Chronic Subdural Hematoma in Young Adult: An Age Comparison Study

Chronic subdural hematoma (CSDH), a common neurosurgical illness with a self-limited course, is a disease of the elderly. Incidence of CSDH has been increasing in younger patients as a result of several clinical trends that increase bleeding risk including increased use of anticoagulant therapy and, hemodialysis, and longer survival with systemic hematologic disease. Despite the benign nature of CSDH, re-accumulation of hematoma is still a matter of concern, and disease progression can be fatal without timely surgical intervention. Nevertheless, early diagnosis and proper treatment result in complete recovery in most cases. CSDH is more likely to be missed in young adults because lower incidence in this patient population decreases clinical suspicion. Clinicians infrequently recommend imaging studies in patients younger than 40. Clinical presentation and radiologic findings of CSDH differ among patients in different age group. Until recently, most CSDH research has focused on treatment, frequency of recurrence and pathophysiology. Several studies reported the difference of clinical presentation and result of CSDH according to age. In our study, we divided the patients to three groups for precise comparison and work up of tendency between different age (Group A: ≤40, Group B: 41-64, Group C: ≥65 years). In this study, we aimed to identify characteristics of CSDH more prevalent in young adults compared to older adults. Chronic Subdural Hematoma in Young Adult: An Age Comparison Study