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CHRONIC SUBDURAL HEMATOMA: ETIOLOGY AND TREATMENT

CHRONIC SUBDURAL HEMATOMA: ETIOLOGY AND TREATMENT Abstract The subject of chronic subdural hematoma has been presented in an excellent manner in recent years by several writers (Putnam and Cushing,1 Rand,2 Grant,3 Holmes,4 Brodie,5 Sherwood,6 Jelsma7 and Dandy8), and this clinical entity is well known. The object in this paper is to contribute some observations on the source of the bleeding from the cerebral veins which cross the subdural space to enter the superior longitudinal sinus, and to add the reports of five cases in which drainage through a trephine opening was used in treatment. The primary etiologic factor of chronic subdural hematoma is now generally recognized to be trauma to the head and the source of the bleeding, venous. The character of the injury to the head, however, is often so mild as to escape even the notice of the patient, particularly since symptoms of compression of the brain References 1. Putnam, T. J., and Cushing, H.: Chronic Subdural Hematoma , Arch. Surg. 11:329 ( (Sept.) ) 1925.Crossref 2. Rand, C. W.: Chronic Subdural Hematoma; Report of 7 Cases , Arch. Surg. 14:1136 ( (June) ) 1927.Crossref 3. Grant, F. C.: Chronic Subdural Hematoma , Ann. Surg. 86:485 ( (Oct.) ) 1927.Crossref 4. Holmes, W. H.: Chronic Subdural Hemorrhage , Arch. Neurol. & Psychiat. 20:162 ( (July) ) 1928. 5. Brodie, F.: Delayed Subdural Hemorrhage , Canad. M. A. J. 20:273 ( (March) ) 1929. 6. Sherwood, D.: Chronic Subdural Hematoma in Infants , Am. J. Dis. Child. 39:980 ( (May) ) 1930. 7. Jelsma, F.: Chronic Subdural Hematoma , Arch. Surg. 21:128 ( (July) ) 1930. 8. Dandy, W. E.: Subdural Hematoma , in Lewis, Dean: Practice of Surgery , Hagerstown, Md., W. F. Prior Company, 1932, vol. 12, p. 295. 9. Virchow, R.: Haematoma durae matris , Verhandl. d. Phys.-med. Gesellsch. Würzburg 7:134, 1857. 10. Schuberg, W.: Das Haemtaoma durae matris bei Erwachsenen , Virchows Arch. f. path. Anat. 16:464, 1859. 11. Brion, W.: Die operative Behandlung der intraduralen Blutungen traumatischen Ursprungs, Inaug. Diss., Strassburg, 1896. 12. Bowen, W. H.: Traumatic Subdural Haemorrhage , Guy's Hosp. Rep. 59:21, 1905. 13. Kasemeyer, E.: Ueber post-traumatische Pachymeningitis unter dem Biede der post-traumatischen Neurose und über deren unfallgerichtliche Bedeutung , Friedrich's Bl. f. gerichtl. Med. 62:293, 339, 401, 1911. 14. Henschen, K.: Diagnostik und Operation der traumatischen subduralen Blutung , Arch. f. klin. Chir. 99:67, 1912. 15. Baillarger, M.: Du siège de quelque hémorrhagies meningées, Thèse de Paris, 1837. 16. Hewitt, P.: On Extravasations of Blood into the Cavity of the Arachnoid , Tr. Med.-Chir. Soc. London 28:45, 1845. 17. Sperling, H.: Ueber Pachymeningitis haemorrhagica interna, Inaug. Diss., Königsberg, 1872. 18. Huegenin, O.: Inflammation of the Dura Mater , in von Ziemssen, Hugo Wilhelm: Cyclopedia of Practice of Medicine , American Translation, New York, W. Wood & Co., 1877, vol. 12, p. 386. 19. Wiglesworth, J.: Remarks on the Pathology of the So-Called Pachymeningitis Interna Haemorrhagica , Brain 15:431, 1892. 20. Robertson, G. M.: The Formation of Subdural Membranes, or Pachymeningitis Haemorrhagica , J. Ment. Sc. 39:203, 1893. 21. Trotter, W.: Chronic Subdural Hemorrhage of Traumatic Origin and Its Relation to Pachymeningitis Haemorrhagica Interna , Brit. J. Surg. 2:271, 1914. 22. Gardner, W. J.: Traumatic Subdural Hematoma; with Particular Reference to the Latent Interval , Arch. Neurol. & Psychiat. 27:847 ( (April) ) 1932. 23. Keegan, J. J., and Bennett, A. E.: Cerebral Aneurysm and Cortical Herniation , Arch. Neurol. & Psychiat. 26:36 ( (July) ) 1931. 24. Fleming, H. W., and Jones, O. W., Jr.: Chronic Subdural Hematoma , Surg., Gynec. & Obst. 54:81 ( (Jan.) ) 1932. 25. McKenzie, Kenneth G.: A Surgical and Clinical Study of Nine Cases of Chronic Subdural Haematoma , Canad. M. A. J. 26:534 ( (May) ) 1932. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

