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This study could help us answer 2 questions. First, why do some patients experience repeated incidences of CSDH? The answer to this question may lie in the anatomic differences between CSDH and neurotypical controls. The mean cranium difference between right and left (Dc) was 3.49 mm in the CSDH group and 2.14 mm in the control group, representing a significant between-group difference (by t-test, p<0.05). A large Dc and brain atrophy could result in cerebrospinal fluid filling the open intracranial space, rendering the area vulnerable to trivial trauma or tearing of the bridging vein.

korean journal of neurotrauma

Authors' Reply to Letter to the Editor: Influence of Gender on Occurrence of Chronic Subdural Hematoma; Is It an Effect of Cranial Asymmetry? (Korean J Neurotrauma 2014;10:82–85)