct 10 doi: 10.1148/radiol.2017170053. PMID: 29019449
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

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
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
Abecassis IJ, Kim LJ
Neurosurg Clin N Am 2017 Apr;28(2):229-237. doi: 10.1016/j.nec.2016.11.005. PMID: 28325457
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

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
Ban SP, Hwang G, Byoun HS, Kim T, Lee SU, Bang JS, Han JH, Kim CY, Kwon OK, Oh CW
Radiology 2018 Mar;286(3):992-999. Epub 2017 Oct 10 doi: 10.1148/radiol.2017170053. PMID: 29019449
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

Prognosis

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
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

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
Ren H, Wang L, Wang B, Fu Y, Zhang G, Yao A
Minerva Gastroenterol (Torino) 2023 Dec;69(4):591-594. Epub 2023 Apr 3 doi: 10.23736/S2724-5985.23.03419-8. PMID: 37013388
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

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
Shrestha DB, Budhathoki P, Sedhai YR, Jain S, Karki P, Jha P, Mainali G, Ghimire P
World Neurosurg 2022 Feb;158:84-99. Epub 2021 Oct 30 doi: 10.1016/j.wneu.2021.10.167. PMID: 34728401
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
Liu W, Bakker NA, Groen RJ
J Neurosurg 2014 Sep;121(3):665-73. Epub 2014 Jul 4 doi: 10.3171/2014.5.JNS132715. PMID: 24995782

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