scholarly journals Comparison of Subgaleal and Subdural Closed Drainage System in Surgical Treatment of Chronic Subdural Hematoma

2015 ◽  
Author(s):  
Sukru Oral
Keyword(s):  
Surgical Treatment ◽  
Subdural Hematoma ◽  
Drainage System ◽  
Chronic Subdural Hematoma ◽  
Closed Drainage ◽  
Closed Drainage System

scholarly journals Chronic Subdural Hematoma Treated by Burr Holes and Closed Drainage System: A Review of 630 Cases

2001 ◽  
Vol 10 (1) ◽  
pp. 41-47 ◽  
Author(s):  
Miguel Gelabert-González ◽  
Elena López-García ◽  
Juan Fernández-Villa
Keyword(s):  
Subdural Hematoma ◽  
Drainage System ◽  
Chronic Subdural Hematoma ◽  
System A ◽  
Closed Drainage ◽  
Burr Holes ◽  
Closed Drainage System

scholarly journals Surgical treatment of 137 cases with chronic subdural hematoma at the university clinical center of Kosovo during the period 2008-2012

2015 ◽  
Vol 6 (02) ◽  
pp. 186-190 ◽  
Author(s):  
Agon Y. Mekaj ◽  
Arsim A. Morina ◽  
Ymer H. Mekaj ◽  
Suzana Manxhuka-Kerliu ◽  
Ermira I. Miftari ◽  
...  
Keyword(s):  
Subdural Hematoma ◽  
Drainage System ◽  
Chronic Subdural Hematoma ◽  
Burr Hole ◽  
Female Ratio ◽  
Surgical Interventions ◽  
Closed Drainage ◽  
Clinical Center ◽  
Closed Drainage System ◽  
The University

ABSTRACT Background: Chronic subdural hematoma (CSDH) is frequent pathology in neurosurgical practice. The aim of this study is to present the first series of patients with CSDH, who got surgically treated in Clinic of Neurosurgery, University Clinical Center of Kosovo. Materials and Methods: This is a retrospective study that included 137 patients with CSDH who had been treated during the period 2008-2012. The data were collected and analyzed from the archives and protocols of the University Clinical Center of Kosovo. Patients were analyzed in many aspects such as age, gender, etiological factors, clinical features, localization, diagnoses, methods of surgical interventions, recurrences and mortality of patients. Results: From 137 patients with CSDH, 106 (77.3%) were males and 31 (22.7%) females. Average age of patients was 62.85 years. Analyzed according to the decades, the highest number of causes with CSDH was between 70 and 79 years (46%). The head trauma has been responsible for CSDH in 88 patients (64.3%), while the main symptom was headache (92 patients or 67.1%). One burr-hole trepanation with closed drainage system has been used in majority of cases (in 101 patients or 73.7%). The recurrence of CSDH was 6.5%, whereas mortality 2.9%. Conclusion: CSDH is more common in elderly patients. The male-female ratio is 3.4:1. Like other authors we also think that treatment with one burr-hole and drainage is a method of choice, because of its simplicity and safety.

scholarly journals Clinical Presentation and Surgical Outcomes of Chronic Subdural Hematoma

2021 ◽  
Vol 24 (4) ◽  
pp. 369-375
Author(s):  
Mukhtiar Ahmed ◽  
Fauzia Sajjad ◽  
Ajmal Khan ◽  
Talha Abass ◽  
Hamid Akbar ◽  
...  
Keyword(s):  
Local Anesthesia ◽  
Subdural Hematoma ◽  
Clinical Presentation ◽  
Drainage System ◽  
Chronic Subdural Hematoma ◽  
Safe Procedure ◽  
Medical College ◽  
Closed Drainage ◽  
Subdural Drain ◽  
Closed Drainage System

Objective: The aim of this study was to access clinical presentation of chronic subdural hematoma and to evaluate the surgical outcome of evacuation of chronic subdural hematoma after single burrhole craniotomy with a close drainage system under local anesthesia. Material & Methods:  A descriptive study conducted in the Neurosurgery Department of Khairpur Medical College Sindh. 30 patients of chronic subdural hematoma were included. Patients prepared for evacuation of chronic subdural hematoma through single burr hole followed by closed drainage system for two days. Results:  The most common feature was gait disturbance followed by Hemiparesis and headache. Coexisting diseases were hypertension, Diabetes mellitus and Chronic Liver Disease, etc. and causes of CSDH were head injury (trivial trauma) and anticoagulant. Surgical decisions were taken on the bases of clinical presentation and radiological findings of patients. Surgical procedure single burrhole craniotomy followed by irrigation with normal saline and close drainage system for two days. On post-operative follow-up, a recurrence of CSDH occurred in two patients. Conclusion:  Single burrhole craniotomy with close drainage system is a simple and safe procedure under local anesthesia for treatment of chronic subdural hematoma. Keywords:  CSDH (chronic subdural hematoma), GCS (Glasgow coma score), Burrhole craniotomy, Neurosurgery & Subdural drain.

scholarly journals Hyperperfusion and intracranial hemorrhage after burr hole surgery of chronic subdural hematoma

2021 ◽  
Vol 12 ◽  
pp. 124
Author(s):  
Yu Shimizu ◽  
Kazuhiko Tokuda ◽  
Park Cheho
Keyword(s):  
Intraventricular Hemorrhage ◽  
Head Injuries ◽  
Drainage System ◽  
Chronic Subdural Hematoma ◽  
Burr Hole ◽  
System A ◽  
Closed Drainage ◽  
The Right ◽  
Closed Drainage System

Background: Chronic subdural hematomas (CSDHs) mainly occur in elderly people and usually develop after minor head injuries. CSDH can be cured by a relatively simple burr hole surgery. Rarely reported, hemorrhagic postsurgical complications include subarachnoid, intracerebral, intraventricular, and remote cerebellar hemorrhages. The causes of such uncommon complications are difficult to explain and remain poorly understood. Case Description: We report the case study of an 89-year-old man with CSDH who presented with the right hemiparesis. He underwent burr hole surgery with a closed-drainage system. A computed tomography (CT) scan conducted the following day demonstrated an acute intraventricular hemorrhage and hyperperfusion of the ipsilateral hemisphere. Conclusion: This is a rare case of an acute hematoma in the ventricle following drainage of a CSDH. The likely mechanism of this intraventricular hemorrhage could be that the drainage of the hematoma produced a movement of the ventricle and hemisphere accompanied by hyperperfusion.

