Study on clinical features and factors associated with thickness of chronic subdural hematoma in adult

  • Ruhul Kuddus Department of Neurosurgery, Faculty of Surgery, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka, Bangladesh
  • M. Afzal Hossain Department of Neurosurgery, Faculty of Surgery, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka, Bangladesh
  • S. K. Sader Hossain Department of Neurosurgery, Faculty of Surgery, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka, Bangladesh
  • A. T. M. Mosharef Hossain Department of Neurosurgery, Faculty of Surgery, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka, Bangladesh
  • Haradan Debnath Department of Neurosurgery, Faculty of Surgery, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka, Bangladesh
  • Atikur Rahman Department of Neurosurgery, Faculty of Surgery, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka, Bangladesh
  • K. Nabi Khan Department of Neurosurgery, Faculty of Surgery, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka, Bangladesh
  • Robert Ahmed Khan Department of Neurosurgery, Faculty of Surgery, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka, Bangladesh
  • Kanak Kanti Barua Department of Neurosurgery, Faculty of Surgery, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka, Bangladesh
Keywords: Hematoma, Hemiparesis, Subdural, Thickness

Abstract

Patients with chronic subdural hematoma encounter certain difficulties in diagnosis, especially in elderly, due to the characteristically non-specific symptoms and signs. Early diagnosis and proper operative treatment, on the other hand, results in complete recovery in most of the cases. In this study, the clinical features and factors of 31 patients with chronic subdural hematoma, associated with the thickness of chronic subdural hematoma were analyzed. The mean age was 62 ± 13.9 years. The maximum hematoma thickness in the axial CT scan was 25 mm. The thickness of hematoma obtained from axial plain CT had a positive relationship with the patient’s age where r=0.895 and p<0.001 signifies that the thickness of hematoma increased with the increasing age. But the hematoma thickness was not related to co-morbidity such as diabetes mellitus, hypertension and ischemic heart disease. The presentation of the patient with higher hematoma thickness with hemiparesis was statistically significant and with lower thickness with headache and vomiting.

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Published
2018-09-01
How to Cite
Kuddus, R., Hossain, M., Hossain, S. K., Hossain, A. T. M., Debnath, H., Rahman, A., Khan, K., Khan, R., & Barua, K. (2018). Study on clinical features and factors associated with thickness of chronic subdural hematoma in adult. Bangabandhu Sheikh Mujib Medical University Journal, 11(3), 209-212. https://doi.org/10.3329/bsmmuj.v11i3.37701
Section
Original Articles