[Acute post-traumatic subdural hematoma in advanced age].
In this retrospective study about 101 patients, two groups of patients are compared in order to find out the most significant factors affecting survival after an acute, posttraumatic subdural hematoma (ASDH) of patients older than 60 years. Solitary ASDH in people older than 60 years showed an advantage in terms of survival. Additional traumas to the brain, chest or the blood circulatory system doubled the lethality rate of people older than 60 years. This was primarily caused by additional traumas to the brain rather than by traumas to the chest or hypovolemic shock syndrome. If the ASDH was caused by a bleeding due to a ruptured cortical artery or a venous sinus, people older than 60 years would have a poorer outcome than younger patients. A prognostic advantage on the contrary could be observed by patients older than 60 years whose ASDH was caused by a ruptured bridging vein. Most of the ASDH in older people occurred after falling down steps. Some patients fell according to an epileptic attack of an intracerebral bleeding after an anticoagulation therapy.
Gabl
M
M
Universitätsklinik für Unfallchirurgie, Innsbruck.
Mohsenipour
I
I
Benedetto
K
K
D000368:Aged; D001930:Brain Injuries / Q000401:mortality / Q000601:surgery*; D002536:Cerebral Arteries / Q000293:injuries; D002550:Cerebral Veins / Q000293:injuries; D003399:Craniotomy; D005500:Follow-Up Studies; D006408:Hematoma, Subdural / Q000401:mortality / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications / Q000401:mortality*; D012189:Retrospective Studies; D012307:Risk Factors
Das akute posttraumatische subdurale Hämatom im höheren Lebensalter.