<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1561-3194</journal-id>
<journal-title><![CDATA[Revista de Ciencias Médicas de Pinar del Río]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Ciencias Médicas]]></abbrev-journal-title>
<issn>1561-3194</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1561-31942023000700031</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Fisiopatología del hematoma subdural crónico y su terapéutica conservadora actual]]></article-title>
<article-title xml:lang="en"><![CDATA[Pathophysiology of chronic subdural hematoma and its current conservative therapy]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Acurio-Padilla]]></surname>
<given-names><![CDATA[Piedad Elizabeth]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cueva-Moncayo]]></surname>
<given-names><![CDATA[María Fernanda]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Trávez-Valencia]]></surname>
<given-names><![CDATA[José Fernando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Regional Autónoma de Los Andes  ]]></institution>
<addr-line><![CDATA[Ambato ]]></addr-line>
<country>Ecuador</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2023</year>
</pub-date>
<volume>27</volume>
<numero>6</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1561-31942023000700031&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1561-31942023000700031&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1561-31942023000700031&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: el hematoma subdural crónico, como antecedente, es una de las patologías neuroquirúrgicas más frecuentes.  Objetivo: describir la fisiopatología y terapéutica actual del hematoma subdural crónico.  Métodos: se realizó una revisión bibliográfica de tipo descriptiva sobre el hematoma subdural crónico durante los meses de marzo a abril del 2023. Se emplearon las bases de datos SciELO, Scopus y PubMed. Se seleccionaron 15 artículos.  Resultados: el diagnóstico oportuno y sobre todo la terapéutica adecuada puede mejorar mayormente el pronóstico de los pacientes. La etiología más frecuente es la traumática; sin embargo, no se pueden dejar de lado algunas comorbilidades y sus tratamientos como la anticoagulación; situaciones que juegan un papel importante para favorecer la formación de dicha patología. La atorvastatina demostró ser muy útil en pacientes que no requieren cirugía a brevedad.  Conclusiones: el hematoma subdural crónico es una patología neuroquirúrgica de elevada frecuencia en la práctica de medicina general y en la especialidad de neurocirugía. Existen dos teorías que explican la formación de los hematomas subdurales crónicos. La cirugía se mantiene como el manejo de elección; sin embargo, existen fármacos como las estatinas, especialmente la atorvastatina, de gran valor terapéutico.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ ABSTRACT  Introduction:  chronic subdural hematoma is one of the most frequent neurosurgical pathologies.  Objective:  to describe the pathophysiology and current therapy of chronic subdural hematoma.  Methods:  a descriptive literature review on chronic subdural hematoma was carried out from March to April 2023. The SciELO, Scopus and PubMed databases were used. Fifteen articles were selected.  Results:  timely diagnosis and, above all, adequate therapy can greatly improve the prognosis of patients. The most frequent etiology is traumatic; however, some comorbidities and their treatments, such as anticoagulation, cannot be disregarded; situations that play an important role in favoring the formation of this pathology. Atorvastatin proved to be very useful in patients who do not require surgery soon.  Conclusions:  chronic subdural hematoma is a neurosurgical pathology of high frequency in the practice of general medicine and neurosurgery. There are two theories that explain the formation of chronic subdural hematomas. Surgery remains the management of choice; however, drugs such as statins, especially atorvastatin, are of great therapeutic value.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[HEMATOMA SUBDURAL CRÓNICO]]></kwd>
<kwd lng="es"><![CDATA[NEUROCIRUGÍA]]></kwd>
<kwd lng="es"><![CDATA[TERAPÉUTICA]]></kwd>
<kwd lng="es"><![CDATA[ATORVASTATINA]]></kwd>
<kwd lng="en"><![CDATA[HEMATOMA, SUBDURAL, CHRONIC]]></kwd>
<kwd lng="en"><![CDATA[NEUROSURGERY]]></kwd>
<kwd lng="en"><![CDATA[THERAPEUTICS]]></kwd>
<kwd lng="en"><![CDATA[ATORVASTATIN]]></kwd>
</kwd-group>
</article-meta>
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