It is a frequently missed clinical entity; those with modest symptoms (headaches, memory disorders, balance disorders, cognitive disorders etc.) are often misinterpreted as signs of dementia, circulatory failure-basilar vertebra or Alzheimer’s disease.4 The role of apt clinical assessment and radiological imaging to rule out CSDH cannot be overemphasized.
A total of 62 patients 20-65 years of age, ASA physical status I-III, and scheduled for burr hole and evacuation of CSDH under MAC were enrolled.
Instead of mortality, MLS is correlated to other variables in patients with cSDH. Jukovic and Stojanovic evaluated 83 patients with 53 unilateral and 30 bilateral cSDHs to determine the MLS threshold for hemiparesis .
Note that the frontal component of the cSDH was left intact to avoid iatrogenic injury to the lead.
The ecological model of health is encapsulated by the “social determinants of health” (SDH) framework (CSDH 2008; Wilkinson and Marmot 2003) and is illustrated in a well-known figure by Dahlgren and Whitehead (1991) (Figure 1).
Chronic subdural hematoma (CSDH) is common in elderly people and is associated with substantial morbidity and mortality1,2.
In 2008, the World Health Organization (WHO) Commission on Social Determinants of Health (CSDH) concluded that eliminating inequities in health is “an ethical imperative” and “a matter of social justice.” (1) Health equity impact assessment–also referred to as equity-focused health impact assessment (EfHIA)–was identified as a particularly effective tool for ensuring that attention to issues of health equity is integrated into all public policies and programs, including those that promote healthy childhood environments.
In Australia the health of Indigenous peoples is poor by both Australian and international standards (ABS and AIHW 2010; CSDH 2008; Gracey and King 2009; Kunitz and Brady 1995; Marmot 2005; NHMRC 2010).
Social Determinants of Health (CSDH), Closing the Gap in a Generation:
According to the Commission on Social Determinants of Health (CSDH) of the World Health Organization (WHO), health inequalities and inequities persist due to the contextual “circumstances in which people grow, live, work, and age, and the systems put in place to deal with illness” (CSDH, 2008, p.
Chronic subdural hematoma (CSDH) is a common intracranial hemorrhagic lesion which could be presented on a brain computed tomography (CT) scan as unilateral (Figure 1) or bilateral form (Figure 2).
The World Health Organisation, for example, defines social determinants as the ‘societal conditions in which people are born, grow, live, work and age’ (WHO 2011:1; CSDH 2011).