Analysis of clinical characteristics and surgical results in patients with chronic subdural hematoma in different ages

Abstract

Objective To investigate the clinical characteristics and surgical results of patients with chronic subdural hematoma (CSDH) in different age groups. Methods 150 CSDH patients admitted to our hospital from January 2014 to January 2019 were selected as the research objects, and their clinical data were reviewed and collected. According to different age , they were divided into three groups: the 70 year old group (n=42). The imaging examination results and clinical manifestations of three groups of patients in different age groups were compared. Combined with patients' wishes and surgical indications, 150 patients were treated with traditional burr hole and drainage and modified operation. The results of different operation methods in three groups were compared. Results The incidence of headache/dizziness in the 55-70 year old group was higher than that in >70 year old group (P 70 year old group was higher than that in 70 year old group was higher than that in 70 year old group was higher than that in 55-70 year old group and 70 year old group was higher than that in 55-70 year old group and 70 years old was significantly higher than that in the group of 70 years old were lower than those in the group of <55 years old and 55-70 years old (P<0.05). Conclusions CSDH patients of different ages have different characteristics in imaging examination results and clinical manifestations. Traditional burr hole drainage and modified operation can achieve certain results, but modified operation is more effective and can reduce the incidence of postoperative complications, which is worth popularizing. Key words: Age of onset; Hematoma, subdural, chronic; Drainage; Neurosurgical procedures