Materiały źródłowe

• #1

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=abr7774

  A subdural hematoma is a buildup of blood between the layers of tissue that cover the brain. The blood collects under the layer closest to the skull. (This layer is called the dura.) The bleeding is most often caused by a head injury, but there can be other causes. In an older adult, even a minor injury can lead to a subdural hematoma. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] For an acute hematoma, follow your doctor’s instructions. The doctor will tell you if you need someone to watch you closely for the next 24 hours or longer.

• #2 Subdural hematoma Information | Mount Sinai – New York

  https://www.mountsinai.org/health-library/diseases-conditions/subdural-hematoma

  A subdural hematoma is a collection of blood between the covering of the brain (dura) and the surface of the brain. […] A subdural hematoma is an emergency condition. […] Emergency surgery may be needed to reduce pressure within the brain. This may involve drilling a small hole in the skull to drain any blood and relieve pressure on the brain. […] Medicines that may be used depend on the type of subdural hematoma, how severe the symptoms are, and how much brain damage has occurred. […] A subdural hematoma is a medical emergency. Call 911 or the local emergency number, or go to an emergency room after a head injury. Do not delay. […] Always use safety equipment at work and play to reduce your risk for a head injury.

• #3 Nursing Care Plan For Subdural Hematoma – Made For Medical

  https://www.madeformedical.com/nursing-care-plan-for-subdural-hematoma/

  A subdural hematoma is a serious medical condition characterized by the accumulation of blood between the layers of tissue that surround the brain. […] Nursing care for individuals with a subdural hematoma is of utmost importance in providing timely and comprehensive interventions to manage the condition and promote optimal recovery. […] The nursing care plan for subdural hematoma focuses on closely monitoring the patients neurological status, managing potential complications, and providing supportive care throughout their recovery journey. […] Early recognition of symptoms and prompt intervention are critical in preventing further brain damage and minimizing long-term effects. […] By conducting a comprehensive nursing assessment for subdural hematoma, healthcare providers can promptly identify potential complications and deterioration, leading to timely interventions and improved patient outcomes.

• #4

  https://www.nhs.uk/conditions/subdural-haematoma/treatment/

  Surgery is recommended for most subdural haematomas. Very small subdural haematomas may be carefully monitored first to see if they heal without having an operation. […] If surgery is recommended, it’ll be carried out by a neurosurgeon (an expert in surgery of the brain and nervous system). […] There are 2 widely used surgical techniques to treat subdural haematomas: craniotomy a section of the skull is temporarily removed so the surgeon can access and remove the haematoma […] burr holes a small hole is drilled into the skull and a tube is inserted through the hole to help drain the haematoma. […] A craniotomy is the main treatment for subdural haematomas that develop soon after a severe head injury (acute subdural haematomas). […] Burr hole surgery is the main treatment for subdural haematomas that develop a few days or weeks after a minor head injury (chronic subdural haematomas).

• #5 Spontaneous Resolution of Sub-Acute Subdural Haematoma

  https://www.clinmedjournals.org/articles/ncr/neurosurgery-cases-and-reviews-ncr-3-051.php?jid=ncr

  As per Guidelines for surgical management of Traumatic Brain Injury by Brain Trauma Foundation The Congress of Neurological surgeons, surgery is indicated in Acute subdural haematoma if CT scan shows midline shift 5 mm, or haematoma thickness 10 mm regardless of patient’s Glasgow coma scale score. […] However, nothing specified separately for sub-acute subdural haematoma. […] Such patient of sub-acute subdural haematoma, whose CT scan head shows midline shift 5 mm, or haematoma thickness 10 mm, presented here kept on clinico-radiological assessment showed complete resolution. […] Clinico-radiological assessment is a good treatment option, ethically always should be offered to such patients avoiding unnecessary surgical interventions and its complications. […] However large study needs for support.

• #6 Nursing Care Plan For Subdural Hematoma – Made For Medical

  https://www.madeformedical.com/nursing-care-plan-for-subdural-hematoma/

  A subdural hematoma is a serious medical condition characterized by the accumulation of blood between the layers of tissue that surround the brain. […] Nursing care for individuals with a subdural hematoma is of utmost importance in providing timely and comprehensive interventions to manage the condition and promote optimal recovery. […] The nursing care plan for subdural hematoma focuses on closely monitoring the patients neurological status, managing potential complications, and providing supportive care throughout their recovery journey. […] Early recognition of symptoms and prompt intervention are critical in preventing further brain damage and minimizing long-term effects. […] By conducting a comprehensive nursing assessment for subdural hematoma, healthcare providers can promptly identify potential complications and deterioration, leading to timely interventions and improved patient outcomes.

