Chronic Subdural Hematoma. An Update and Review

Abstract

Chronic subdural hematoma is one of the most frequent entities in neurosurgical practice, therefore, its diagnosis and treatment improves the prognosis of patients. The most frequent factor involved is trauma, although, other factors as anticoagulation, comorbidities and cerebral atrophy may also play an important role. Historically, surgical treatment has been the treatment of choice, however, when it is recurrent, other treatments as embolization of the middle meningeal artery are proposed. The aim of this article is to describe the general concepts of chronic subdural hematoma with an emphasis on the embolization of the middle meningeal artery as a treatment for chronic recurrent subdural hematoma. No conflicts of interest are declared in this review