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Year : 2018  |  Volume : 13  |  Issue : 4  |  Page : 976-983

The role of medical treatment in chronic subdural hematoma

Department of Neurosurgery, NRI Academy of Sciences, Guntur, Andhra Pradesh, India

Correspondence Address:
Amit Kumar Thotakura
Department of Neurosurgery, R. No: 292, NRI General Hospital, Chinakakani, Guntur - 522 503, Andhra Pradesh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ajns.AJNS_13_17

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Surgery is the standard treatment for chronic subdural hematoma (CSDH), one of the common problems in neurosurgical practice. Although medical treatment was used by some authors and found some positive results, it is not accepted by many authors. The aim of this review is to give overall view of the medical management of CSDH. Action of various drugs in the pathophysiological cascade of formation of CSDH was depicted. The review of literature is done under three headings – the primary medical treatment of CSDH, adjuvant medical treatment with surgery, and the treatment of the recurrence. Various classifications of CSDH and the factors influencing the outcome of medical treatment are discussed. There is a role of medical treatment in a selected group of patients with CSDH. Well-designed, multicenter, randomized controlled trials are required to define the indications and standard protocols for the medical treatment of CSDH.

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