Kronisk subduralt haematom. Patofysiologi og behandling
Engelsk titel: Chronic subdural haematoma. Physiopathology and treatment
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Författare:
Davarian U
;
Hansen-Schwartz J
;
Sörensen P
Email: yousefali@yahoo.com
Språk: Dan
Antal referenser: 39
Dokumenttyp:
Översikt
UI-nummer: 04061388
Sammanfattning
Chronic subdural haematoma usually arises from a minor, clinically insignificant acute subdural haematoma. Although some of these haematomas are absorbed spontaneously, a significant number of them increase in size with subsequent compression of the brain. The increase in size is probably a result of multiple minor haemorrhages from fragile vessels formed in the border of the haematoma and as a result of coagulative dysfunction in the haematoma. Several variations in the modality of treatment exist, and the choice of treatment is dependent partly on the radiological appearance of the haematoma and partly on the clinical condition of the patient. Treatment of symptomatic chronic subdural haematoma is primarily surgical through performing a cranial burr hole with evacuation of the haematoma. Independent of technique, a good clinical outcome is obtained in 80-90% of cases with a rate of recurrence of about 10%. The available pathophysiological knowledge concerning the development of the haematoma has not so far had an impact on the standardised treatment of the malady. The references that form the basis of this review were obtained through a search on the database MEDLINE.