{"id":"7d1d3b59-9d06-442f-bfe6-70c6e54538ad","slug":"chronic-subdural-hematoma-needs-to-be-named-differently","title":"Chronic subdural hematoma needs to be named differently","authors":["Zanib Javed","Minaam Abid","Shahzad M. Shamim"],"abstract":"Background: Chronic subdural hematoma (CSDH) has historically been understood in various ways, from a stroke in the 17th century to a trauma-induced lesion in the 20th century. The etiology of CSDH is complex, often involving trauma or acute subdural hematoma, but it also encompasses cases with multiple layers that complicate management. The current nomenclature fails to adequately differentiate between the simpler and more complex forms of CSDH, which is critical for effective patient management. Summary: CSDH represents a spectrum of pathologies with diverse causes and treatment approaches. Recent studies have classified CSDH based on internal architecture and density, revealing significant differences in recurrence rates and treatment outcomes. The complexity of multilayered CSDH necessitates distinct therapeutic strategies, including mini-craniotomy and membrane removal, which differ from those used for simpler forms of CSDH. Conclusion: The authors advocate for a revision of the terminology used to describe CSDH to better reflect its varied presentations and treatment needs. A clearer distinction between the types of CSDH will aid junior residents in making informed decisions for patient management. Keywords: chronic subdural hematoma, CSDH, pathophysiology, surgical treatment, recurrence, nomenclature, classification, management","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/7d1d3b59-9d06-442f-bfe6-70c6e54538ad/featured/hero-1781559536649.png","publishDate":"2024-05-17T00:00:00.000Z","doi":"10.25259/SNI_178_2024","categories":["Neurovascular","Editorial"],"fullTextUrl":"https://surgicalneurologyint.com/wp-content/uploads/2024/05/12898/SNI-15-164.pdf"}