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Epilepsy in chronic subdural haematoma

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Summary

We studied retrospectively 143 adult patients treated in our department from 1979 to 1991 for chronic subdural haematoma (SDH) in order to identify the incidence of seizures and the necessity for prophylactic anticonvulsant treatment. Furthermore, after review of the literature, we selected an additional 879 cases for comparison. Results indicated a low incidence of epilepsy. Before surgery 5.6% of patients in our series and 4.3% in the literature had epilepsy, whereas after surgery, the frequencies were 3% and 1.8%, respectively. According to our data, antiepileptic drugs need not be administered prophylactically in patients with chronic SDH. But the situation is different for alcoholic patients, because they have a major risk of epilepsy.

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References

  1. Adams RD, Victor M (1985) Principles of neurology, 3rd Ed. McGraw-Hill, Singapore, pp 652–654

    Google Scholar 

  2. Arbit E, Patterson RH, Fraser RAR Jr (1981) An implantable subdural drain for treatment of chronic subdural haematoma. Surg Neurol 15: 175–177

    PubMed  Google Scholar 

  3. Arseni C, Stanciu M (1969) Particular clinical aspects of chronic subdural haematoma in adults. Europ Neurol 2: 109–122

    PubMed  Google Scholar 

  4. Bell RL (1974) Chronic subdural haematoma. J Tenn Med Ass 67: 28–29

    Google Scholar 

  5. Bender MB (1960) Recovery from subdural haematoma without surgery. J Mt Sinai Hosp 27: 52–58

    Google Scholar 

  6. Bender MB, Christoff N (1974) Nonsurgical treatment of subdural haematomas. Arch Neurol 31: 73–79

    PubMed  Google Scholar 

  7. Bortnick RJ, Murphy P (1963) Paraparesis with incontinence of bowel and bladder. J Neurosurg 20: 352–353

    PubMed  Google Scholar 

  8. Bucy PC (1942) Subdural haematoma. Illinois MJ 82: 300–309

    Google Scholar 

  9. Caldarelli M, Di Rocco C, Iannelli A (1980) Effects of artificially induced increases in intracranial pressure on epileptic activity. Epilepsia 21: 587–596

    PubMed  Google Scholar 

  10. Cameron MM (1978) Chronic subdural haematoma: a review of 114 cases. J Neurol Neurosurg Psychiatry 41: 834–839

    PubMed  Google Scholar 

  11. Caveness WF, Meirowsky AM, Berkeley LR, Mohr JP, Kistler JP, Dillon JD, Weiss GH (1979) The nature of post-traumatic epilepsy. J Neurosurg 50: 545–553

    PubMed  Google Scholar 

  12. Chan AWK (1985) Alcoholism and epilepsy. Epilepsia 26: 323–333

    PubMed  Google Scholar 

  13. Coblenz RG (1938) Chronic subdural haematoma: diagnosis and treatment. Surgery 4: 194–210

    Google Scholar 

  14. Cole M, Spatz E (1961) Seizures in chronic subdural haematoma. N Engl J Med 265: 628–631

    PubMed  Google Scholar 

  15. Davini V, Tartarini E (1955) Analisi clinica di 47 casi di ematomi sottodurale cronico emisferico controllati chirurgicamente. Sist Nerv 7: 249–259

    PubMed  Google Scholar 

  16. Deutschman CS, Haines SJ (1985) Anticonvulsant prophylaxis in neurological surgery. Neurosurgery 17: 510–517

    Google Scholar 

  17. Echlin FA, Sordillo SV, Garvey TQ Jr (1956) Acute, subacute, and chronic subdural haematoma. JAMA 161: 1345–1350

    Google Scholar 

  18. Ectors L (1962) L'hematome sous-dural chronique. Traitement chirurgical. Acta Chir Belg 61: 570–601

    Google Scholar 

  19. Fogelholm R, Heiskanen O, Waltimo O (1975) Chronic subdural haematoma in adults. Influence of patient's age on symptoms, sign, and thickness of haematoma. J Neurosurg 42: 43–46

    PubMed  Google Scholar 

  20. Gannon WE, Cook AW, Browder EJ (1962) Resolving subdural collections. J Neurosurg 19: 865–869

    PubMed  Google Scholar 

  21. Gardner WJ (1932) Traumatic subdural haematoma with particular reference to the latent interval. Arch Neurol Psychiat 27: 847–858

    Google Scholar 

  22. Gjerris F, Schmidt K (1974) Chronic subdural haematoma: surgery or mannitol treatment. J Neurosurg 40: 639–641

    PubMed  Google Scholar 

  23. Grant FL (1927) Chronic subdural haematoma. Ann Surg 86: 485–493

    Google Scholar 

  24. Hammond EJ, Ramsay RE, Villarreal HJ, Wilder BJ (1980) Effects of intracortical injection of blood and blood components on the electrocorticogram. Epilepsia 21: 3–14

