Nonsurgical treatment of chronic subdural hematoma

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✓ A nonsurgical treatment consisting of osmotherapy with 20% Mannitol was performed on a consecutive series of 23 male patients with chronic subdural hematoma, ranging from 21 to 71 years in age, including seven serious cases. Disappearance or marked reduction of the hematoma content and complete clinical recovery were obtained in 22 patients. The duration of the treatment was 12 to 106 days. Follow-up study from 8 months to 3½ years showed no sequelae, recurrence, or complications.

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Address reprint requests to: Jiro Suzuki, M.D., Chief, Division of Neurosurgery, Tohoku University School of Medicine, Institute of Brain Diseases, 5-13-1 Nagamachi, Sendai, Japan.

© AANS, except where prohibited by US copyright law.

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    Healing mechanism of chronic subdural hematoma.

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    Case 7. Healing course as shown by cerebral angiograms. Upper Left: May 18, 1967. Left carotid angiogram on admission showing deviation of the anterior cerebral artery 10 mm from left to right, with an avascular area 84 × 33 mm. Upper Right: June 27, 1967. Left carotid angiogram after 31 days of treatment showing decrease in deviation of anterior cerebral artery and in avascular area. Lower Left: July 10, 1967. Left carotid angiogram after treatment had been discontinued for 23 days. Lower Right: August 25, 1967. Left carotid angiogram after completion of treatment. The deviation of the anterior cerebral artery has disappeared.

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    Case 9. A 33-year-old man with chronic subdural hematoma on the right side. Pneumoencephalogram taken 10 months after treatment (June 8, 1967) showing normal ventricle.

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    A 47-year-old man with chronic subdural hematoma on the left side. Pneumoencephalogram taken 6 years after total removal of hematoma (November 4, 1967). Cerebral atrophy is seen, especially at the site of the craniotomy.

References

1.

AmbrosettoC. Post-traumatic subdural hematoma. Further observations on nonsurgical treatment. Archs Neurol. Chicago19626:287292.Ambrosetto C. Post-traumatic subdural hematoma. Further observations on nonsurgical treatment. Archs Neurol. Chicago 1962 6:287–292.

2.

BenderM. B. Resolution of subdural hematoma. Trans. Am. Neurol. Ass.196085:192194.Bender M. B. Resolution of subdural hematoma. Trans. Am. Neurol. Ass. 1960 85:192–194.

3.

GannonW. E.CookA. W. and BrowderE. J. Resolving subdural collections. J. Neurosurg.196219:865869.Gannon W. E. Cook A. W. and Browder E. J. Resolving subdural collections. J. Neurosurg. 1962 19:865–869.

4.

GardnerW. J. Traumatic subdural hematoma. With particular reference to the latent interval. Arch. Neurol. Psychiat. Chicago193227:847855.Gardner W. J. Traumatic subdural hematoma. With particular reference to the latent interval. Arch. Neurol. Psychiat. Chicago 1932 27:847–855.

5.

JaffeR.LibrotI. E. and BenderM. B. Serial EEG studies in unoperated subdural hematoma. Archs Neurol. Chicago196819:325330.Jaffe R. Librot I. E. and Bender M. B. Serial EEG studies in unoperated subdural hematoma. Archs Neurol. Chicago 1968 19:325–330.

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