THERAPEUTIC CONDUCT IN SUPERPOSED CONVEXITAL CHRONIC SUBDURAL HEMATOMA
Abstract:
Subdural hematoma is a blood collection encapsulated at skull level, found in the subdural
space between the dura mater and the arachnoid, being the result of minor, neglected TBI clinically
manifested at more than three weeks after the trauma, generally in older patients, usually located at
frontal and parietal level. The source consists of a cortico-dural vein rupture due to trauma, these veins
being under tension due to the preexisting cortical atrophy; blood accumulates in the subdural space, is
encapsulated, the increase being produced by hyperosmosis and by the successive break of other
cortico-dural veins, while causing the hemolysis of blood collection.
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