• #7 Nursing Care Plan For Subdural Hematoma – Made For Medical

  https://www.madeformedical.com/nursing-care-plan-for-subdural-hematoma/

  The assessment serves as the foundation for developing an individualized care plan that addresses the specific needs of each patient and promotes effective management of subdural hematomas. […] These nursing diagnoses provide a foundation for the development of a comprehensive care plan to address the specific needs of patients with subdural hematomas. […] By closely monitoring the patients condition and implementing evidence-based nursing interventions, healthcare providers can optimize patient outcomes and promote their overall well-being. […] By implementing these nursing interventions, healthcare providers can effectively manage subdural hematomas, prevent complications, and optimize patient outcomes. […] The care provided by nurses plays a crucial role in supporting the patients recovery and promoting their overall well-being during the challenging journey of managing a subdural hematoma.

• #8 Subdural-Hematoma: Nursing Diagnosis & Interventions | Nurse.com

  https://www.nurse.com/clinical-guides/subdural-hematoma/?srsltid=AfmBOop3sRhuKQqY1urvJReOHKnw2fRfr961PI5uF5i0Sp5DZL5xg417

  Adult Subdural Hematoma Nursing Care Plan […] Nursing Considerations […] Assessment […] Persistent headache […] Confusion […] Drowsiness […] Altered level of consciousness […] Nausea and vomiting […] Slurred speech […] Vision changes […] Dizziness, loss of balance […] Weakness on one side […] Irritability […] Problems with walking […] Memory loss, personality changes, and confusion […] Nursing Diagnoses/Risk For […] Ineffective Cerebral Tissue Perfusion: Related to hemorrhage, evidenced by altered level of consciousness, memory loss, slurred speech, vision changes. […] Impaired Verbal Communication: Related to neuromuscular impairment, evidenced by slurred speech, confusion, altered level of consciousness. […] Acute Pain: Related to trauma or headache, evidenced by verbalization of pain, facial expression, irritability, anxiety, restlessness.

• #9 Assessing and managing patients with chronic subdural hematoma –

  https://www.myamericannurse.com/assessing-managing-patients-chronic-subdural-hematoma/

  Nursing care for a patient who will undergo a TDC include preparing the patient and family for the procedure, obtaining informed consent, and obtaining baseline laboratory values (with appropriate interventions taken to normalize values). […] Obtain a thorough neurologic baseline assessment for comparison with subsequent neurochecks. […] Monitor and document drainage output, including volume and character, every hour; report changes to the neurosurgeon immediately. […] Postoperatively, teach the patient and family about the need for serial CT head scans, the prospect of surgical intervention in the event of a worsening CT scan or neurologic exam, and the need for comprehensive evaluation by the rehabilitation team to assess for neurologic deficits after the procedure.

• #10 Subdural-Hematoma: Nursing Diagnosis & Interventions | Nurse.com

  https://www.nurse.com/clinical-guides/subdural-hematoma/?srsltid=AfmBOop3sRhuKQqY1urvJReOHKnw2fRfr961PI5uF5i0Sp5DZL5xg417

  Interventions […] Observe and monitor neurological status. […] Evaluate the Glasgow Coma score. […] Monitor vital signs. […] Implement seizure precautions. […] Maintain bed rest. […] Provide a quiet environment. […] Use simple yes/no questions. […] Provide communication alternatives. […] Monitor pain levels. […] Administer analgesic medication for pain as ordered. […] Prepare the individual and family for surgery if needed. […] Expected Outcomes […] Improved level of consciousness […] Decrease or absorption of subdural hematoma […] Improved vision […] Improved strength, balance, and mobility […] Decreased pain […] Improved tissue perfusion […] Individual/Caregiver Education […] Educate on the condition, treatment, and expected outcomes. […] Prevention strategies such as head protection and fall protection. […] Wound care if surgery is performed. […] Adherence to medication regimen. […] When to notify the healthcare provider: persistent headaches, increased confusion, seizure activity, signs of wound infection, visual disturbances. […] Follow-up recommendations with healthcare providers.

