Conservative Management of Chronic Subdural Haematomas

Between Jan./2016 and Dec./2023(=8 years) chronic subdural haematoma cases were diagnosed in 82 patients at the Department of Neurosurgery. In this report we evaluate the therapeutic results retrospectively. The treatment was surgical in 44 patients, while 38 patients were treated medically, i.e., with corticosteroids, symptomatic medication and physiotherapy. Four surgical patients developed a recurrence which was then also treated medically. Of the 38 patients in the medically treated group, 3 had to undergo surgery later. Operose patients with distinct focal symptoms and comatose patients with incipient herniation received immediate surgical treatment. Of the 38 medically treated patients, (31 =81% were symptoms-free and 7= 19% showed residual symptoms).