Traumatic peritentorial subdural hematomas: a study of 32 cases.
OBJECTIVE
This study aimed to investigate the clinicoradiological features in patients with traumatic peritentorial subdural hematomas (SDHs).


METHODS
We retrospectively reviewed the clinical and radiological findings, management criteria, and outcomes in 32 patients with peritentorial SDHs. The outcomes were classified as favorable (good recovery or moderate disability) or poor (severe disability, vegetative state, or death).


RESULTS
Of the 32 patients, 19 were male and 13 were female. The patients' ages ranged from 10-92 years (mean age, 60.9 years). Coagulopathies were observed in 23 patients. Twenty-four patients presented with associated intracranial lesions. Eighteen patients had favorable outcomes and 14 had poor outcomes. All patients were treated conservatively. The presence of coagulopathy (p = 0.024) and presence of convexity SDH (p = 0.008) correlated with the outcome.


CONCLUSIONS
The patients with traumatic peritentorial SDHs were predominantly male and relatively elderly, and had a high incidence of coagulopathy, associated intracranial lesions (especially falx SDHs), a high rate of impact in the occipital or frontal regions, and a low incidence of skull fractures. The factors that were correlated with outcome in patients receiving conservative therapy were the presence of coagulopathy and the presence of convexity SDH.
National Defense Medical College, Department of Neurosurgery, Saitama, Japan.
Satoru
S
Takeuchi
Yoshio
Y
Takasato
Hiroyuki
H
Masaoka
Takanori
T
Hayakawa
Hiroshi
H
Yatsushige
Kimihiro
K
Nagatani
Naoki
N
Otani
Hideo
H
Osada
Kojiro
K
Wada
Hiroshi
H
Nawashiro
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001778:Blood Coagulation Disorders / Q000401:mortality; D002648:Child; D004185:Disability Evaluation; D017809:Fatal Outcome; D005260:Female; D046648:Hematoma, Subdural, Intracranial / Q000000981:diagnostic imaging / Q000401:mortality* / Q000473:pathology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D018458:Persistent Vegetative State / Q000000981:diagnostic imaging / Q000401:mortality / Q000473:pathology; D011237:Predictive Value of Tests; D011379:Prognosis; D020127:Recovery of Function; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed; D055815:Young Adult