Acute subdural hematoma with swirl signs: clinical analysis of 15 cases.
From July 2003 to July 2009, 15 cases of subdural hematoma with swirl signs were treated in our hospital and their clinical data were retrospectively analysed. The mortality was compared between these patients and those with typical acute subdural hematoma who were treated at the same time in our hospital. Among the 15 cases, full recovery was achieved in 4 cases, slight disability in 2, grave disability in 2 and death in 7 (46.7%). The mortality of these patients was conspicuously higher than that of typical subdural hematoma (14/83, 16.9%, P < 0.01). Subdural hematoma with swirl signs is often suggestive of hazardous pathogenetic condition and early diagnosis and prompt surgical intervention is essential to reduce mortality.
Cai
Yong
Y
Department of Neurosurgery, Huzhou First People's Hospital, Huzhou 313000, Zhejiang Province, China.
Zhong
Xing-ming
XM
Wang
Yi-qi
YQ
Yang
Jian-guo
JG
Zheng
Hui-min
HM
D000328:Adult; D005260:Female; D020199:Hematoma, Subdural, Acute / Q000000981:diagnostic imaging* / Q000401:mortality / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D014057:Tomography, X-Ray Computed; D055815:Young Adult