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2014, Number 2

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Rev Cubana Neurol Neurocir 2014; 4 (2)

Clinical presentation forms of chronic subdural hematoma in elderly persons assisted in Quemaline Hospital (Mozambique, 2009–2013)

Pereira JK, Olazábal AI

Language: Spanish
References: 19
Page: 142-147
PDF size: 314.10 Kb.


ABSTRACT

Objetive: To describe presentation clinical forms of chronic subdural hematoma in elderly persons.
Methods: A retrospective study was conducted at the Provincial Hospital of Quelimane (Mozambique) in a period of four years (June 2009 to June 2013) of all cases diagnosed as chronic subdural hematoma with axial CT scan. The variables studied were: sex, age, hematoma side, risk factors and presentation clinical forms.
Results: The study sample consisted of twelve patients with age between 60 and 82 years old. 58.3 % of cases have hematomas located in the left side. Most patients were male (75 %). Among the risk factors that preceded the disease hea trauma was the most frequent (66.6 %). Alcoholism was detected in six patients (50 %) and oral anticoagulants treatment in five patients (41.6 %). Progressive headache was more frequent in chronic subdural hematomas clinical presentation (41.6 %). Less frequency was detected of mental confusion (25 %), motor deficit (16.6 %) and uncal herniation syndrome (16.6 %).
Conclusions: The clinical presentations of chronic subdural hematoma can be variable. Recognition of classical forms and risk factors can influence in a positive way in early diagnosis of these patients.


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