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Warning with chronic subdural hematomas in the elderly

Journal of Neurology & Stroke
Dinh Thi Phuong Hoai, Nguyen Thi My Dung, Hoang Manh Cuong, Huynh Thi Kieu Oanh, Ngo Thuy Tram, Nguyen Thi Nhung, Nguyen Vinh Lac, Nguyen Thanh Minh


Chronic subdural hematoma (cSDH) is a disorder in which blood collects between the dura and arachnoid mater of meninges around the brain. It's more common among the elderly and usually triggered by a head injury. We report a case of a 78-year-old male patient who had previously been diagnosed with a left hemisphere subdural hematoma for no apparent reason with a history of hypertension. Two days before hospitalizing, he had a symptom of weakness in the right extremities. Non-contrast CT of head reveals a crescent-shaped, heterodense lesion over the lateral aspect of the left hemisphere measuring 11x5x1 cm with mass effect to the adjacent brain parenchyma. Burr hole drainage was performed for the patient. His symptoms improved after the surgery.


chronic subdural hematoma, elderly, intracranial hematoma, head injury