• #11 Management of Chronic Subdural Hematoma a Challenge in Neurosurgical Practice

  https://e-jnic.org/journal/view.php?number=89

  Briefly, management involves assessment for neurological deficits. […] Assessment of blood investigations like complete blood count, electrolytes, liver function test, and coagulation studies is mandatory if the GCS 8 endotracheal intubation is warranted. […] Antiepileptic medications are started keeping in mind that a new onset seizure can increase morbidity and mortality of the patient. […] Surgical treatment is divided into preoperative, operative, and postoperative management. […] Surgical treatment is recommended for symptomatic patients, even more, in those patients with neurological symptoms using burr-hole drainage. […] Recent literature establishes that the usage of a drain after the CSDH drainage is associated with reduced recurrence and less mortality at a 6-month follow-up.

• #12 Subdural Hematoma: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.subdural-hematoma-care-instructions.abr7774

  For either type of hematoma, do not drink alcohol until your doctor says it is okay. Don’t drive a car, ride a bike, or operate machinery until your doctor says it’s okay. If you take aspirin or some other blood thinner, be sure to talk to your doctor. The doctor will tell you if and when to start taking this medicine again. Make sure that you understand exactly what your doctor wants you to do. If you normally take medicine, your doctor will tell you if and when you can restart it. The doctor will also give you instructions about taking any new medicines.

• #13

  https://link.springer.com/article/10.1007/s13670-016-0166-9

  The 2001 National Service Framework (NSF) for older people recognised that care of the elderly patient in hospital is complex. It recommends that older people be given early supervision and advice from a specialist team on hospital admission. The increased risk of peri-operative complications with advancing age in part reflects a higher incidence of coexisting disease and polypharmacy. […] The required speed of reversal of anticoagulant and antiplatelet effects to minimise intra- and post-operative bleeding complications will partly depend on the clinical urgency of surgery. […] Resumption of anticoagulation therapy following surgery should be done cautiously, but the risk of recurrent haemorrhage must be weighed against increased risk of thromboembolic complications with prolonged discontinuation of anticoagulation.

• #14 Care Plan – Subdural Hematoma – Nursing Student Assistance

  https://allnurses.com/care-plan-subdural-hematoma-t185134/

  As a student you must understand that doing a care plan also involves learning about the patient’s underlying disease process. […] A subdural hematoma usually occurs slowly and results from venous bleeding as a result of tearing of the vein(s). Long term alcoholism also contributes to liver problems (coagulopathy) that result in easy bleeding with any trauma. […] The signs and symptoms of intracellular pressure include (you will find others in the weblinks I listed for you): slurred speech, dilated, nonreactive pupils, often ipsilateral (on the same side) to the location of the hematoma, changes in motor function from weakness to hemiplegia with positive Bablinski’s reflex (dorsiflexion of the ankle and great toes with fanning of the other toes), decorticate (flexion of one or both arms and stiff extension of the legs) or decerebrate (stiff extension of one or both arms and/or legs) posturing, flaccidity (no motor response at all in any extremity) and seizures, hemiparesis (one-sided paralysis) contralateral (on the opposite side) to the hematoma, balance problems and impaired gait (if the patient is able to ambulate), dizziness, declining levels of consciousness from restlessness to confusion to coma, various levels of dementia is usually a specific finding in patients with subdural hematomas, headache, abnormal respirations, a rise in blood pressure with widening pulse pressure, slowing of the pulse, an elevated temperature, vomiting, CSF drainage from the ears or nose.

• #15 Subdural Hematoma Nursing Diagnosis & Care Plans – NurseStudy.Net

  https://nursestudy.net/subdural-hematoma-nursing-diagnosis/

  Subdural hematoma is a severe condition that occurs when blood collects between the dura mater (the outer protective covering of the brain) and the brains surface. […] The nursing diagnosis of subdural hematoma is critical to patient care. It plays a vital role in guiding appropriate interventions and improving patient outcomes. […] A thorough nursing assessment is crucial for patients with subdural hematoma. Key areas of focus include: […] Nursing interventions for patients with subdural hematoma are multifaceted and aim to address both physical and psychosocial needs: […] The following nursing care plans address common issues faced by patients with subdural hematoma: […] The primary goals of nursing care for patients with subdural hematoma include:

• #16 Care Plan – Subdural Hematoma – Nursing Student Assistance

  https://allnurses.com/care-plan-subdural-hematoma-t185134/

  Any of these signs will lead you to nursing diagnoses of Acute Pain, Ineffective Tissue Perfusion: Cerebral, Decreased Intracranial Adaptive Capacity (use this only if the patient is in ICU and ICP pressures are being measured), Risk for Infection, Risk for Injury. […] A big part of doing a care plan is your assessment which includes investigating as much of the patient’s background information as you can get your hands on.

