Neurosurg Rev 2012 Apr 10;35(2):155-69; discussion 169. Epub 2011 Sep 10.
Department of Neurological Surgery, Columbia University, College of Physicians & Surgeons, 710 West 168th Street, New York, NY 10032, USA.
Chronic subdural hematoma (cSDH) is an increasingly common neurological disease process. Despite the wide prevalence of cSDH, there remains a lack of consensus regarding numerous aspects of its clinical management. We provide an overview of the epidemiology and pathophysiology of cSDH and discuss several controversial management issues, including the timing of post-operative resumption of anticoagulant medications, the effectiveness of anti-epileptic prophylaxis, protocols for mobilization following evacuation of cSDH, as well as the comparative effectiveness of the various techniques of surgical evacuation. Read More