FIGURE 18-5 Subdural Hematoma, Gross, and Bridging Veins, Gross. Older adults and the very young are at greater risk because their cerebral veins are These subdural hematomas act as expanding masses, giving rise to increased ICP.
Older adults are at risk for the development of subdural hematomas caused by brain atrophy and corresponding vascular changes that occur with normal aging.
By when a fifth to a quarter of the American population will be older than 65, chronic subdural hematoma, or SDH, is expected to afflict...
Older adults rising risk subdural hematoma going
Treatment of a chronic SDH is not always needed, though patients with a seemingly stable hematoma must be monitored, with prompt treatment if symptoms worsen. In another study of patients with isolated closed head injury, the documented presence of a comorbid cardiac condition or coagulopathy significantly increased overall mortality. While many chronic subdural hematomas cannot be prevented, the risk of developing one can be lowered by avoiding alcohol abuse, reducing the risk of falls and maintaining a normal body weight. First, there is a high incidence of comorbid conditions, including hypertension and diabetes mellitus, which could affect the responsiveness and perfusion needs of the cerebral vasculature. In the absence of good clinical data, predicting outcomes and providing care in the older adult population with TBI remains problematic. Ultrastructural observations of the capsule of chronic subdural haematoma in various clinical stages. Get science news via. Consequently, true mortality rates and definable outcomes in older adults with TBI are difficult to estimate.