Spontaneous Chronic Subdural Hematoma in Young Man Patient with Conservative Treatment : A Case Report

Authors

  • Kharisma Ridho Husodo Brawijaya University
  • Akhmad Suryonurafif Neurosurgeon, Yogyakarta Islamic Hospital PDHI (Persaudaraan Djama’ah Haji Indonesia), Yogyakarta
  • Rahmi Andriani Neurologist, Yogyakarta Islamic Hospital PDHI (Persaudaraan Djama’ah Haji Indonesia), Yogyakarta

DOI:

https://doi.org/10.29303/jku.v12i4.907

Keywords:

chronic subdural hematoma, conservative treatment, pasien usia muda, neurosurgery, neurology

Abstract

Background: Chronic subdural hematoma (cSDH) is a common neurosurgery disorder among the elderly, but it is rare in the younger patients. Incidence of cSDH is approximately 5/100.000 a year in the general population but it has higher rate in elderly. Most cases of cSDH has prior trauma event which then leads to hematoma formation in subdural space and inflammation is believed to have an important role in its pathophysiology.

Case Report: This study reports a spontaneous cSDH case in a young adult patient whose symptoms appeared to be chronic headache, nausea, vomiting and dizziness. Any neurological deficit was absent. This patient was treated conservatively using an osmotic agent, mannitol, despite the fact that the current patient had an indication of surgical treatment. The patient was discharged from the hospital with a good outcome. After 2 months of follow-up, there was no sign of recurrence.

Conclusion: Our study found several considerations in deciding treatment options for cSDH, including the condition of the patient and the doctor in charge’s viewpoint.

References

Edlmann, E., Giorgi-Coll, S., Whitfield, P.C., Carpenter, K.L.H., Hutchinson, P.J. 2017. Pathophysiology of chronic subdural haematoma: inflammation, angiogenesis and implications for pharmacotherapy. J Neuroinflammation 14, 108 (2017). https://doi.org/10.1186/s12974-017-0881-y

Yadav, Y. R., Parihar, V., Namdev, H., & Bajaj, J. 2016. Chronic subdural hematoma. Asian journal of neurosurgery, 11(4), 330–342. https://doi.org/10.4103/1793-5482.145102

Won, Y.D., Yi, H.J., Lee, Y.J., Chun, H.J., Cho, H., Bak, K.H. 2013. Chronic Subdural Hematoma in Young Adult : An Age Comparison Study. Korean J Neurotrauma 2013;9:6-11

Salazar, L.R.M., Miranda, H.R.A., Miranda, W.C., Cerra, G.A., Runiano, A.M. 2014. Spontaneous chronic subdural hematoma in a young male patient: case report. Romanian Neurosurgery (2014) XXI 2: 239 - 244

Dobran, M., Iacoangeli, M., Scortichini, A. R., Mancini, F., Benigni, R., Nasi, D., Gladi, M., & Scerrati, M. 2017. Spontaneous chronic subdural hematoma in young adult: the role of missing coagulation facto. Il Giornale di chirurgia, 38(2), 66–70. https://doi.org/10.11138/gchir/2017.38.2.066

Weigel, R., Schilling, L., & Krauss, J. K. 2022. The pathophysiology of chronic subdural hematoma revisited: emphasis on aging processes as key factor. GeroScience, 44(3), 1353–1371. doi.org/10.1007/s11357-022-00570-y

Nouri, A., Gondar, R., Schaller, K., Meling, T. 2021. Chronic Subdural Hematoma (cSDH): A review of the current state of the art. Brain and Spine, Volume 1, 2021, 100300

Uno, M., Toi, H., Hirai, S. 2017. Chronic Subdural Hematoma in Elderly Patients: Is This Disease Benign? Neurol Med Chir (Tokyo). 2017 Aug 15;57(8):402-409. doi: 10.2176/nmc.ra.2016-0337.

Harada, Y., Yoshida, K., Nojiri, S., Kurihara, Y., Kobayashi, H., & Arai, H. (2020). Identification of chronic subdural hematoma types most responsive to Goreisan, Kampo medicine: A retrospective study. Journal of Clinical Neuroscience. doi:10.1016/j.jocn.2020.04.063

Zhang, J., Chinese Society of Neurosurgery, Chinese Medical Association, Chinese Neurosurgical Critical Care Specialist Council, Collaborational Group of Chinese Neurosurgical Translational and Evidence-based Medicine. 2021. Expert consensus on drug treatment of chronic subdural hematoma. Chin Neurosurg Jl 7, 47. https://doi.org/10.1186/s41016-021-00263-z

Guo, Z., Sun, L., Dong, Q., Liu, C., Zhou, R., Gong, S., Wang, G. 2015. A case report of successful conservative treatment for huge acute traumatic intracerebral hematoma. Medicine (Baltimore). Apr; 94 (15):e656. doi: 10.1097/MD.0000000000000656. PMID: 25881839; PMCID: PMC4602508.

Skovrlj, B., Rasouli, J., Levy, A.S., Raksin, P.B., Ulman, J.S. 2015. Chronic Subdural Hematomas. In : J. S. Ulman & P. B. Raksin, Ed. Atlas of Emergency Neurosurgery. New York: Thieme, pp. 16 - 32.

Kostas,F., Polikceni, K., Vasilios, P., George, F. 2019. The outcome after surgical vs nonsurgical treatment of chronic subdural hematoma with dexamethasone. Interdisciplinary Neurosurgery Volume 16, June 2019, Pages 70-74

Nakao J, Marushima A, Fujita K, Fujimori H, Mashiko R, Kamezaki T, Sato N, Shibata Y, Takano S, Ishikawa E. 2023. Conservative Treatment of Chronic Subdural Hematoma with Gorei-san. Neurol Med Chir (Tokyo), 15;63(1):31-36. doi: 10.2176/jns-nmc.2022-0229.

Kwon, S.M., Lee, M.H., Seo, Y., Kim, Y.I., Oh, H.J., Kim, K.H., Choi, K.S., Chong, K. 2022. A Radiological Assessment of Chronic Subdural Hematomas. Korean J Neurotrauma, Vol 18(1) : 12 – 21. doi : 10.13004/kjnt.2022.18.e24

Downloads

Published

2023-12-31

How to Cite

Kharisma Ridho Husodo, Akhmad Suryonurafif, & Rahmi Andriani. (2023). Spontaneous Chronic Subdural Hematoma in Young Man Patient with Conservative Treatment : A Case Report. Baphomet University : Situs Slot Online Gacor Terbaik Hari Ini Server Thailand Gampang Maxwin 2024, 12(4), 328–331. https://doi.org/10.29303/jku.v12i4.907