Subarachnoid Haemorrhage in an Elderly Patient with Comorbidities

Vicențiu Săceleanu 1 , Alexandru Babeu 1 ,  and Adriana Săceleanu 2
  • 1 “Lucian Blaga” University of Sibiu,
  • 2 Clinical County Emergency Hospital of Sibiu,


Subdural hemorrhage is usually caused by a traumatic injury. Other risk factors that may lead to subdural hemorrhage include: hypertension, anticoagulants, elderly, alcohol abuse, vascular abnormalities etc. Mortality range is between 50% and 90% depending on age, admission Glasgow Coma Scale (GCS) and anticoagulant treatment. We present a case of 74-year old patient, female, known for diabetes, high blood pressure, obesity, chronic heart failure, receiving anticoagulant treatment, bronchial asthma who develops a posttraumatic massive chronic subdural hematoma accompanied by comorbidities.

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  • 1. Săceleanu V, Pereanu, M. Neurochirurgie clinică. Sibiu: Editura Universităţii „Lucian Blaga” din Sibiu; 2014.

  • 2. Greenberg MS. Handbook of Neurosurgery. Ninth Edition; 2020.

  • 3. Marcolini E, Hine J. Approach to the Diagnosis and Management of Subarachnoid Hemorrhage. West J Emerg Med; 2019.

  • 4. Săceleanu V. Cerebral Vascular Malformation – an incidental discovery after a traumatic brain injury. Acta Medica Transilvanica. 2017;22(3):31-33.

  • 5. Khurram A, Kleinig T, Leyden J. Clinical associations and causes of convexity subarachnoid hemorrhage. Stroke. 2014;45:1151-1153.

  • 6. Ciurea A. Tratat de Neurochirurgie. Bucureşti: Editura Medicală; 2011.

  • 7. Săceleanu V. Teză de doctorat. Opţiuni terapeutice şi strategice de reinserţie socială în hemoragia intracerebrală primară supratentorială; 2012.

  • 8. Hinojosa AQ, et al. Schmidek & Sweet Operative Neurosurgical Tehniques. Indications, Methods and Results. Sixth Edition; 2012.

  • 9. Coutinho JM, Stam J. How to treat cerebral venous and sinus thrombosis. J Thromb Haemost. 2010;8:877-883.

  • 10. Shimizu Y, Park C, Tokuda K. Gradation density hematoma is a predictor of chronic subdural hematoma recurrence associated with inflammation of the outer membrane; 2020.

  • 11. Liu LX, Cao XD, Ren YM, Zhou LX, Yang CH. Risk Factors for Recurrence of Chronic Subdural Hematoma: A Single Center Experience; 2019.

  • 12. Kulesza B, Litak J, Mazurek M, Nogalski A. Initial Factors Affecting 6-month Outcome of Patients Undergoing Surgery for Acute Post traumatic Subdural and Epidural Hematoma; 2020.

  • 13. Heydari F, Golban M, Majidinejad S. Traumatic Brain Injury in Older Adults Presenting to the Emergency Department: Epidemiology, Outcomes and Risk Factors Predicting the Prognosis; 2019.

  • 14. Iki Y, Morofuji Y, Kanamoto T, Horie N, Izumo T, Anda T, Matsuo T. Traumatic Middle Meningeal Arteriovenous Fistula of Non-fractured Site Detected by Four-dimensional Computed Tomography Angiography: A Case Report; 2020.

  • 15. Christopher M Loftus. Neurosurgical Emergencies. Thieme. Third edition; 2020.


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