How does the incidence of subdural hematoma (SDH) vary by age?

Updated: Jul 26, 2018
  • Author: Richard J Meagher, MD; Chief Editor: Helmi L Lutsep, MD  more...
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Answer

The incidence of chronic subdural hematoma appears to be highest in the fifth through seventh decades of life. One retrospective study reported that 56% of cases were in patients in their fifth and sixth decades; another study noted that more than half of all cases were seen in patients older than 60 years. The highest incidence, 7.35 cases per 100,000 population, occurs in adults aged 70-79 years.

Adhesions existing in the subdural space are absent at birth and develop with aging; therefore, bilateral subdural hematomas are more common in infants. Interhemispheric subdural hematomas are often associated with child abuse. [13]


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