A Radiological Assessment of Chronic Subdural Hematomas
10.13004/kjnt.2022.18.e24
- Author:
Sae Min KWON
1
;
Min Ho LEE
;
Youngbeom SEO
;
Young Il KIM
;
Hyuk-Jin OH
;
Kyung Hwan KIM
;
Kyu-Sun CHOI
;
Kyuha CHONG
Author Information
1. Neurotrauma Clinical Practice Guidelines Committee of the Korean Neurotraumatology Society (KNTS-NCPGC), Seoul, Korea
- Publication Type:Review Article
- From:Korean Journal of Neurotrauma
2022;18(1):12-21
- CountryRepublic of Korea
- Language:English
-
Abstract:
Chronic subdural hematoma (CSDH), which generally occurs in elderly patients, is a frequently diagnosed condition in neurosurgical departments. Computed tomography (CT) and magnetic resonance imaging (MRI) are the most preferred diagnostic modalities for CSDH assessment. With early diagnosis and adequate management, CSDH may show favorable prognosis in majority of the patients; however, recurrence after surgery can occur in a significant number of patients. The recently increasing number of CSDH studies could reveal the prognostic factors affecting CSDH recurrence. Particularly, radiological characteristics regarding the internal architecture of CSDH are considered closely associated with recurrence in surgically treated CSDH patients. In this literature review, we evaluated the various diagnostic modalities of CSDH and its radiological characteristics on CT and MRI. Furthermore, we summarized the prognostic factors of recurrence for the hematoma type based on the radiological findings.