Professional paper

https://doi.org/10.57140/mj.54.1.6

Dexamethasone treatment in chronic subdural hematoma - a case report

Ragib Pugonja orcid.org/0009-0004-3732-5260 ; Zenica School of Medicine, University of Zenica, Zenica, Bosnia and Herzegovina
Nejla Hrustić ; Zenica School of Medicine, University of Zenica, Zenica, Bosnia and Herzegovina
Neira Ćurić ; Zenica School of Medicine, University of Zenica, Zenica, Bosnia and Herzegovina
Hakija Bečulić ; Zenica Cantonal Hospital, Department of Neurosurgery, Zenica, Bosnia and Herzegovina; University of Zenica, School of Medicine, Department of Anatomy

Abstract

The topic of this research, chronic subdural hematoma (CSH), is one of the most common pathologies
in neurosurgery, and it is more frequent in the elderly. Surgical evacuation has been widely considered the
gold standard treatment. Despite the excellent outcomes, sometimes some cases require a different
approach. The treatment choice depends on the general condition of the patients, as well as the clinical
presentation and hematoma volume. Also, preexisting comorbidities in elderly patients, postoperative
complications, and the ability to recover must be considered. Consequently, conservative treatment can be
effective in carefully selected cases, and can be considered if the patient's neurological and physical
conditions allow. Some drugs contribute to CSH resolution by changing the capsule membrane permeability
and inhibiting the fibrinolytic and inflammatory systems. Our work is based on the efficacy of
dexamethasone as a method of conservative therapy, and it was demonstrated in the case of a 91-year-old
patient.

Keywords

chronic subdural hematoma; dexamethasone; neurosurgery; pharmacological treatment; spontaneous remission

Hrčak ID:

315740

URI

https://hrcak.srce.hr/315740

Publication date:

4.4.2024.

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