Is there a way to reduce morbidity and mortality in elderly patients with chronic subdural haematoma? This article focuses on chronic subdural haematoma (CSDH), a condition predominantly affecting the elderly, often resulting from minor trauma. The study emphasizes that a direct head trauma history is absent in nearly half of the cases. Common symptoms include altered mental state and focal neurological deficits. Neurological state at the time of diagnosis is identified as the most crucial prognostic factor. The study notes higher morbidity and mortality in elderly patients, but highlights that neurosurgical intervention leads to favorable outcomes. It further explores current diagnostic and management strategies for CSDH in geriatric populations. Special consideration is given to the risks and benefits of surgical versus conservative treatment approaches, as well as the implications of comorbidities in older patients. Ultimately, this review underscores the importance of prompt diagnosis and neurosurgical intervention in managing CSDH among the elderly to improve patient outcomes. While morbidity and mortality are elevated in older individuals, early and effective treatment significantly enhances prognosis. Future research should address tailored management protocols that account for geriatric-specific factors, including the consideration for direct trauma and specific neurological deficits. The elderly are a population of special concern.
"Postgraduate Medical Journal" aims to provide concise reviews on clinical topics for medical professionals. This article fits the journal’s purpose by offering a succinct overview of chronic subdural haematoma in the elderly, including diagnostic approaches, prognostic factors, and treatment options. The journal's broad scope in general medicine allows for discussions of various conditions relevant to medical practitioners.