CHRONIC SUBDURAL HEMATOMA: ETIOLOGY AND TREATMENT

KEEGAN, J. JAY
Archives of Surgery , Volume 27 (4) – Oct 1, 1933
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References (28)

Publisher
American Medical Association
Copyright
Copyright © 1933 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1933.01170100003001
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Abstract

Abstract The subject of chronic subdural hematoma has been presented in an excellent manner in recent years by several writers (Putnam and Cushing,1 Rand,2 Grant,3 Holmes,4 Brodie,5 Sherwood,6 Jelsma7 and Dandy8), and this clinical entity is well known. The object in this paper is to contribute some observations on the source of the bleeding from the cerebral veins which cross the subdural space to enter the superior longitudinal sinus, and to add the reports of five cases in which drainage through a trephine opening was used in treatment. The primary etiologic factor of chronic subdural hematoma is now generally recognized to be trauma to the head and the source of the bleeding, venous. The character of the injury to the head, however, is often so mild as to escape even the notice of the patient, particularly since symptoms of compression of the brain References 1. Putnam, T. J., and Cushing, H.: Chronic Subdural Hematoma , Arch. Surg. 11:329 ( (Sept.) ) 1925.Crossref 2. Rand, C. W.: Chronic Subdural Hematoma; Report of 7 Cases , Arch. Surg. 14:1136 ( (June) ) 1927.Crossref 3. Grant, F. C.: Chronic Subdural Hematoma , Ann. Surg. 86:485 ( (Oct.) ) 1927.Crossref 4. Holmes, W. H.: Chronic Subdural Hemorrhage , Arch. Neurol. & Psychiat. 20:162 ( (July) ) 1928. 5. Brodie, F.: Delayed Subdural Hemorrhage , Canad. M. A. J. 20:273 ( (March) ) 1929. 6. Sherwood, D.: Chronic Subdural Hematoma in Infants , Am. J. Dis. Child. 39:980 ( (May) ) 1930. 7. Jelsma, F.: Chronic Subdural Hematoma , Arch. Surg. 21:128 ( (July) ) 1930. 8. Dandy, W. E.: Subdural Hematoma , in Lewis, Dean: Practice of Surgery , Hagerstown, Md., W. F. Prior Company, 1932, vol. 12, p. 295. 9. Virchow, R.: Haematoma durae matris , Verhandl. d. Phys.-med. Gesellsch. Würzburg 7:134, 1857. 10. Schuberg, W.: Das Haemtaoma durae matris bei Erwachsenen , Virchows Arch. f. path. Anat. 16:464, 1859. 11. Brion, W.: Die operative Behandlung der intraduralen Blutungen traumatischen Ursprungs, Inaug. Diss., Strassburg, 1896. 12. Bowen, W. H.: Traumatic Subdural Haemorrhage , Guy's Hosp. Rep. 59:21, 1905. 13. Kasemeyer, E.: Ueber post-traumatische Pachymeningitis unter dem Biede der post-traumatischen Neurose und über deren unfallgerichtliche Bedeutung , Friedrich's Bl. f. gerichtl. Med. 62:293, 339, 401, 1911. 14. Henschen, K.: Diagnostik und Operation der traumatischen subduralen Blutung , Arch. f. klin. Chir. 99:67, 1912. 15. Baillarger, M.: Du siège de quelque hémorrhagies meningées, Thèse de Paris, 1837. 16. Hewitt, P.: On Extravasations of Blood into the Cavity of the Arachnoid , Tr. Med.-Chir. Soc. London 28:45, 1845. 17. Sperling, H.: Ueber Pachymeningitis haemorrhagica interna, Inaug. Diss., Königsberg, 1872. 18. Huegenin, O.: Inflammation of the Dura Mater , in von Ziemssen, Hugo Wilhelm: Cyclopedia of Practice of Medicine , American Translation, New York, W. Wood & Co., 1877, vol. 12, p. 386. 19. Wiglesworth, J.: Remarks on the Pathology of the So-Called Pachymeningitis Interna Haemorrhagica , Brain 15:431, 1892. 20. Robertson, G. M.: The Formation of Subdural Membranes, or Pachymeningitis Haemorrhagica , J. Ment. Sc. 39:203, 1893. 21. Trotter, W.: Chronic Subdural Hemorrhage of Traumatic Origin and Its Relation to Pachymeningitis Haemorrhagica Interna , Brit. J. Surg. 2:271, 1914. 22. Gardner, W. J.: Traumatic Subdural Hematoma; with Particular Reference to the Latent Interval , Arch. Neurol. & Psychiat. 27:847 ( (April) ) 1932. 23. Keegan, J. J., and Bennett, A. E.: Cerebral Aneurysm and Cortical Herniation , Arch. Neurol. & Psychiat. 26:36 ( (July) ) 1931. 24. Fleming, H. W., and Jones, O. W., Jr.: Chronic Subdural Hematoma , Surg., Gynec. & Obst. 54:81 ( (Jan.) ) 1932. 25. McKenzie, Kenneth G.: A Surgical and Clinical Study of Nine Cases of Chronic Subdural Haematoma , Canad. M. A. J. 26:534 ( (May) ) 1932.

Journal

Archives of Surgery – American Medical Association

Published: Oct 1, 1933

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