Journal
BRITISH JOURNAL OF NEUROSURGERY
Volume 26, Issue 2, Pages 212-215Publisher
INFORMA HEALTHCARE
DOI: 10.3109/02688697.2011.609920
Keywords
head injury; chronic subdural haematoma; elderly trauma; neurosurgery
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We have reviewed all acute neurosurgical admissions between December 2007 and December 2009. Hundred and nine (46.6%) of our admissions were head injuries. A subdural haematoma(SDH) was found in 51.4%(56) of the head injuries. Of these, 50/56 presented with a Glasgow Coma Scale(GCS) of 14 to 15, 41.1% (23) of these SDH needed surgery. The commonest mode of injury was falls [67.9%(74) of head injuries]. Risk factors for falls are co-morbidities which are particular to an elderly population, these include osteoarthritis and audio/visual impairment. Falls are more common in rural areas where elderly are more likely to feel comfortable to walk and sustain trivial falls resulting in chronic subdural heamatomas.
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