One case of chronic subdural hematoma in the elderly complicated with acute intracerebral hemorrhage
WANG Peng
YIN Shang-jiong
WANG Zhi-ming
CHENG Yue-fei
LIU Li-na
Abstract：Chronic subdural hematoma(CSDH)is a common disease in neurosurgery.Clinically,the treatment of CSDH in elderly patients combined with acute multiple parenchymal hemorrhages is rather perplexing.This paper reports a case of CSDH in an 80-year-old male who was admitted to the hospital due to sudden coma for 8 hours.Head CT showed right frontotemporoparietaloccipital CSDH with a volume of approximately 100 ml;it was complicated with right temporal lobe-basal ganglia hemorrhage(about 35 ml)and a small amount of bilateral parietal hemorrhage.Due to advanced age and multiple underlying diseases,the patient was unable to undergo craniotomy.Therefore,a CSDH puncture and drainage procedure was performed under intracranial pressure monitoring.The next day,a follow-up head CT revealed that the subdural hematoma had almost vanished,the brain tissue was well repositioned,and the intracranial pressure was within the normal range.The puncture needle was removed.Two days later,the intracranial pressure gradually increased,and a puncture and drainage procedure for the temporal lobe-basal ganglia hematoma was carried out.A tracheotomy was performed after the operation,and the patient's consciousness gradually recovered to a drowsy state.At discharge,the patient had hemiparesis.After a 3-month follow-up,the patient was conscious with mild hemiparesis and was unable to take care of himself completely.In conclusion,for elderly patients with CSDH,the treatment method should be carefully selected based on the specific conditions of the patient.
Keywords：Chronic subdural hematomaElderly patientsIntracerebral hemorrhagePuncture and drainageSurgery
Publication Date：2024-11-25
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 700-701,704 )