• #17

  https://www.nhs.uk/conditions/subdural-haematoma/recovery/

  In some cases, a subdural haematoma can cause damage to the brain that requires further care and recovery time. […] If you have any persistent problems after treatment for a subdural haematoma, you may need further treatment and support to help you return to your normal everyday activities. This is known as rehabilitation. […] A number of different healthcare professionals may be involved in your rehabilitation, depending on the specific problems you’re experiencing: physiotherapists can help with movement problems, such as muscle weakness or poor co-ordination; speech and language therapists can help with speech and communication problems; occupational therapists can identify everyday tasks you have trouble with and help find ways to make things easier for you. […] You might also benefit from some psychological support or therapy if you find it difficult adjusting to everyday life after a subdural haematoma.

• #18 Nursing Care Plan For Subdural Hematoma – Made For Medical

  https://www.madeformedical.com/nursing-care-plan-for-subdural-hematoma/

  Through evidence-based interventions and close monitoring, nurses play a pivotal role in managing subdural hematomas, promoting patient safety, and supporting the patients recovery journey. […] The nursing care plan prioritizes neurological monitoring, pain management, and preventing complications such as infection and falls. […] Pain management is a crucial aspect of the care plan, as it enhances the patients comfort and well-being during the recovery process. […] In conclusion, the nursing care plan for subdural hematoma demonstrates the commitment of nurses to deliver compassionate, evidence-based care that enhances patient outcomes and promotes the overall well-being of individuals affected by this neurological emergency. […] By working collaboratively with the healthcare team and the patients family, nurses play a crucial role in supporting individuals with subdural hematomas through this challenging and critical phase of their medical journey.

• #19 Chronic subdural haematoma (cSDH) | CUH

  https://www.cuh.nhs.uk/patient-information/chronic-subdural-haematoma-csdh/

  Dressings should be removed three days after your surgery. If the wound is clean and dry there will be no need to replace the dressing. […] Clips or sutures can be removed seven to 10 days following your operation, as long as the wound has healed. […] We advise that you keep the surgical area clean and dry. You may be able to wet the area, however we advise to avoid hair washing/shampooing until the clips/sutures are removed and the wound fully healed. […] Monitor for any signs of infection such as swelling, redness, opening of the wound, leaking from the wound and generally feeling unwell, such as having a temperature. […] Your longer-term recovery may be quick or take a long time. This is individual and will depend on the nature of the condition and your general health. […] Often, if you have been transferred from a different hospital, this will mean transfer back to your local hospital, as they are able to ensure you get the rehabilitation and care you require to get back home safely (eg any necessary aids, adaptations or assistance in your home should you need any).

• #20

  https://link.springer.com/article/10.1007/s13670-016-0166-9

  Early post-operative mobilisation of patients remains a controversial issue. It is thought to reduce incidence of complications such as pneumonia and deep vein thromboses. Conversely, bed rest has been proposed to reduce recurrence by promoting brain re-expansion. […] Two prospective randomised studies have also concluded that recurrence rates after BHC are independent of patients post-operative position, but another demonstrated a statistically higher recurrence rate in patients mobilised immediately after surgery. Reported complication rates as a result of early mobilisation also vary between these studies. Intuitively, if early mobilisation does not impact CSDH recurrence, then it should be beneficial to patient recovery. […] We have demonstrated that many uncertainties remain as how to best optimise operative and peri-operative care for elderly patients with CSDH. Parallels to patients with fragility fractures would suggest that we need an integrated, multi-disciplinary approach, minimising delay to surgery, simplifying the surgical approach and promoting early rehabilitation. A better coordination of multi-disciplinary care should also improve patient satisfaction in their treatment.

• #21 Subdural Hematoma | Symptoms, treatment & recovery | SportsMD

  https://www.sportsmd.com/concussions-head-injuries/subdural-hematoma/

  After treatment for a subdural hematoma, the patient is also monitored for such complications as seizures, clot re-accumulation, and infection. […] A smaller subdural hematoma that does not cause a mass effect on the underlying brain and those that have minimal symptoms may be monitored closely instead of treating them with immediate surgical evacuation. […] Determining when an injured athlete can return to sports participation is a complex issue that requires the multidisciplinary input of the sports medicine physician, neurologist and or neurosurgeon, athletic trainer, coaches and family. The severity of the subdural hematoma plays a major role in this decision-making process. If an athlete is to return to athletics, he or she must be completely asymptomatic both at rest and with exertion as well as clear documentation on CT scan that the hematoma has resolved.

