Traumatic interhemispheric subdural haematoma: Study of 35 cases

J Clin Neurosci. 2010 Dec;17(12):1527-9. doi: 10.1016/j.jocn.2010.03.055.

Abstract

The clinical and radiological findings, management, and outcomes in 35 patients with traumatic interhemispheric subdural haematoma (ISH) were reviewed retrospectively. Twenty-five patients had favourable outcomes and 10 had poor outcomes. All patients were treated conservatively for ISH. Univariate analysis found that the Glasgow Coma Scale (GCS) score (p < 0.001), hypovolemic shock (p = 0.018), skull fracture (p = 0.008), convexity or posterior fossa subdural haematoma (p = 0.008), and subarachnoid haemorrhage (SAH) were correlated with outcome (p < 0.001). Multivariate analysis showed that GCS score (p = 0.031; odds ratio [OR], 0.6; 95% confidence interval [CI], 0.3-0.9) and the presence of SAH (p = 0.023; OR, 14.2; 95% CI, 1.5-138.2) were significantly related to poor outcome. This study provides important information on the clinicoradiological findings and prognoses in patients with traumatic ISH.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Female
  • Glasgow Coma Scale
  • Hematoma, Subdural, Intracranial / pathology*
  • Hematoma, Subdural, Intracranial / physiopathology*
  • Hematoma, Subdural, Intracranial / therapy
  • Humans
  • Male
  • Middle Aged
  • Prognosis
  • Recovery of Function
  • Retrospective Studies
  • Young Adult