Miranda and colleagues1 have performed a retrospective review of a series of 209 patients with chronic subdural hematoma (CSDH). What makes this article merit editorial comment is the nature of their population: the patients' mean age was over 80 years. The authors' conclusion is aptly presented in their headline: chronic subdural hematoma in the elderly may not be such a benign disease. No other series of patients with CSDHs has examined the long-term outcome from treatment in a group of this seniority.
Some results were not surprising. The only factor they could identify that correlated with the in-hospital