title: [Chronic subdural hematoma in the elderly].
abstract: Chronic subdural hematoma (cSDH) is a common condition, the frequency of which further increases due to an aging population and more frequent use of antithrombotic drugs. It leads to unspecific symptoms and neurological deficits and is usually treated surgically. Burr hole trepanation and twist drill craniostomy have become the therapeutic standards with craniotomy being rarely used for recurrent cases. Although recurrences are relatively common, in most cases a good outcome can be achieved even in the elderly; however, as cSDH is associated with other comorbidities, it is indicative of an increased morbidity and mortality. Controlled trials need to be carried out to determine whether pharmacological therapies can also be beneficial in addition to surgical treatment.
authors.affiliation: Klinik und Poliklinik für Neurochirurgie, Universitätsklinikum Carl Gustav Carus, Technische Universität Dresden, Fetscherstraße 74, 01307, Dresden, Deutschland. tareq.juratli@uniklinikum-dresden.de.
authors.forename: T A
authors.initials: TA
authors.lastname: Juratli
authors.affiliation: Klinik und Poliklinik für Neurochirurgie, Universitätsklinikum Carl Gustav Carus, Technische Universität Dresden, Fetscherstraße 74, 01307, Dresden, Deutschland.
authors.forename: J
authors.initials: J
authors.lastname: Klein
authors.affiliation: Klinik und Poliklinik für Neurochirurgie, Universitätsklinikum Carl Gustav Carus, Technische Universität Dresden, Fetscherstraße 74, 01307, Dresden, Deutschland.
authors.forename: G
authors.initials: G
authors.lastname: Schackert
mesh_terms: D000369:Aged, 80 and over; D000925:Anticoagulants / Q000009:adverse effects / Q000627:therapeutic use; D003399:Craniotomy; D005260:Female; D020200:Hematoma, Subdural, Chronic / Q000000981:diagnostic imaging / Q000209:etiology* / Q000401:mortality / Q000601:surgery*; D006801:Humans; D008297:Male; D009460:Neurologic Examination / Q000379:methods; D010975:Platelet Aggregation Inhibitors / Q000009:adverse effects / Q000627:therapeutic use; D011157:Population Dynamics; D011379:Prognosis; D012008:Recurrence; D012307:Risk Factors; D014057:Tomography, X-Ray Computed / Q000379:methods; D014207:Trephining / Q000379:methods
chemical_list: D000925:Anticoagulants; D010975:Platelet Aggregation Inhibitors
keywords: Anticoagulants; Bleeding; Craniotomy; Geriatrics; Trepanation