Hematologic Disturbances and Neurosurgery: Why Dont We Consider Them?

Abstract

There are some conditions in neurosurgical practice that could be as common as insidious, especially if presented by people without risk factors. This could be the case of Chronic Subdural Hematoma (CSDH), considered a disease of the elderly, with a low morbidity among young people. The well recognized hypothesis about the genesis of CSDH (head injury, coagulopathies, hemostatic disorders, antiaggregant therapy etc.) could not always explain its developing mechanism among young people. Because of the unspecific symptoms and insidious onset in juveniles and young adults, CSDH could be neglected even undertreated in that population group but many reports suggest some other predisposing factors may exist.