• #22 Subdural Hematoma: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.subdural-hematoma-care-instructions.abr7774

  Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] For an acute hematoma, follow your doctor’s instructions. The doctor will tell you if you need someone to watch you closely for the next 24 hours or longer. […] For a chronic hematoma, get plenty of sleep at night, and take it easy during the day. Rest is the best way to recover. Avoid activities that are physically or mentally demanding. These include housework, exercise, paperwork, video games, text messaging, and using the computer. You may need to change your work or school schedule for a while. Return to your normal activities slowly. Do not try to do too much at once.

• #23

  https://www.nhs.uk/conditions/subdural-haematoma/recovery/

  While you’re recovering, it’s important to take things easy and not do too much too soon. […] Speak to your specialist for advice before driving, flying or returning to sport as sometimes these can be dangerous while recovering from a subdural haematoma. […] You may be able to find out more about recovering from a brain injury and living with the after-effects through support groups and charities. […] They offer a wide range of services, including rehabilitation programmes, carer support, social reintegration, community outreach, and respite care.

• #24 Subdural Hematoma Symptoms & Treatment | Baptist Health

  https://www.baptisthealth.com/care-services/conditions-treatments/subdural-hematoma

  Rehabilitation helps a person return to normal activities and is usually comprised of multiple types of healthcare professionals. There are several therapy options for rehabilitation, which include: Physiotherapy. Helps restore and correct issues with coordination, movement, and muscle weakness. Occupational therapy. Focuses on helping patients perform normal day to day tasks and activities again. Speech or language therapy. Focuses on helping patients to regain or improve speech or language issues. Psychological support or therapy. Seeks to resolve issues related to mood, emotional stability, behavioral issues, adjustment issues, or problems with focus and concentration.

• #25 Subdural Hematoma Treatment & Management: Approach Considerations, Surgical Decompression, Preoperative Treatments

  https://emedicine.medscape.com/article/1137207-treatment

  The use of sequential CT scanning is important. Although each patient must be treated individually, patients who have small acute SDHs thinner than 5 mm on axial computed tomography (CT) images without sufficient mass effect to cause midline shift or neurological signs have been observed clinically, with acceptable results. […] Hematoma resolution should be documented with serial imaging because an acute subdural hematoma that is treated conservatively can evolve into a chronic hematoma.

• #26

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=abr7774

  For a chronic hematoma, get plenty of sleep at night, and take it easy during the day. Rest is the best way to recover. Avoid activities that are physically or mentally demanding. These include housework, exercise, paperwork, video games, text messaging, and using the computer. You may need to change your work or school schedule for a while. Return to your normal activities slowly. Do not try to do too much at once. […] For either type of hematoma, do not drink alcohol until your doctor says it is okay. Don’t drive a car, ride a bike, or operate machinery until your doctor says it’s okay. If you take aspirin or some other blood thinner, be sure to talk to your doctor. The doctor will tell you if and when to start taking this medicine again. Make sure that you understand exactly what your doctor wants you to do. If you normally take medicine, your doctor will tell you if and when you can restart it. The doctor will also give you instructions about taking any new medicines. […] Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if you do not get better as expected. You have new symptoms, such as headaches, trouble concentrating, or changes in mood.

• #27 Management of Chronic Subdural Hematoma a Challenge in Neurosurgical Practice

  https://e-jnic.org/journal/view.php?number=89

  Chronic subdural hematoma (CSDH) is a common neurosurgical disease encountered by neurologists, neurosurgeons, intensive care specialists, and emergency physicians in the emergency department. […] Management of CSDH in elderly individuals presents specific challenges due to pre-existing comorbidities and medications which alter the pathophysiology. […] The treatment modality includes medical management as well as various forms of surgical manoeuvres intended to evacuate the hematoma and hence alleviate the mass effect over the surrounding brain matter. […] The rationale selection of cases for medical and surgical intervention with robust follow-up results in a better prognostication of these cases. […] In general, intensive care unit (ICU) management, it is considered that the general condition of the patient is low, i.e., glasgow coma scale (GCS) 12.

