Outcome differences between spontaneous and traumatic chronic subdural hematoma: a comparative analysis using modified Nakaguchi CT classification

Abstract Aims This study aimed to compare the clinical presentation, radiology, surgical management, and outcomes between spontaneous and traumatic CSDH. Materials and methods A prospective cohort of 63 patients with radiological confirmed CSDH was enrolled over six months and categorized by etiology into spontaneous ( n = 32) and traumatic ( n = 31) groups. It was classified according to a modified Nakaguchi system and later consolidated into three membrane-based categories for clinical relevan