    PubMed  Google Scholar 

  25. Hillbom ME (1980) Occurrence of cerebral seizures provoked by alcohol abuse. Epilepsia 21: 459–466

    PubMed  Google Scholar 

  26. Kaplan A (1938) Subdural haematoma, acute and chronic, with some remarks about treatment. Surgery 38: 211–248

    Google Scholar 

  27. Kotowica Z, Brzeinski J (1991) Chronic subdural haematoma treated by burr holes and closed system drainage: personal experience in 131 patients. Br J Neurosurg 5: 461–465

    PubMed  Google Scholar 

  28. Kunkel PA, Dandy WE (1939) Subdural haematoma: diagnosis and treatment. Arch Surg 38: 24–54

    Google Scholar 

  29. LaLonde AA, Gardner WJ (1948) Expansion of compressed cerebral hemisphere and relief of hypotension by spinal injection of physiologic saline solution. N Engl J Med 239: 493–496

    Google Scholar 

  30. Laumer R, Schramm J, Leykauf K (1989) Implantation of a reservoir for current subdural haematoma drainage. Neurosurgery 25: 991–996

    PubMed  Google Scholar 

  31. Lavy S, Herishianu Y (1969) Chronic subdural haematoma in the aged. J Am Geriat Soc 17: 380–383

    PubMed  Google Scholar 

  32. Loew F, Kivelitz R (1976) Chronic subdural haematomas. In: Vinken PJ, Bruyn GW (eds) Handbook of clinical neurology, Vol 24. American Elsevier, Amsterdam, North Holland, pp 297–327

    Google Scholar 

  33. Lusins J, Nakagawa H, Bender MB (1978) Computer assisted tomography of unoperated subdural haematoma: short and long-term follow-up. J Comput Assist Tomogr 2: 460–466

    PubMed  Google Scholar 

  34. Markwalder TM (1981) Chronic subdural haematomas: a review. J Neurosurg 54: 637–645

    PubMed  Google Scholar 

  35. McKissock W (1960) Subdural haematoma; a review of 389 cases. Lancet 1: 1365–1369

    Google Scholar 

  36. Morsier G (1937) Les hematomes de la dura-mere; diagnostic, pathogenie, traitment. Rev Neurol 68: 665–699

    Google Scholar 

  37. North JB (1989) Anticonvulsant prophylaxis in neurosurgery. Br J Neurosurg 3: 425–428

    PubMed  Google Scholar 

  38. Oku Y, Takimoto N, Yamamoto K, Onishi T (1984) Trial of a new operative method for recurrent chronic subdural hematoma. J Neurosurg 61: 269–272

    PubMed  Google Scholar 

  39. Pelmutter I, Gables F (1961) Subdural haematoma in older patients. JAMA 176: 112–114

    Google Scholar 

  40. Probst C (1988) Peritoneal drainage of chronic subdural hematomas in older patients. J Neurosurg 68: 908–911

    PubMed  Google Scholar 

  41. Putnam TJ, Cushing H (1925) Chronic subdural haematoma. Arch Surg 11: 329–393

    Google Scholar 

  42. Riccio A, La Torre E (1968) Ematoma subdurale cronico sopratentoriale; inconsueti quadri clinici. Minerva Neurochir 12: 234–236

    PubMed  Google Scholar 

  43. Richter HP, Klein HJ, Schafer M (1984) Chronic subdural haematomas treated by enlarged burr-hole craniotomy and closed system drainage. Retrospective study of 120 patients. Acta Neurochir (Wien) 71: 179–188

    Google Scholar 

  44. Rosenbluth PR, Arias B, Quartetti EV, Carney AL (1962) Current management of subdural haematoma. Analysis of 100 consecutive cases. JAMA 179: 759–762

    PubMed  Google Scholar 

  45. Samiy E (1973) Chronic subdural haematoma presenting a Parkinsonian syndrome. J Neurosurg 20: 903

    Google Scholar 

  46. Suzuki J, Takaku A (1970) Nonsurgical treatment of chronic subdural haematoma. J Neurosurg 33: 548–553

    PubMed  Google Scholar 

  47. Voris HD (1946) Subdural haematoma. JAMA 132: 680–692

    Google Scholar 

  48. Willmore LJ, Sypert GW, Munson JB (1978) Recurrent seizures induced by cortical iron injection: a model of post-traumatic epilepsy. Ann Neurol 4: 329–336

    PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Neurosurgery, Beilinson Medical Center, Petah Tiqva

    G. Rubin & Z. H. Rappaport

  2. Sackler School of Medicine, Tel Aviv University, Israel

    G. Rubin & Z. H. Rappaport

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  1. G. Rubin
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  2. Z. H. Rappaport
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Rubin, G., Rappaport, Z.H. Epilepsy in chronic subdural haematoma. Acta neurochir 123, 39–42 (1993). https://doi.org/10.1007/BF01476283

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