• #28 Subdural Haematoma – Clinical Features – Management – TeachMeSurgery

  https://teachmesurgery.com/neurosurgery/traumatic-injuries/subdural-haematoma/

  For those that present with a SDH following a fall, they should also be investigated for potential underlying reasons for falls. This can often require a multidisciplinary approach, with input from geriatricians, physiotherapists, and occupational therapists as required. […] When surgical intervention is required, for an acute SDH, a trauma craniotomy flap is often performed, whereby a large opening in the skull is created to evacuate the haematoma and relieve the associated mass effect. […] For chronic SDH, surgical intervention can be either a burr hole craniotomy with irrigation or a twist-drill craniotomy with drain placement. Using a drain has been shown to decrease recurrence rates and mortality without increasing complications.

• #29 Subdural Haematoma – Clinical Features – Management – TeachMeSurgery

  https://teachmesurgery.com/neurosurgery/traumatic-injuries/subdural-haematoma/

  A subdural haematoma (SDH) is a collection of blood that forms in the subdural space, the space between the dura mater and the arachnoid mater. […] Management should be based on the size and clinical features, and indeed not all cases require surgery. Conservative management is generally appropriate for small acute SDH that do not cause significant midline shift or cisternal encroachment without any significant neurologic impairment. […] In an acute setting, patients should be approached initially in a systematic A to E assessment. Any concerns of raised ICP should also be managed appropriately. […] All patients on anticoagulation should have this reversed appropriately, which may require discussion with haematology colleagues. Patients are often also started on anti-epileptic medications for 1 week after presentation of a SDH.

• #30 Treating Subdural Hematoma Symptoms | University of Utah Health

  https://healthcare.utah.edu/neurosciences/neurosurgery/subdural-hematoma

  A subdural hematoma is a common neurological condition that occurs after a head injury. […] At University of Utah Health, we provide our subdural hematoma patients with exceptional care and support every step of the way. […] Most cases, however, do not require treatment. Instead, patients are admitted to the hospital, where a multi-disciplinary care team will observe the hematoma to make sure it does not worsen over time and ensure that the patient is able to get back on their feet. […] Treatment options for chronic (non-acute) subdural hematomas include the following: Medication This may help resolve the subdural hematoma. […] Your neurosurgeon will discuss your options and recommend a personalized treatment plan to ensure the best outcome for your health. […] We may need to treat some chronic subdural hematomas with brain surgery to drain the blood that has collected between the brain and the dura (outermost covering of the brain). […] As a non-surgical alternative, undergoing MMA embolization includes shorter hospital stays and a faster recovery. […] With effective treatment, the vast majority of chronic subdural hematomas will go away for patients.

• #31 New Treatment Combination for Subdural Hematoma Reduces Risk of Recurrence | Newsroom | Weill Cornell Medicine

  https://news.weill.cornell.edu/news/2024/11/new-treatment-combination-for-subdural-hematoma-reduces-risk-of-recurrence

  A novel combination of surgery and embolization used to treat subdural hematomas, bleeding between the brain and its protective membrane due to trauma, reduces the risk of follow-up surgeries, according to researchers at Weill Cornell Medicine and University at Buffalo. […] The research, published Nov. 20 in the New England Journal of Medicine, found that hematoma recurrence or progression resulting in another surgery occurred in about 4% of patients who underwent MMA embolization plus surgery compared to more than 11% of those who received surgery alone. […] This trial provides evidence that adding MMA embolization should be a new standard of care for one of the most common neurosurgical conditions we see, said co-lead author and pioneer of MMA embolization, Dr. Jared Knopman. […] However, after a hematoma has been surgically drained, it recurs about 15% of the time, requiring another surgery and hospitalization.

• #32 New Treatment Combination for Subdural Hematoma Reduces Risk of Recurrence | Newsroom | Weill Cornell Medicine

  https://news.weill.cornell.edu/news/2024/11/new-treatment-combination-for-subdural-hematoma-reduces-risk-of-recurrence

  By reducing the chance of the subdural hematoma from coming back, the need for hospital re-admission and another operation can be avoided, Dr. Knopman said. […] Considering chronic subdural hematomas are more likely to develop in people aged 60 and older, the need for treatment in our aging population is growing, Dr. Knopman said. […] Hematoma recurrence or progression leading to another surgery within 90 days of the initial surgery occurred in approximately 4% of the treatment group compared to 11.3% of the control group. […] If we embolize these patients early, we may decrease the number who need to be taken to surgery later, he said. […] Since this may be the most common procedure that neurosurgeons perform in the next decade, it could potentially lower health care costs and improve overall health outcomes for the aging patient population.

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