[Complications of chronic subdural hematoma in the adult].
Chronic subdural hematoma is subject to post-operative fatal and non-fatal complications in 5 to 10% of the cases. Mortality ranges from 0 to 8%, depending on the preoperative clinical status. There is an average recurrence in 8% of the cases, chiefly linked to the absence of drainage. Empyema occurs in 2% of patients, especially when the drain is left in place more than 3 days. In most of the series, long-term epilepsy is a rare complication and patients do not require antiepileptic drugs. The lack of cortical reexpansion, postoperative intracerebral hematoma and tension hydrocephalus are, among others, complications occurring after surgery. Finally, 10% of the patients will have a permanent neurological impairment.
Pencalet
P
P
Service de Neurochirurgie, Hôpital Foch, 40, rue Worth, BP 36, 92151 Suresnes. p.pencalet@hopital-foch.org
D000328:Adult; D002423:Cause of Death; D013354:Empyema, Subdural / Q000209:etiology / Q000401:mortality; D004827:Epilepsy / Q000209:etiology / Q000401:mortality; D020200:Hematoma, Subdural, Chronic / Q000401:mortality / Q000601:surgery*; D006801:Humans; D006849:Hydrocephalus / Q000209:etiology / Q000401:mortality; D011183:Postoperative Complications / Q000209:etiology* / Q000401:mortality; D012008:Recurrence; D012307:Risk Factors
Les complications de l'hématome sous-dural chronique de l'adulte.