Clinical Presentation Variants in Chronic Subdural Hematoma Patients in Al -Thawra Modern General Hospital in Sana'a City, Yemen
DOI:
https://doi.org/10.65693/irss.2023.v4i1.373Keywords:
Clinical Presentation, Chronic Subdural Hematoma, Sana'a City, YemenAbstract
Background: Chronic subdural hematoma (CSDH) is a common condition encountered in neurosurgical practice usually affecting elderly population. Few studies have reported the characteristics of CSDH patients in the Middle Eastern population. This study aims to evaluate the various clinical presentation of patients with chronic subdural hematoma.
Methodology: A retrospective descriptive study that enrolled the data of 113 patients diagnosed with CSDH in Al-Thawra Modern General Hospital from January, 1 2017 to November, 30 2022. The data was collected from patient’s archive files and analyzed with respect to spectrum of clinical presentation, GCS at admission, etiology, laterality of hematoma, co-morbidities, management and outcomes.
Results: The mean age of patients affected by CSDH was 61.8 years, and (77.9%) of patients were males. Most common presenting features were motor symptoms (79.6%), symptoms of increased ICP (54.0%) and disturbance level of consciousness (46.0%). The GCS at admission was 15 in (54%) of patients, 14-13 in (30.1%) of patients, 12-9 in (12.4%) of patients and less than 9 in (3.5%) of patients. The most reported co-morbidities with CSDH were HTN (25.7%) and bleeding tendency (12.4%).Bilateral CSDH was reported in (22.1%) of patients. 51 patients (45.1%) had no reported cause of their hematoma, while 34 patients (30.1%) had a history of fall down, and 19 patients (16.8%) had a history of RTA. BHC was carried out in (92.9%) of patients, and (96.5%) of patients have improved after management.
Conclusion: Most of patients affected by CSDH were elderly males. Motor symptoms were the most common presenting symptom, followed by symptoms of increased ICP and disturbance level of consciousness. HTN and bleeding tendency were the most common co-morbidities in patients affected by CSDH. Most of patients were managed by BHC, and the majority of patients showed improvement after the management.
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HOWARD, O. G., & HEALTHCARE CENTER, U. COMES NOW, the Plaintiff Joyce England, individually and as Administratrix of the Estate of Glen Howard, and on behalf of and for the use and benefit of the Wrongful Death Beneficiaries of Glen Howard, submits the following Response to Defendant's Motion for Judgment Notwithstanding the Verdict or, in the alternative, for New Trial and Supporting .
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