Chronic subdural hematoma: Surgical treatment and outcome in 104 patients

1997 ◽  
Vol 48 (3) ◽  
pp. 220-225 ◽  
Author(s):  
Ralf-Ingo Ernestus ◽  
Piotr Beldzinski ◽  
Heinrich Lanfermann ◽  
Norfrid Klug
Keyword(s):  
Surgical Treatment ◽  
Subdural Hematoma ◽  
Chronic Subdural Hematoma

scholarly journals Intracerebral Hemorrhage Immediately Following Surgical Treatment of Chronic Subdural Hematoma

1984 ◽  
Vol 24 (1) ◽  
pp. 27-29 ◽  
Author(s):  
Noboru NAKAHARA ◽  
Toshio MASUZAWA ◽  
Koichi KUNO ◽  
Fumiaki SATO
Keyword(s):  
Surgical Treatment ◽  
Intracerebral Hemorrhage ◽  
Subdural Hematoma ◽  
Chronic Subdural Hematoma

scholarly journals Chronic subdural hematoma: epidemiological and prognostic analysis of 176 cases

2015 ◽  
Vol 42 (5) ◽  
pp. 283-287 ◽  
Author(s):  
JAMIL FARHAT NETO ◽  
João Luiz Vitorino Araujo ◽  
Vinícius Ricieri Ferraz ◽  
Luciano Haddad ◽  
José Carlos Esteves Veiga
Keyword(s):  
Subdural Hematoma ◽  
Drainage System ◽  
Chronic Subdural Hematoma ◽  
The Elderly ◽  
Prognostic Indicators ◽  
Altered Consciousness ◽  
Prognostic Analysis ◽  
Motor Abnormalities ◽  
The Right ◽  
Change Of Consciousness

Objective : To characterize patients with chronic subdural hematoma undergoing surgery and to identify prognostic indicators. Methods : We conducted a retrospective analysis of patients diagnosed with chronic subdural hematoma (CSDH) undergoing surgical treatment. We analyzed: age, period from trauma to diagnostic imaging, pre and postoperative Glasgow coma scale, type of surgery, associated comorbidities, use of postoperative drainage and outpatient treatment. Results : The sample consisted of 176 patients, 126 male and 50 female patients (ratio 2.5 : 1), ages ranged from six months to 97 years, with an average of 59.3 years. CSDH was caused by trauma in 52% of patients, with the time from trauma to imaging averaging 25.05 days; 37.7% were hypertensive patients and 20% had a neurological disease. Eighty-five (48.3%) patients were elderly and altered consciousness was present in 63% of cases. Of the 91 (51.7%) non-elderly patients, 44% presented with headache, altered consciousness occurred in 40% and motor abnormalities in 27.5%. The CSDH was located on the right in 41%, left in 43% and bilaterally in 16% of patients. Conclusion : the change of consciousness was the most common clinical alteration in the elderly and headache in non-elderly. The most associated comorbidity was the arterial hypertension and the most frequent cause, head trauma. The trepanation with two oriffices associated with a closed drainage system was the most used operating, with high efficacy and low complication rate.

Chronic Subdural Hematomas: To Drain or Not to Drain?

Neurosurgery ◽  
1985 ◽  
Vol 16 (2) ◽  
pp. 185-188 ◽  
Author(s):  
Thomas Marc Markwalder ◽  
Rolf W. Seiler
Keyword(s):  
Clinical Improvement ◽  
Closed System ◽  
Subdural Hematoma ◽  
Drainage System ◽  
Chronic Subdural Hematoma ◽  
Burr Hole ◽  
Postoperative Phase ◽  
Consecutive Series ◽  
Neurological Improvement ◽  
Burr Hole Evacuation

Abstract A consecutive series of 21 adult patients with chronic subdural hematoma was studied in respect to postoperative resolution of subdural collections and clinical improvement after burr hole evacuation without subdural drainage. This series was compared to a previously studied series of patients with chronic subdural hematoma in whom postoperative closed system drainage had been installed. Using the identical protocol for treatment and postoperative follow-up, we obtained identical results with respect to time-related neurological improvement and persistence of subdural collections in the undrained and drained series, except that the steadily progressive clinical improvement during the early postoperative phase (24 hours) in all cases of the drained series was not universal in the undrained cases. Our study suggests that, to avoid the possibility of early postoperative clinical deterioration, burr hole craniostomy and closed system drainage is advisable. We think that subdural drainage is not necessary when the installation of the drainage system seems to be technically difficult, as it may be in cases with considerable perioperative cortical expansion.

Outcome following surgical treatment of chronic subdural hematoma in the oldest-old population

2017 ◽  
Vol 40 (3) ◽  
pp. 527-528 ◽  
Author(s):  
Christopher Munoz-Bendix ◽  
Hans-Jakob Steiger ◽  
Marcel Alexander Kamp
Keyword(s):  
Surgical Treatment ◽  
Subdural Hematoma ◽  
Oldest Old ◽  
Chronic Subdural Hematoma
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